RN Care Manager

The UNC Health Cancer Care team in Raleigh is seeking an experienced RN Care Manager to provide support to patients receiving care in their ambulatory palliative care and psycho-oncology clinics.

The Care Manager RN plays a crucial role in providing comprehensive and coordinated care to patients within UNC Health. This position involves utilizing a variety of skills, including risk segmentation, patient assessments, patient-centered care plans, tasks or interventions, care transitions, delegated work, and payer communication.

Responsibilities:

• Conduct comprehensive care manager assessments utilizing standardized assessment tools and nursing knowledge to evaluate patients' functional abilities, cognitive status, and psychosocial support systems.
• Collaborate with providers, patients, their families, and the healthcare team on individualized care plans that align with patients' goals, preferences, and values.
• Utilize standardized tools and clinical judgment to identify and assess the risk level of patients based on various factors such as medical conditions, social determinants of health, and behavioral health needs.
• Coordinate and facilitate necessary tasks or interventions to support patients' care plans.
• Coordinate and facilitate care across various healthcare settings, ensuring seamless transitions and continuity of care.
• Collaborate with payers, insurance companies, and utilization management teams to optimize reimbursement and facilitate timely approvals for necessary care and services.
• Accurately document and bill for services rendered, as applicable, in compliance with insurance and regulatory requirements.

Requirements:

• Graduation from a state accredited school of professional nursing
• Registered Nurse with a valid license to practice in North Carolina
• Minimum of 2 years of experience as a registered nurse
• Strong knowledge of risk segmentation, patient assessments, patient-centered care planning, care transitions, and payer communication
• Excellent communication, collaboration, and problem-solving skills
• Ability to work independently and as part of a multidisciplinary team
• Proficiency in electronic health records (EHR) and other relevant software applications