8,232 Jobs in Lenoir

Physical Therapists, Come Where You Can Grow and Progress In Your Career!

“BreakThrough has opened up so many opportunities for me. I have been able to do residencies, fellowships, management and leadership courses, and there is no limit to where you can go if you know what you want to do.” - Drew Schlabach, PT, DPT, OCS  

North Carolina Licensed Physical Therapist   

Location: Boone, North Carolina

Job Type: Full-time (Mon-Fri; 40 hours per week.)

Salary: $72,000 to $90,000 / Year (compensation will be based on experience)

This is a great opportunity for a Physical Therapist who is interested in treating sports related injuries.  Because our clinic is affiliated with Appalachian State University, this role will focus heavily on the sports medicine side of Physical Therapy.

 How BreakThrough PT , a member of the Confluent Health Family  Supports You: 

• S tudent loan repayment program - We pay your lender monthly! IRS approved. Value increases after two years of employment!

• Fully paid trainings, certifications and education programs through Evidence in Motion (EIM)    

• A focus to create a diverse, equitable, and inclusive workplace culture    

• Comprehensive mentorship and career development     

• Leadership and talent development opportunities    

• Generous Paid Time Off    

• Industry leading Medical, Dental, Vision, LTD insurances    

• 401(k) Employer Matching    
• Family Building and Parental Benefits

You’ll achieve success by:       

• Reviewing patients medical history   

• Diagnosing patients by observing their movements and listening to their concerns   

• Developing individualized treatment plans for patients  with clear goals and expected outcomes  

• Using exercises, stretching, equipment, and hands-on manual therapy to manage patients’ pain, increase mobility, and prevent further pain and injury    

• Recording patient progress and modifying the plan of care as needed          

Qualifications:       

• Physical Therapist Licensure in good standing in State of North Carolina is required. 

• CPR and first aid certification required    

Who We Are:   

BreakThrough Physical Therapy is a member of the Confluent Health family of outpatient physical and occupational therapy companies that is transforming healthcare by developing and educating today’s highly effective clinicians and by providing them with career development pathways to become industry leaders.  

BreakThrough is redefining PT . From our highly-specialized physical therapists, friendly staff, continuing education for best practices, quick response times, and and individualized approach to patient care, you can be confident you’re getting the support you need to meet your goals. With the most board-certified therapists of any practice in the area, you can be confident you are receiving the highest quality care using cutting-edge research, technology, and best practices.

Experienced and newly graduated Physical Therapists Apply Today!

Confluent Health and BreakThrough Physical Therapy provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics. In addition to federal law requirements, Confluent Health and BreakThrough Physical Therapy complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.   

#CH500

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."

Description:

Registered Nurse (RN), Clinical Case Manager

PRN

Your experience matters

At Frye Regional Medical Center, we are driven by a profound commitment to prioritize your well-being so you can provide exceptional care to others. Here, you're not just valued as an employee, but as a person. As aregistered nurse (RN) joining our team, you're embracing a vital mission dedicated tomaking communities healthier . Join us on this meaningful journey where your skills, compassion, and dedication will make a remarkable difference in the lives of those we serve.

Connect with our RN recruiting specialist
Not ready to complete an application, or have questions? Please contact Jennifer Gold by texting or via phone .

How you'll contribute

You'll make an impact by utilizing your specialized plan-of-care intervention and serving as a patient-care innovator. You will shape exceptional patient journeys every day and leverage your skills and our cutting-edge technology to directly impact patient wellbeing.

Department/Unit Summary

Monday-Friday 7:30a-4:00p/8:00a-4:30p

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.

Reports to: Director of Case Management

ESSENTIAL FUNCTIONS

1. Departmental Leadership & Strategic Alignment • Assists in developing departmental goals, standards, and objectives aligned with the organization's strategic plan and vision. • Creates and fosters an environment that encourages professional growth. • Integrates evidence-based practices into operations and clinical protocols.

2. Patient Care Coordination & Quality Oversight • Assesses the quality of patient care delivered and coordinates services with patients, staff, physicians, and other departments. • Works with interdisciplinary teams to facilitate decision-making aligned with care plans and patient/family wishes. • Coordinates care and services within the case-managed population.

3. Financial & Payer Management • Understands payer issues and anticipates opportunities to reduce expenses and capture revenue from admission through discharge. • Educates physicians and staff on Case Management standards and regulatory requirements (Joint Commission, OSHA, CMS, HCFA, AHCA). • Mentors staff on Utilization Review (UR) standards and Length of Stay (LOS) topics.

4. Clinical Assessment & Care Planning • Performs patient/family assessments on admission to identify individualized care management needs. • Collaborates with nursing staff to plan strategies for care needs requiring nursing expertise. • Coordinates care plans and services to integrate patients into the healthcare continuum. • Develops, reviews, and revises care pathways for specific DRGs to meet regulatory requirements and reduce LOS and readmissions. Job Description Report REPORT GENERATED: JULY 8, 2025, 8:11 AM • Ensures timely and accurate documentation of care plans and Case Management interventions. • Advocates for patients and families throughout the care episode.

5. Interdisciplinary Collaboration • Participates in Interdisciplinary Team Meetings. • Maintains effective communication with all disciplines. • Provides feedback to the healthcare team regarding patient progress and barriers to care. • Coordinates changes to the care plan as needed.

6. Utilization Review & Documentation • Performs admission and concurrent medical record reviews. • Documents utilization review per departmental guidelines. • Facilitates physician documentation to reflect patient condition, comorbidities, and procedures. • Educates patients/families on third-party payer guidelines and discharge financial implications. • Manages denial appeals and chart audit reviews.

7. Case Management • Acts as gatekeeper for hospital admissions by initiating care in the ED. • Encourages use of reimbursable diagnoses and interfaces with community agencies. • Creates care plans for high-utilization patients and redirects to appropriate hospital services. • Monitors and manages resource use to prevent extended LOS. • Observes ED processes and ensures appropriate level-of-care placement. • Uses EMR and MCG Criteria for utilization management and quality screening. • Identifies and resolves delays in care and discharge planning. • Consults with appropriate departments to expedite care. • Applies conflict resolution skills to ensure timely issue resolution. • Applies utilization acuity criteria and documents findings. • Identifies at-risk populations and follows reporting procedures. • Refers cases to Physician Advisor or secondary reviewer and follows up as needed. • Discusses payer criteria with clinical staff. • Manages discharge planning in coordination with Social Workers. • Initiates referrals for home health, hospice, medical equipment, and facility transfers.

About our Health System
Frye Regional Medical Center is 355 bed acute hospital located in Hickory NC and is part of Lifepoint Health , a diversified healthcare delivery network committed tomaking communities healthier ® with acute care, rehabilitation, and behavioral health facilities from coast to coast. From your first day to your next career milestone-your experience matters.

Qualifications:

Qualifications and requirements

Associates Degree in Nursing required

Bachelor's Degree in Nursing preferred.

Required Skills

Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.

Must be able to work in a stressful environment and take appropriate action.

Licenses:

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.

EEOC Statement

"Frye Regional Medical Center is an Equal Opportunity Employer. Frye Regional Medical Center is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."