Kinston Community Health Center, Inc.
RN Case Manager
Kinston Community Health Center, Inc., Kinston, North Carolina, United States, 28504
Kinston Community Health Center (KCHC)
is seeking a dedicated and experienced
RN Case Manager
to support high-risk and complex patient populations through comprehensive care management and coordination. This role is ideal for a Registered Nurse who is passionate about patient-centered care, chronic disease management, and improving health outcomes through collaboration with interdisciplinary teams and community partners. The RN Case Manager plays a critical role in advancing KCHC’s mission by reducing care gaps, supporting care transitions, and promoting high-quality, coordinated care.
What We Offer
Competitive salary commensurate with experience
Full benefits package (medical, dental, vision, life, and retirement)
Generous PTO and paid holidays
Mission-driven environment that values professional growth and community impact
Position Summary The RN Case Manager provides comprehensive care management and coordination services for high-risk and complex patient populations at Kinston Community Health Center. This role conducts clinical and psychosocial assessments, develops and implements individualized care plans, manages high-risk patient registries, and supports Chronic Care Management (CCM) and Patient-Centered Medical Home (PCMH) initiatives. The RN Case Manager collaborates closely with interdisciplinary care teams, community partners, and payer-based programs to facilitate care transitions, improve patient outcomes, and reduce avoidable emergency department and hospital utilization, while ensuring accurate documentation, regulatory compliance, and alignment with KCHC’s mission and values.
Qualifications
Education
Associate Degree in Nursing (ADN) required
Bachelor of Science in Nursing (BSN) preferred
Certifications & Licenses
Current, unrestricted Registered Nurse (RN) license in the State of North Carolina
Current BLS certification or ability to obtain within 3 months of employment
Experience
Minimum of two (2) years of clinical nursing experience as a Registered Nurse
Experience in care coordination, care planning, case management, and clinical documentation
Experience managing chronic conditions and supporting high-risk or complex patient populations
Demonstrated ability to collaborate with interdisciplinary care teams and community partners
Skills
Strong organizational and time-management skills
Proficiency with electronic health records (EHRs) and health management systems
Working knowledge of Microsoft Office Suite
Clinical assessment and individualized care planning
Care coordination and patient advocacy
Effective communication and patient education skills
Accurate, timely clinical documentation
Ability to work independently and collaboratively within an interdisciplinary team
Essential Duties and Responsibilities Care Management & Patient Assessment
Conduct comprehensive assessments of patients’ physical, mental, and psychosocial needs.
Develop and implement individualized care plans to improve outcomes, increase patient engagement in self-care, reduce risk status, and minimize emergency department and hospital utilization.
Utilize behavioral strategies and motivational techniques to support chronic disease self-management and healthy behavior change.
Provide ongoing follow-up and monitoring, including telephone follow-ups within 24 hours of inpatient discharge and 48 hours of ED or hospital visit notification.
High-Risk Patient & Chronic Care Management
Manage KCHC’s high-risk patient registry, including identification through the EHR, provider referrals, and payer-supplied registries.
Ensure accuracy and validity of patient registries and documentation.
Utilize Chronic Care Management (CCM) templates in NextGen, primarily for the Medicare population.
Maintain up-to-date knowledge of community resources to support disease management and connect patients as appropriate.
Care Coordination & Partnerships
Develop and maintain systems to track care coordination and care management activities across the continuum of care, including primary care, specialty care, and care transitions.
Serve as a clinical liaison for payer-based care management programs.
Collaborate with external case management programs, community partners, and internal care teams to coordinate patient care.
Participate actively as a member of interdisciplinary, team-based care initiatives.
PCMH, Quality & Compliance
Proactively support Patient-Centered Medical Home (PCMH) initiatives related to care coordination.
Partner with PCMH staff to develop and enhance integrated care management programs.
Participate fully in the organization’s performance improvement and corporate compliance programs.
Ensure adherence to HIPAA and OSHA standards in all clinical activities.
Documentation & Communication
Maintain accurate, timely, and complete clinical documentation in the electronic health record.
