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Case Manager , RN - Behavioral Health Services

Job in Raleigh, Wake County, North Carolina, 27601, USA
Listing for: Case Management Society of America (CMSA) ®
Full Time position
Listed on 2026-02-03
Job specializations:
  • Healthcare
    Healthcare Administration, Community Health, Health Promotion
Salary/Wage Range or Industry Benchmark: 60000 - 80000 USD Yearly USD 60000.00 80000.00 YEAR
Job Description & How to Apply Below
Position: Case Manager I, RN - Behavioral Health Services

Overview

Supports patients and families in managing mental health and substance use concerns, assisting with discharge planning, resource navigation, and community engagement. Serves as a resource and placement specialist, ensuring timely referrals, warm handoffs, and effective communication. Provide education, advocacy, and support to enhance patient self-management and recovery. Facilitates inpatient and outpatient connections, monitors placements, conducts safety assessments, arranges transportation, and addresses social determinants of health.

Acting as a liaison between patients, families, providers, and community resources. Proactively works to prevent delays in care and disposition. Reviews patient admissions and continued stays for appropriateness, monitors insurance benefits, and ensures care aligns with coverage to optimize payment. Assists with insurance appeals and utilization reviews. Supports clinical staff with coverage guidance and medical record reviews. Participates in the involuntary commitment process, including case tracking and representing the hospital in hearings.

Must be able to work independently, prioritize tasks, and manage time efficiently. Demonstrates a flexibility in accepting diverse work assignments, managing stress related to change, and resolving conflicts effectively.

Department Description

Serving the community since 1961, Wake Med Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit (Use the "Apply for this Job" box below). . EOE

Licensure

Registered Nurse Required

Education

Bachelor's Degree Nursing Required

Experience

No Experience Required

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