Inpatient Case Manager (Part Time)

About North Country Healthcare (NCH):

North Country Healthcare is a non-profit affiliation of four medical facilities, Androscoggin Valley Hospital, North Country Home Health & Hospice Agency, Upper Connecticut Valley Hospital, and Weeks Medical Center, located in the White Mountains Region of New Hampshire. NCH includes numerous physicians and medical providers at multiple locations. This leading comprehensive healthcare network which employs hundreds of highly-trained individuals delivers integrated patient care through three community hospitals, specialty clinics, and home health and hospice services. NCH remains committed to the health and well-being of the communities we serve. As a valued team member this role emphasizes advancing High-Reliability Organization (HRO) principles, embedding a culture of safety, accountability, and consistent high performance.

POSITION SUMMARY:

Adhering to System Values, Service Excellence, and Standards of Behavior, the Inpatient Case Manager leads comprehensive patient care coordination during hospitalization, ensuring safe, timely, and effective discharge while addressing medical, psychosocial, and financial barriers. This role requires clinical judgment, decision-making, and collaboration with interdisciplinary teams to optimize patient outcomes and continuity of care, especially in resource-limited rural settings.

ESSENTIAL QUALIFICATIONS

Education:

• An Associate's degree in Nursing, Social Work, Healthcare Management, or a related field is required, or in lieu of formal education, an additional 4 years of experience in the field is acceptable.

• Nurse or Social Worker preferred. Will consider LNA/MA with appropriate experience.

• Education requirements are dependent upon credentials held

Certification:

• Certification in Case Management (CCM) or equivalent is preferred.

• All employees and contracted staff will have either successful completion of an American Heart Association* accredited course in Basic Life Support (BLS), or ACLS and PALS combined. (for clinical staff), Heartsaver CPR AED (for nonclinical staff), and renewal on a regular basis.

• Refer to the NCH Life Support Certification Policy for position specific requirements.

Skills:

• Strong critical thinking and problem-solving abilities.

• Excellent communication and interpersonal skills.

• Experience in inpatient case management, discharge planning, or acute care coordination.

• Strong critical thinking, problem-solving, and communication skills.

• Ability to navigate rural healthcare resources and address complex discharge challenges.

Work Experience:

• Experience in inpatient case management, discharge planning, or acute care coordination preferred

ESSENTIAL FUNCTIONS:

• Comprehensive Assessment & Care Planning

• Perform in-depth assessments of patients' medical, psychosocial, and financial needs upon admission.

• Identify potential barriers to discharge (transportation, home support, insurance, medication access).

• Develop individualized care and discharge plans in collaboration with the interdisciplinary team.

• Clinical Decision-Making & Coordination

• Determine appropriate level of care for patients (inpatient, observation, rehabilitation, home health, skilled nursing).

• Coordinate with physicians, nurses, therapists, and external providers to ensure cohesive care delivery.

• Make recommendations to facilitate safe transitions and prevent readmissions.

• Resource Navigation & Advocacy

• Connect patients and families with community resources, financial assistance programs, and post-acute care services.

• Advocate for patient needs to ensure access to appropriate services, including rural or hard-to-access facilities.

• Utilization Review & Compliance

• Participate in utilization review and ensure care aligns with payer and regulatory requirements.

• Document all case management activities accurately for compliance and quality reporting.

• Patient & Family Education

• Educate patients and caregivers on treatment plans, medications, post-discharge instructions, and follow-up care.

• Provide coaching to support adherence and self-management of health conditions.

• Performs additional duties as assigned.

North Country Healthcare is committed to providing equal employment opportunities to all applicants and employees. North Country Healthcare and its affiliates do not exclude people or treat them differently because of race, color, national origin, age, disability or any other protected class. Employment decisions are made based on job‑related qualifications, skills, and business needs, and without unlawful discrimination in accordance with applicable federal, state, and local laws.

North Country Healthcare provides reasonable accommodation to qualified individuals with disabilities and to individuals with sincerely held religious beliefs, as required by law. Applicants who require reasonable accommodation to complete the application process, participate in interviews, or undergo pre‑employment testing should contact NCHRecruiting@northcountryhealth.org.