Monitor patient progress and risk status and communicate effectively with care teams and providers.
Professional Development & Organizational Participation
Participate in continuing professional development, including workshops, in‑services, and independent learning.
Attend and participate in organizational meetings, functions, and administrative activities as required.
Emergency Response & Safety
Participate as a member of the emergency response team for patient emergencies.
Other Duties
Perform other duties as assigned to support organizational and patient care needs.
Must be able and comfortable working in a variety of settings including, but not limited to clinical environments and office spaces.
Must be able to work nights and weekends as departmental needs arise.
Travel Requirements
None
Core Competencies
Communication : Demonstrates strong verbal, written, and digital communication skills; able to clearly explain complex information.
Judgment & Decision‑Making : Provides thoughtful input into operational and program decisions.
Accountability & Self‑Management : Works independently and efficiently, managing multiple responsibilities with minimal supervision.
Teamwork & Collaboration : Builds effective working relationships across teams, departments, and the community.
Problem‑Solving & Initiative : Applies critical thinking and initiative to resolve issues and improve service delivery.
Knowledge, Skills, and Abilities
Delivers high‑quality customer service with professionalism and cultural sensitivity.
Actively listens and communicates clearly across diverse populations.
Maintains confidentiality and handles sensitive information with discretion.
Applies knowledge of clinical and administrative standards and institutional policies.
Manages time effectively, prioritizing tasks and meeting deadlines.
Demonstrates community awareness and understanding of the population served.
Projects a professional image and provides leadership when delegating or guiding team efforts.
Physical Demands
Occasionally required to sit, walk, reach, and handle materials.
May be required to lift or move items up to 25–50 pounds.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Supervisory Responsibilities
None
Compliance Responsibilities As part of Kinston Community Health Center’s commitment to ethical practices and regulatory compliance, all employees are expected to:
Act in accordance with the KCHC Employee Handbook, policies and procedures, and all applicable federal and state laws.
Promptly report any known or suspected violations of compliance/safety standards.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care
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is seeking a dedicated and experienced
RN Case Manager
to support high-risk and complex patient populations through comprehensive care management and coordination. This role is ideal for a Registered Nurse who is passionate about patient-centered care, chronic disease management, and improving health outcomes through collaboration with interdisciplinary teams and community partners. The RN Case Manager plays a critical role in advancing KCHC’s mission by reducing care gaps, supporting care transitions, and promoting high-quality, coordinated care.
What We Offer
Competitive salary commensurate with experience
Full benefits package (medical, dental, vision, life, and retirement)
Generous PTO and paid holidays
Mission-driven environment that values professional growth and community impact
Position Summary The RN Case Manager provides comprehensive care management and coordination services for high-risk and complex patient populations at Kinston Community Health Center. This role conducts clinical and psychosocial assessments, develops and implements individualized care plans, manages high-risk patient registries, and supports Chronic Care Management (CCM) and Patient-Centered Medical Home (PCMH) initiatives. The RN Case Manager collaborates closely with interdisciplinary care teams, community partners, and payer-based programs to facilitate care transitions, improve patient outcomes, and reduce avoidable emergency department and hospital utilization, while ensuring accurate documentation, regulatory compliance, and alignment with KCHC’s mission and values.
Qualifications
Education
Associate Degree in Nursing (ADN) required
Bachelor of Science in Nursing (BSN) preferred
Certifications & Licenses
Current, unrestricted Registered Nurse (RN) license in the State of North Carolina
Current BLS certification or ability to obtain within 3 months of employment
Experience
Minimum of two (2) years of clinical nursing experience as a Registered Nurse
Experience in care coordination, care planning, case management, and clinical documentation
Experience managing chronic conditions and supporting high-risk or complex patient populations
Demonstrated ability to collaborate with interdisciplinary care teams and community partners
Skills
Strong organizational and time-management skills
Proficiency with electronic health records (EHRs) and health management systems
Working knowledge of Microsoft Office Suite
Clinical assessment and individualized care planning
Care coordination and patient advocacy
Effective communication and patient education skills
Accurate, timely clinical documentation
Ability to work independently and collaboratively within an interdisciplinary team
Essential Duties and Responsibilities Care Management & Patient Assessment
Conduct comprehensive assessments of patients’ physical, mental, and psychosocial needs.
