Registered Nurse (RN) Care Manager

Title : Registered Nurse (RN) Care Manager\n\nLocation : Western North Carolina Region\n\nABOUT IMPACT PRIMARY CARE NETWORK : \n\nImpact Health is a nonprofit leading innovative strategies that bridge social and clinical systems of care in Western North Carolina and across the nation. As the network lead for North Carolina's Healthy Opportunities Pilot, Impact Health has managed a regional network of more than 60 human service organizations. Most recently, Impact Health introduced Impact Excellence, a network development accelerator designed to support entities addressing health-related social needs in their region or state. Impact Primary Care Network (IPCN) is the nonprofit clinical arm dedicated to integrating social and primary care through high-quality care management across Western North Carolina.\n\nImpact Primary Care Network is a physician-led clinically integrated network (CIN) that is leading a new approach to delivering whole-person care in Western North Carolina (WNC). IPCN is deeply invested in patient health and the health of this rural region. The care management platform and services are designed to seamlessly integrate social health support with clinical care to improve patient health outcomes. IPCN supports primary care practices participating in innovative population health initiatives like NC Medicaid's Managed Care Plans and Healthy Opportunities Pilot.\n\nSUMMARY : \n\nNursing is one of most rewarding professions there is. It's also one of the hardest! Are you ready to make a change in your career where you can promote optimal health outcomes, reduce hospital readmissions, and enhance the overall patient experience? IPCN focuses on collaboration with a multidisciplinary team, prevention, and keeping patients engaged, so everyone gets the personalized attention they deserve. On top of fostering quality care and improving health outcomes in our community, you can become a part of an organization that truly is dedicated to employee wellness, work-life balance, and enhancing the well-being of everyone we serve.\n\nIPCN is seeking a compassionate and dedicated Registered Nurse (RN) Care Manager to join the team. The RN Care Manager will provide patient-centered care coordination and health education to individuals and families attributed to primary care practices in the network. This role involves developing a close working relationship with providers at assigned primary care practices and collaborating with a multidisciplinary care team to promote wellness, manage chronic diseases, and deliver preventative healthcare services.\n\nRESPONSIBILITIES & DUTIES : \n

• Responsible for enhancing the quality of care and patient management throughout the continuum of care and assuring cost-effective care through clinical interventions, case management, education, chronic disease management, utilization review and management, and support of care transitions.\n
• Conducts and documents clinical assessments and creates care plans for patients identified as high risk or having unmet needs or barriers to care.\n
• Provides support to patients, family, caregivers, providers, and community agencies.\n
• Collaborates with network and community partners to achieve positive individual and population outcomes, promote best practices, and improve healthcare delivery.\n
• Conducts "visits" with patients based on program guidelines.\n
• Assesses assigned patients' "whole person" needs by completing a comprehensive assessment, including review of functional abilities, Social Determinants of Health, clinical findings, medical records, and current supports and services.\n
• Responsible for clinical management of high-risk identified patients.\n
• Understanding of significant health conditions and social needs of assigned patient population with the ability to provide education, support, and guidance in a patient-centered manner.\n
• Creates, monitors, and evaluates the effectiveness of the patient-centered plan of care to address all assessed needs.\n
• Communicates clinical findings, recommendations, and referrals to the care team.\n
• Follows all applicable regulatory requirements related to clinical interventions and documentation.\n
• Supports network goals of managing clinical quality measures.\n
• Proficiently uses population health platform and / or available data to identify patients at risk and target appropriate interventions.\n
• Support patients transitioning from one level of care to another by identifying and addressing needs and barriers related to successful transitions.\n
• Coordinates transition plans with patients, family, caregivers, providers, and community agencies.\n
