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Medicare Rn Jobs in North Carolina (NOW HIRING)

White-Oak-Management,-Inc.

$75 - $95/hr

Are you an experienced Registered Nurse with a passion for quality care, clinical excellence, and ... Medicare, PPS, PDPM, and Managed Care reimbursementStrong understanding of federal and state ...

New

FirstHealth of the Carolinas, Inc.

Hospice RN

Carrboro, NC · On-site

$60 - $80/hr

Our team recently received a 5-star rating from the Centers for Medicare and Medicaid Services in its 2023 Consumer Assessment of Healthcare Providers and Systems Hospice Survey (CAHPS) Hospice RN ...

New

FirstHealth of the Carolinas, Inc.

Hospice RN

NC · On-site

Our team recently received a 5-star rating from the Centers for Medicare and Medicaid Services in its 2023 Consumer Assessment of Healthcare Providers and Systems Hospice Survey (CAHPS) Hospice RN ...

Healogics

Registered Nurse (RN)

Greensboro, NC · On-site

... Medicare and Medicaid Services (CMS) guidelines, as applicable. Essential Functions ... Current RN license in the state of practice - to be maintained throughout the duration of ...

Gentiva Hospice

Registered Nurse

Sanford, NC · On-site

What You'll Do as a Hospice RN / RN Case Manager: * Be the primary point of contact for patients ... e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions:

Gentiva Hospice

Registered Nurse

Burlington, NC · On-site

What You'll Do as a Hospice RN / RN Case Manager: * Be the primary point of contact for patients ... e., Medicare, Medicaid, ACHC, and human resource management principles). Working Conditions:

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All JobsMedicare Rn JobsMedicare Rn Jobs in North Carolina

Medicare Rn information

What does a Medicare RN do?

A Medicare RN is a registered nurse who specializes in providing care and managing cases for patients covered under Medicare, the federal health insurance program for people 65 and older or with certain disabilities. Their duties often include patient assessments, developing care plans, coordinating services, ensuring compliance with Medicare regulations, and educating patients and families about their healthcare options. They may work in hospitals, home health agencies, or long-term care facilities, helping to optimize patient outcomes while ensuring proper documentation for Medicare reimbursement.

What are the key skills and qualifications needed to thrive as a Medicare RN, and why are they important?

To thrive as a Medicare RN, you need a comprehensive understanding of clinical nursing practices, Medicare regulations, and care coordination, typically supported by an active RN license and experience in case management or utilization review. Familiarity with Medicare documentation requirements, electronic health records (EHRs), and case management software is essential. Strong communication, attention to detail, and critical thinking skills help Medicare RNs effectively advocate for patients and collaborate with healthcare teams. These skills ensure compliance with regulations, optimize patient outcomes, and support efficient healthcare delivery within the Medicare system.

What are the typical challenges Medicare RNs face when coordinating patient care across multiple providers?

Medicare RNs often encounter challenges related to coordinating care among various healthcare providers, such as physicians, specialists, and home health agencies. Navigating different documentation systems and ensuring timely communication can be complex, especially when managing patients with multiple chronic conditions. Effective organization, strong communication skills, and a thorough understanding of Medicare guidelines are essential for overcoming these challenges and providing seamless care transitions.

What is the difference between Medicare Rn vs Home Health Nurse?

AspectMedicare RnHome Health Nurse
CredentialsRegistered Nurse license, Medicare certificationRegistered Nurse license, home health certification
Work EnvironmentHospitals, clinics, Medicare facilitiesPatients' homes, community settings
Employer & IndustryMedicare providers, healthcare agenciesHome health agencies, hospice services
Search & Comparison IntentMedicare Rn vs Home Health NurseMedicare Rn vs Home Health Nurse

Both Medicare Rns and Home Health Nurses are registered nurses working within the Medicare system. While Medicare Rns often work in clinics or hospitals providing Medicare-related care, Home Health Nurses focus on delivering nursing services directly in patients' homes. Both roles require RN licensure, but their work environments and employer types differ, reflecting their specific patient care settings.

What are popular job titles related to Medicare Rn jobs in North Carolina?

