RN Case Manager

Kinston Community Health Center (KCHC) is seeking a dedicated and experienced RN Case Manager to support high-risk and complex patient populations through comprehensive care management and coordination. This role is ideal for a Registered Nurse who is passionate about patient-centered care, chronic disease management, and improving health outcomes through collaboration with interdisciplinary teams and community partners. The RN Case Manager plays a critical role in advancing KCHC’s mission by reducing care gaps, supporting care transitions, and promoting high-quality, coordinated care.

• Competitive salary commensurate with experience
• Full benefits package (medical, dental, vision, life, and retirement)
• Generous PTO and paid holidays
• Mission-driven environment that values professional growth and community impact

The RN Case Manager provides comprehensive care management and coordination services for high-risk and complex patient populations at Kinston Community Health Center. This role conducts clinical and psychosocial assessments, develops and implements individualized care plans, manages high-risk patient registries, and supports Chronic Care Management (CCM) and Patient-Centered Medical Home (PCMH) initiatives. The RN Case Manager collaborates closely with interdisciplinary care teams, community partners, and payer-based programs to facilitate care transitions, improve patient outcomes, and reduce avoidable emergency department and hospital utilization, while ensuring accurate documentation, regulatory compliance, and alignment with KCHC’s mission and values.

• Education
• Associate Degree in Nursing (ADN) required
• Bachelor of Science in Nursing (BSN) preferred
• Certifications & Licenses
• Current, unrestricted Registered Nurse (RN) license in the State of North Carolina
• Current BLS certification or ability to obtain within 3 months of employment
• Experience
• Minimum of two (2) years of clinical nursing experience as a Registered Nurse
• Experience in care coordination, care planning, case management, and clinical documentation
• Experience managing chronic conditions and supporting high-risk or complex patient populations
• Demonstrated ability to collaborate with interdisciplinary care teams and community partners
• Skills
• Strong organizational and time-management skills
• Proficiency with electronic health records (EHRs) and health management systems
• Working knowledge of Microsoft Office Suite
• Clinical assessment and individualized care planning
• Care coordination and patient advocacy
• Effective communication and patient education skills
• Accurate, timely clinical documentation
• Ability to work independently and collaboratively within an interdisciplinary team

• Conduct comprehensive assessments of patients’ physical, mental, and psychosocial needs.
• Develop and implement individualized care plans to improve outcomes, increase patient engagement in self-care, reduce risk status, and minimize emergency department and hospital utilization.
• Utilize behavioral strategies and motivational techniques to support chronic disease self-management and healthy behavior change.
• Provide ongoing follow-up and monitoring, including telephone follow-ups within 24 hours of inpatient discharge and 48 hours of ED or hospital visit notification.

• Manage KCHC’s high-risk patient registry, including identification through the EHR, provider referrals, and payer-supplied registries.
• Ensure accuracy and validity of patient registries and documentation.
• Utilize Chronic Care Management (CCM) templates in Next Gen, primarily for the Medicare population.
• Maintain up-to-date knowledge of community resources to support disease management and connect patients as appropriate.

• Develop and maintain systems to track care coordination and care management activities across the continuum of care, including primary care, specialty care, and care transitions.
• Serve as a clinical liaison for payer-based care management programs.
• Collab​orate with external case management programs, community…