Key Responsibilities Care Coordination & Planning:

Develop and implement individualized care plans for high-risk patients (e.g., Diabetes, COPD, CHF, Hypertension). Identify patient barriers to care (transportation, financial, literacy) and provide resources or referrals. Facilitate transitions of care by following up with patients within 48 hours of hospital discharge or ER visits. Conduct telephonic or in-person nursing assessments to monitor patient progress. Perform medication reconciliation and education to ensure adherence. Order and track laboratory tests or screenings as per standing orders and protocols. Coach patients on self-management skills and lifestyle modifications. Utilize motivational interviewing techniques to encourage behavioral changes. Act as a liaison between the patient, the Primary Care Provider (PCP), specialists, and community agencies. Qualifications & Skills Associate's or Bachelor's Degree in Nursing (BSN preferred). Licensure - Active, unrestricted Registered Nurse (RN) license in the state of NC. 3+ years of clinical nursing experience; experience in home health, case management, or primary care is a plus. Autonomous problem-solving, and excellent telephonic communication.

Job Type:

Full-time Pay:

$60,000.00 - $70,000.00 per year

Benefits:

401(k) 401(k) matching Dental insurance Disability insurance Flexible spending account Health insurance Life insurance Paid time off Retirement plan Application Question(s): If you do not currently live in the New Bern, NC or surrounding area, what is your time frame for relocation?

Work Location:

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