Registered Nurse, (RN) – Case Manager

Raleigh General Hospital

Registered Nurse, (RN) - Case Manager
Job Type: PRN Days

Job Location Type: In-Person

Your experience matters  

At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ^®. 

More about our team  
Raleigh General is a 300-bed hospital located in Beckley, WV, and is part of Lifepoint Health, a diversified healthcare delivery network committed to making communities healthier® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

How you'll contribute  

Monitors and manages patient care to promote continuity of care, optimal outcomes, patient satisfaction, cost efficiency, and regulatory compliance. Collaborates with the multidisciplinary team, payors, and community resources; leads discharge planning and utilization review activities. Reports to the Director or Manager of Department.

• Consults regularly with nursing staff and the multidisciplinary team to evaluate patient status and appropriateness of care, including admission, length of stay, transfers, and discharge.
• Monitors patient and family satisfaction; responds to questions and complaints from patients, families, and payors.
• Leads and coordinates discharge planning, including patient transfers to other facilities and referrals to community resources; provides discharge education.
• Performs chart reviews to identify and address issues related to service delivery, patient outcomes and satisfaction, compliance, cost, and reimbursement.
• Communicates effectively with providers, payors, and ancillary services to remove barriers and ensure timely care progression.
• Accurately documents case management activities, plans, and outcomes.
• Participates in performance improvement and required continuing education.
• Supports department operations by working alternate shifts/units as needed; may be assigned on-call.
• Performs other duties as assigned.

Additional Information

• Patient Populations Served: Neonate, Infant, Early Childhood, Late Childhood, Adolescent, Young Adult, Middle Adult, Older Adult. Protected Health Information Accessed: Demographic, Clinical, Insurance, Financial, Complete Medical Record. Exposure: Occupational exposure to bloodborne pathogens may be present. Physical Requirements (typical): Frequent keyboard data entry, sitting, standing, walking, and repetitive hand/arm movements; occasional kneeling, squatting, pushing/pulling and lifting/carrying up to 25 lbs; rare climbing or running. Vision demands include near/far vision and depth perception (constant); color distinction frequent; smell and taste rarely required.

Why join us?

We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:   

• Comprehensive Benefits: Multiple levels of medical, dental and vision coverage - with medical plans starting at just $10 per pay period - tailored benefit options for part-time and PRN employees, and more. 
• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off. 
• Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match. 
• Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs). 
• Professional Development: Ongoing learning and career advancement opportunities. 

What we're looking for

• Associate's Degree in Nursing required.
• Bachelor's Degree in Nursing preferred. 
• License/Certifications: Current RN license in state of practice; BCLS required. 
• Skills: Critical thinking and decisive judgment; ability to work with minimal supervision in stressful environments. 
• Proficiency learning/navigating multiple clinical software systems. 
• Effective English communication (read, write, speak, and understand). 
• Ability to complete the Skills Competency Checklist within 90 days of hire.

EEOC Statement:

"Raleigh General Hospital is an Equal Opportunity Employer.  Raleigh General Hospital is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."