Case Management Nurse

The Retreat at Cary and The Retreat at Cary Corner are sister family care home facilities located in Cary, North Carolina. We are a place where home and care come together with love. Our dedicated staff and owner work around the clock to give you peace of mind that your loved ones are safe and happy. With entertainment, healthful recreation, group outings, and upscale living in a family style residential setting, our mission is simple: there is nothing more important than family. We take care of your loved ones the way we take care of our own families with care, responsibility, and the highest sense of duty.

We are seeking a compassionate and organized Case Management Nurse Specialist to join our team remotely. In this role, you will serve as the clinical hub connecting residents, their families, onsite caregivers, physicians, and community health resources. You will coordinate personalized care plans, oversee chronic disease management, facilitate communication with families, and ensure that each resident's medical, emotional, and social needs are met. Your work will directly support our low guest to staff ratio model by allowing onsite staff to focus on daily hands on care while you manage clinical documentation, physician coordination, and care transitions.

Conduct remote intake assessments for new residents by reviewing medical histories, medication lists, physician records, and functional status reports. Develop, implement, and revise individualized care plans in collaboration with onsite staff, the resident's primary care physician, and family members. Coordinate personalized doctors house calls by scheduling visits, communicating resident updates to physicians, and ensuring follow up on lab results or specialist referrals. Serve as the primary remote liaison between the family care home and residents' families, providing weekly updates via phone or secure video calls regarding changes in condition, medication adjustments, or upcoming appointments. Monitor chronic conditions such as diabetes, hypertension, dementia, and heart failure through remote review of vital signs and incident reports submitted by onsite caregivers. Manage transitions of care including hospital admissions, discharges, and emergency room visits by communicating with hospital case managers and arranging follow up services. Oversee medication management by reconciling prescriptions, identifying duplications or interactions, and coordinating with pharmacies for refills. Document all case management activities in electronic health records in compliance with North Carolina family care home regulations. Participate in monthly virtual interdisciplinary team meetings with onsite staff, the recreational coordinator, and the owner to discuss resident progress and quality of life initiatives. Educate families on disease processes, advance care planning, and available community resources such as hospice, palliative care, or home health therapy services.