*_Job Summary_* Accountable for the execution, adaptation and outcome of care management as prescribed in the initial Utilization Review Plan with regard to resources, appropriateness of care and adherence to a designated Geometric Length of Stay (GLOS) for each patient. *_COMPANY DESCRIPTION_* Frye Regional Medical Center, located in the beautiful foothills of North Carolina is a 355-bed acute care hospital, 81-bed Behavioral Health facility and more than 70 primary and specialty care providers. *_Essential Functions_* * Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization. * Assesses the quality of patient care delivered and coordinates patient care services with patients, staff, physicians, and other departments. * Creates and fosters an environment that encourages professional growth. * Integrates evidence-based practices into operations and clinical protocols. * Works with physicians, nurses, ancillary staff and social services at the point of care to facilitate multidisciplinary decision-making that is consistent with the goals and objectives of the plan of care and the wishes of both the patient and family. * Must understand payer issues with regard to patient management and resulting implications of clinical decisions and anticipate to opportunities to reduce expense and capture revenue appropriately from admission through discharge. * Coordinates care and services within the case managed population. * Educates Physicians and staff in Case Management standards and assists them in meeting the regulations and standards as requested by Joint Commission, OSHA, CMS, HCFA, AHCA and other regulatory agencies. * Educates and mentors all staff in UR standards and LOS topics. * Coordinates care and services within the case managed population. *_Benefits -_* Wide range of benefits options! * Here at Frye, _you choose your own_ Medical, Dental, and Vision plans from a variety of competitive options that give you the coverage that best fits your needs. * HSA * 401(K) retirement plan contributions * Generous Paid Time Off * Accident & Critical Illness Insurance * Prescription Assistance with OptumRx * Income protection programs for the entire family such as life insurance, Short/Long-term Disability, and Identity Theft. * Employee Assistance program at no cost to you to provide emotional, legal, financial, and daily life support for your entire household. Services are available 24 hrs. a day, 7 days a week. * Free travel and entertainment discount program to ensure you enjoy your time away from work. *_Why join our team?_* Frye Regional Medical Center employs more than 1500 professional and clinical staff. Our medical center is a 355-bed acute care facility which offers a broad array of inpatient and outpatient care. Frye Regional Medical Center is dedicated to providing patients with a full range of services to meet the healthcare needs of our community. We believe our employees are our most valuable assets in accomplishing this goal and we have made great strides to ensure employee satisfaction. If you are passionate about changing lives, we are looking for you! *_Qualifications_* *_Minimum Education_* * Associates Degree in Nursing Required * Bachelor's Degree in Nursing Preferred *_Licenses/Certifications_* * Current RN license to practice in NC (NC licensure or multi-state (compact) license). * ACMA Certification highly preferred * CCM Certification highly preferred *_Minimum Work Experience_* * 1-3 Years Case Management Experience Preferred **Job:** **Please select a valid job field* **Organization:** ** **Title:** *Clinical Case Manager* **Location:** *NC-Hickory* **Requisition ID:** *7469-10889*