Case Manager (As Needed) - Outer Banks, NC

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914493

The Outer Banks Hospital

Part Time

Regular

Summary

About the Outer Banks Hospital

The Outer Banks Hospital, located in Nags Head, North Carolina, is a full service critical access hospital offering a wide range of inpatient and outpatient services. The hospital opened in March 2002 and is one of the newest hospitals in eastern North Carolina. The hospital's 21 private rooms are designed to meet the needs of our coastal community, whose year-round population of approximately 35,000 swells to about 250,000 in the summer season. The labor and delivery area consists of two labor/delivery/recovery/postpartum rooms, a five-bed nursery, a dedicated caesarean-section operating room and a triage room.

Responsibilities

  • Ensures all patients (inpatients, observation, Medical/Surgical Unit and LDRP) meet the criteria for Medical Necessity.
  • Responds to requests for consults in a timely manner to ensure patient/family needs met in the most timely manner possible. Serves as a resource for TOBH staff, patients and their families for Ethical and End of Life decision making.
  • Provides a link for referrals to community resources/agencies to ensure patient’s needs are met/available at discharges without a lapse in services (i.e. Home Health, medical equipment).
  • Maintains knowledge and competence in financial/reimbursement requirements as related to LTC (FL-2), EDS and CMS (Medicare and Medicaid). Initiates processes for patients that meet eligibility requirements for financial assistance and refers to appropriate resources.Collaborates with the Business Office with review and revision of denials, as well as insurance status of self-pay population.
  • Incorporates knowledge of federal, state and accreditory bodies as related to regulations and requirements (i.e. CAH LOS, referrals, observation vs. admission) of standard components necessary to maintain such compliance.
  • Collaborates effectively with all members of the Leadership/Administrative teams, hospital staff and Medical Staff.
  • Assists with and contributes to education programs and orientation  for new employees in regards to Case Management services, End of Life decision making and identification of  abuse victims (legally mandated).

Minimum Requirements

  • College degree (4 years) with a Major in Social Work or Nursing.  Master’s Degree preferred.

  • Must have 3 – 5 years of various clinical experience and a minimum of 2 – 3 years of Case Management experience.

Preferred Requirements

  • In-patient and discharge planning experience preferred.

Other Information

  • This is a PRN position (as needed basis). There are no guaranteed hours and no benefits with this position.

 

General Statement

It is the goal of Vidant Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer.   Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.

 

Contact Information

For additional information, please contact:

Tammy Davenport, Human Resources Specialist

Email: Tammy.Davenport@theobh.com
 

Tel: (252) 449-4545

Erin Forrest, Human Resources Technician

Email: Erin.Forrest@theobh.com
 

Tel: (252) 449-4544

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