Inpatient Case Manager (Per Diem)

About the role

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 employs hundreds of highly‑trained individuals and 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 it serves. 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.

Requirements

• Education: An Associate's degree in Nursing, Social Work, Healthcare Management, or a related field is required; alternatively, an additional 4 years of relevant experience may be accepted in lieu of formal education. Nurse or Social Worker preferred; LNA/MA with appropriate experience will be considered. Education requirements depend on credentials held.
• Certification: Certification in Case Management (CCM) or equivalent is preferred. All employees must hold current Basic Life Support (BLS) certification (or ACLS/PALS combined for clinical staff, Heartsaver CPR AED for nonclinical staff) and renew it regularly per the NCH Life Support Certification Policy.
• Work Experience: Experience in inpatient case management, discharge planning, or acute care coordination is preferred.

Skills

• Strong critical thinking and problem‑solving abilities
• Excellent communication and interpersonal skills
• Experience in inpatient case management, discharge planning, or acute care coordination
• Ability to navigate rural healthcare resources and address complex discharge challenges

Responsibilities

• Perform in‑depth assessments of patients’ medical, psychosocial, and financial needs upon admission; identify discharge barriers (transportation, home support, insurance, medication access); develop individualized care and discharge plans with the interdisciplinary team.
• Determine appropriate level of care (inpatient, observation, rehabilitation, home health, skilled nursing); coordinate with physicians, nurses, therapists, and external providers for cohesive care; make recommendations to facilitate safe transitions and prevent readmissions.
• 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.
• Participate in utilization review; ensure care aligns with payer and regulatory requirements; document all case management activities accurately for compliance and quality reporting.
• 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.
• Perform additional duties as assigned.

Pay

The anticipated hourly range for this position is $20.05/hr – $25.07/hr – $27.08/hr. Final compensation will be determined based on the selected candidate's applicable experience, skills, qualifications, and other job‑related factors.