• Collaborates with patients and caregivers to identify needs for post-acute services, such as durable medical equipment, home health, outpatient services, and community resources. Facilitates orders as indicated and follows through with referrals as appropriate.\n
• Communicates changes in plan of care and incremental goals to patient / family, caregivers, and providers.\n
• Prepares and delivers internal education to staff as appropriate.\n\nQUALIFICATIONS & SKILLS\n\nQualifications are a guiding light and not all-encompassing of what Impact Health considers throughout the selection process. And while specific certifications are outlined below, Impact Health encourages candidates to include a cover letter to share how their lived experience, education, and work experience combine to support this role.\n\nRequired Education : Bachelor of Science in Nursing (BSN) or Associate Degree in Nursing (ADN) with a Bachelor of Public Health or related field.\n\nPreferred Education : Master of Science in Nursing (MSN)\n\nRequired Certification / License : Current Registered Nurse (RN) license in North Carolina. Compact License accepted.\n\nPreferred Certification / License : Accredited Case Manager (ACM-RN), Certified Case Manager (CCM), or related certification.\n\nRequired Work Experience : 3 years in clinical nursing in a relevant practice area for BSN / ADN candidates or 1 year for MSN candidates.\n\nPreferred Work Experience : Prior experience in community or public health nursing or nurse care management.\n\nOngoing : Maintains licensure, knowledge, and competencies related to clinical care coordination and practices within their scope.\n\nKnowledge, Skills, and Attributes\n
• Strong communication and interpersonal skills\n
• Ability to work independently and as part of a multidisciplinary team, demonstrating a strong capacity for self-management and approaching challenges with an entrepreneurial mindset.\n
• Demonstrates sensitivity and professionalism when interacting with individuals from a wide range of backgrounds by showing respect and consideration in all communications.\n
• Shows dedication to providing quality healthcare by working to ensure everyone receives the care and resources they need.\n
• A willingness to be adaptable and flexible to support the collective efforts of the program.\n
• Seeks clarity and adapts easily to new and unpredictable situations, maintaining composure and problem-solving when faced with uncertainty or incomplete information.\n
• Self-directed by demonstrating strong time management and prioritization skills, consistently achieving productivity and documentation targets, and seeking opportunities for growth and improvement.\n
• Able to identify gaps, speak out, and implement solutions by proactively identifying areas for improvement, communicating concerns, and opportunities for enhancement.\n\nWHAT WE OFFER : \n\nSalary Range of $80,000.00 - $90,000.00\n\nAll full-time team members can take part in a broad offering of competitive benefits, including : \n
• 100% employer-paid medical, dental, vision, STD, LTD, Life, and AD&D insurance.\n
• Up to 6% match for 403b retirement contributions.\n
• Annual PTO (4 weeks) & Sick (2 weeks).\n
• 10 paid holidays, 5 paid Winter Break days.\n\nWORKING ENVIRONMENT : \n\nThis position will be a hybrid role, split between working from a home office and primary care practices with some scheduled in-office time. The job requires weekly travel to assigned primary care locations, including driving to multiple sites. Applicants must be committed to living within and performing hybrid work in the 18-county WNC region served. Applicants must have a valid North Carolina driver's license and must have reliable access to their own vehicle. Mileage and other approved travel expenses will be reimbursed in accordance with the organization's travel policy.\n\nImpact Health is committed to diversity, equity, and inclusion in our work and teams. We know that the rich diversity of perspectives and wisdom imperative to our purpose can only come from a wide variety of origins and life experiences. We strongly believe that creating a workplace where all team members thrive is critical to fulfilling our purpose in the communities we serve. We intentionally recruit, develop, and retain the most talented people from a diverse candidate pool.\n\nQualified candidates are urged to apply and will receive consideration for employment without regard to race, color, ethnicity, sex, age, national origin, religion, sexual orientation, gender identity and / or expression, status as a veteran, and basis of disability or any other federal, state, or local protected class.\n\nThis position will close on Friday, October 17th, 2025 at 5 : 00pm. Applications must be submitted before the deadline, as late submissions will not be accepted.