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Care Manager - Medicaid Care Management

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Job ID: 973603
Facility: Access East, Inc
Dept: Medicaid Care Manangement
Location: Greenville, NC
FT/PT: Full-Time
Shift: Days
Reg/Temp: Regular
Date Posted: Dec 1, 2024

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Job Description

ECU Health

About ECU Health & Access East 

ECU Health is a mission-driven, 1,708-bed academic health care system serving more than 1.4 million people in 29 eastern North Carolina counties. The not-for-profit system is comprised of 13,000 team members, nine hospitals and a physician group that encompasses over 1,100 academic and community providers practicing in over 180 primary and specialty clinics located in more than 130 locations.

The flagship ECU Health Medical Center, a Level I Trauma Center, and ECU Health Maynard Childrens Hospital serve as the primary teaching hospitals for the Brody School of Medicine at East Carolina University. ECU Health and the Brody School of Medicine share a combined academic mission to improve the health and well-being of eastern North Carolina through patient care, education and research.

Access East, Inc. is a care management and practice support company providing comprehensive complex, high/rising risk, and low risk management to over 120,000 covered lives. We are a 501 (c)(3) entity that supports Medicaid, Medicare, Self-insured and Uninsured populations. Services included care management, practice support, annual wellness visits, health coaching, free clinic wrap around services, screenings/care gap closures, and SDOH coordination, just to name a few. 

Position Summary

  • The Care Manager is responsible for coordination of the plan of care through collaboration with the provider, the interdisciplinary team, the patient and family. 
  • The Care Manager facilitates the plan of care with the underlying objective of enhancing the quality of patient care, optimizing clinical outcomes and patient satisfaction while managing the cost of care. In addition, the Care Manager helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements and patient satisfaction).
  • The Care Manager is accountable for a designated patient caseload and plans effectively in order to meet patient needs, manage the length of service, promote efficient utilization of resources and ensure a well-organized and safe plan of care is established for every patient.

Minimum Requirements

  • Education: Associate Degree in Nursing or higher or Bachelors of Science in Social Work or higher is required.
  • If a Registered Nurse, current licensure as a Registered Nurse by the NC Board of Nursing is required.
  • Experience: 0-3 years of Medical Case Management
  • LCSW is preferred. 

Other Information

  • Location: Access East in Greenville, NC 
  • Department: Medicaid Care Management 
  • Position hours (full-time): Monday to Friday, 8:00am - 5:00pm hybrid remote 
  • No weekends, nights or call 

General Statement

It is the goal of ECU 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:

Erica Hoyt, Talent Acquisition Consultant

ECU Health Talent Acquisition

Email: [email protected]

 

   

 

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