For Medicare Rn jobs in North Carolina, the most frequently searched job titles are:

What job categories do people searching Medicare Rn jobs in North Carolina look for?

The top searched job categories for Medicare Rn jobs in North Carolina are:

What cities in North Carolina are hiring for Medicare Rn jobs?

Cities in North Carolina with the most Medicare Rn job openings:

Medicare Rn jobs near you
Infographic showing various Medicare Rn job openings in North Carolina as of August 2026, with employment types broken down into 2% As Needed, 61% Full Time, 10% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution.

Population Health Manager - Medicare (Registered Nurse) - Carolina Family Patient Support Services

Carolina Family Health Centers

Wilson, NC • On-site

$61.78 - $75.50/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Position: Population Health Manager - Medicare (Registered Nurse) - Carolina Family Patient Support Services

Location: Wilson, NC

Job Id: 1133

# of Openings: 1

Come join our “Family” and be part of providing healthcare In the Community…For the Community.

Carolina Family Health Centers, Inc. provides accessible and affordable health care with excellence...where patients come first. Regardless of an individual’s ability to pay or their insurance status, we believe that EVERYONE deserves access to quality health care.

As a nonprofit, federally qualified health center (FQHC), we strive to meet the needs of our community and breakdown barriers that prevent individuals from seeking health care. Our service offering includes primary medical care, behavioral health, pharmacy and dental services in an integrated model that provides a comprehensive approach to care for our patients.

Position Overview

The Population Health Manager-Medicare, Registered Nurse, at our Wilson Community Health Center oversees the day-to-day activities of the Population Health Program. This is accomplished through the direct supervision of case managers who provide transition of care, care coordination, chronic care management, and other population management activities to the patients of CFHC, Inc. with an emphasis on patients with Medicare. The Population Health Manager performs annual wellness visit under the supervision of patient’s assigned medical provider and supervises other staff that carry out the same activity. The manager is knowledgeable in the principles of case management/chronic care management and provides oversight to these activities. The manager provides case management/chronic care management services to a small case load of patients.

THIS POSITION OFFERS A 40-HOUR WORKWEEK, NO WEEKENDS, FULL BENEFITS PACKAGE, BI-ANNUAL BONUS, 12 PAID HOLIDAYS, BI-WEEKLY PAY.

Provides direct supervision to the case managers. This includes but is not limited to interviewing, hiring, providing training and orientation, distribution and determination of responsibilities, and the on-going evaluation of the staffs’ performance.

Monitors staff productivity and department success through regular reporting and communication to executive staff.

Performs audits and runs reports to monitor staff’s adherence with CFHC, Inc., Medicare, and other regulatory agencies rules and regulations for providing and documenting case management services.

Attends meetings and participate in committees as assigned (i.e., Population Health CIT, etc.).

Reviews software system functionality and develop and document efficient workflows for staff.

Serves as point of contact for local hospitals’ discharge planners to identify patients admitted to the hospital or patients who have used the emergency room in hopes of reducing 30-day hospital readmission rates or inappropriate emergency room use.

Experience and Education
  • Three years in a healthcare environment and one year supervisory / management background. Experience in case management, preferred.
  • Bachelor of Science in Nursing (RN).
  • Licensed as a Registered Nurse in the state of North Carolina.
  • Active North Carolina Driver License.
  • BLS Certification.
Schedule

Monday to Friday

8am-5pm

8 hour shift

Day shift

Physical Requirements
  • Constant standing and walking, occasional bending, stooping, lifting, reaching forward and overhead.
  • May occasionally be required to lift patients, office equipment and paper, usually not exceeding fifty pounds of direct lift.
  • 401(k) and match
  • AD&D insurance
  • Disability insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Holidays
  • Vision insurance
  • Continuing Education Allowance
  • Professional dues and license fees
Job Type License/Certification
  • Licensed as a Registered Nurse in the state of North Carolina.
  • Active North Carolina Driver License.
  • BLS Certification.
Base Pay Overview

The starting pay for this position is $68,640.00 annually. Please keep in mind that actual salary will vary based on various factors such as qualifications, skills, competencies, and proficiency for the role.

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