Develop and implement individualized care plans to improve outcomes, increase patient engagement in self-care, reduce risk status, and minimize emergency department and hospital utilization.
Utilize behavioral strategies and motivational techniques to support chronic disease self-management and healthy behavior change.
Provide ongoing follow-up and monitoring, including telephone follow-ups within 24 hours of inpatient discharge and 48 hours of ED or hospital visit notification.
High-Risk Patient & Chronic Care Management
Manage KCHC’s high-risk patient registry, including identification through the EHR, provider referrals, and payer-supplied registries.
Ensure accuracy and validity of patient registries and documentation.
Utilize Chronic Care Management (CCM) templates in NextGen, primarily for the Medicare population.
Maintain up-to-date knowledge of community resources to support disease management and connect patients as appropriate.
Care Coordination & Partnerships
Develop and maintain systems to track care coordination and care management activities across the continuum of care, including primary care, specialty care, and care transitions.
Serve as a clinical liaison for payer-based care management programs.
Collaborate with external case management programs, community partners, and internal care teams to coordinate patient care.
Participate actively as a member of interdisciplinary, team-based care initiatives.
PCMH, Quality & Compliance
Proactively support Patient-Centered Medical Home (PCMH) initiatives related to care coordination.
Partner with PCMH staff to develop and enhance integrated care management programs.
Participate fully in the organization’s performance improvement and corporate compliance programs.
Ensure adherence to HIPAA and OSHA standards in all clinical activities.
Documentation & Communication
Maintain accurate, timely, and complete clinical documentation in the electronic health record.
Monitor patient progress and risk status and communicate effectively with care teams and providers.
Professional Development & Organizational Participation
Participate in continuing professional development, including workshops, in‑services, and independent learning.
Attend and participate in organizational meetings, functions, and administrative activities as required.
Emergency Response & Safety
Participate as a member of the emergency response team for patient emergencies.
Other Duties
Perform other duties as assigned to support organizational and patient care needs.
Must be able and comfortable working in a variety of settings including, but not limited to clinical environments and office spaces.
Must be able to work nights and weekends as departmental needs arise.
Travel Requirements
None
Core Competencies
Communication : Demonstrates strong verbal, written, and digital communication skills; able to clearly explain complex information.
Judgment & Decision‑Making : Provides thoughtful input into operational and program decisions.
Accountability & Self‑Management : Works independently and efficiently, managing multiple responsibilities with minimal supervision.
Teamwork & Collaboration : Builds effective working relationships across teams, departments, and the community.
Problem‑Solving & Initiative : Applies critical thinking and initiative to resolve issues and improve service delivery.
Knowledge, Skills, and Abilities
Delivers high‑quality customer service with professionalism and cultural sensitivity.
Actively listens and communicates clearly across diverse populations.
Maintains confidentiality and handles sensitive information with discretion.
Applies knowledge of clinical and administrative standards and institutional policies.
Manages time effectively, prioritizing tasks and meeting deadlines.
Demonstrates community awareness and understanding of the population served.
Projects a professional image and provides leadership when delegating or guiding team efforts.
Physical Demands
Occasionally required to sit, walk, reach, and handle materials.
May be required to lift or move items up to 25–50 pounds.
Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
Supervisory Responsibilities
None
Compliance Responsibilities As part of Kinston Community Health Center’s commitment to ethical practices and regulatory compliance, all employees are expected to:
Act in accordance with the KCHC Employee Handbook, policies and procedures, and all applicable federal and state laws.
Promptly report any known or suspected violations of compliance/safety standards.
Seniority level
Mid‑Senior level
Employment type
Full‑time
Job function
Health Care Provider
Industries
Hospitals and Health Care
#J-18808-Ljbffr