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Confidential Employer
Franklin, North Carolina

RN - Case Manager West Region

Registered NurseIncludes callIncludes weekendsFull-Time

Compensation

Pay not listed

The week · per this posting · Monday – Friday

Weekend work is also flagged as required; confirm which days and how often.

Ask the employer about the pay range, the work setting and nights and shift pattern.

Posted 1h ago · Verified live

Job Description

Our Accolades.

Four Seasons is proud to have been named one of Modern Healthcare’s Best Places to Work, and to have been Living Wage Certified in Western North Carolina. Our approach to providing not only excellent care to our patients and families, but also providing the same heartfelt care and commitment to our employees, leads us to be recognized as not only a leader in hospice and palliative care, but also a beacon of excellence as an employer in Western North Carolina.

Our Benefits.

FOUR SEASONS OFFERS AN EXCELLENT BENEFITS PACKAGE FOR BOTH FULL TIME AND PART TIME ELIGIBLE EMPLOYEES, WHICH MAY INCLUDE:

  • Competitive Salaries, Reviewed Annually
  • Annual Operational Performance Bonus Opportunities
  • $0 Employee Premiums on Medical Insurance
  • Annual $600 Well-Care Benefit Towards Self-Care, Childcare, Pet Care, or Elder Care
  • Medical & Dental Insurance Benefits First of the Month after Hire
  • 403B Retirement Plan with Employer Match
  • Generous Paid Time Off Package- 20+ Days of PTO Per Year
  • Up to 6 Paid Holidays
  • Employer Paid STD, LTD, & Life Insurance
  • Employer Paid Teletherapy & Telemedicine Coverage
  • Health & Dependent Care Flexible Spending Accounts
  • A Robust Employee Wellness Program
  • Up to $3k in Tuition Reimbursement Each Year

RN Case Manager

Reports To: Clinical Team Leader

Status: Exempt (Salaried)

FT, PT, PRN

Full-time

Shift: 40 hours; Monday - Friday 8AM - 4:30PM with rotating emergency weekend/holiday call

Location: Macon County and surrounding areas

Position Summary

Coordinates the nursing plan of care, provides direct nursing care, and instructs/supervises the LPN and Hospice Aide staff in the delivery of nursing care to clients.

Manages the nursing care for an assigned caseload of approximately 15 patients with varying acuity and needs. Caseloads above this target will be co-managed or additional support will be offered. In the event the assigned caseload falls below this target, the nurse may be asked to provide support to other team members.

Essential Duties & Responsibilities

  • Practice within the scope of license, certification or registration, where applicable, and as required by law and regulation
  • Assess the patient's physical and mental health including the patient's reaction to illnesses and treatment regimens.
  • Record and report the results of the nursing assessment.
  • Plan, initiate, deliver, and evaluate appropriate nursing acts.
  • Teach, assign, or supervise other personnel in implementing the treatment regimen.
  • Collaborate with other health care providers in determine the appropriate patient and family-centered plan.
  • Implement the treatment and pharmaceutical regimen prescribed by any person authorized by State law to prescribe the regimen.
  • Provide teaching and counseling about the patient's health.
  • Report and record the plan for care, nursing care given, and the patient's response to that care.
  • Supervise, teach, and evaluate those who perform nursing functions and administer nursing programs and nursing services.
  • Provide for the maintenance of safe and effective nursing care, whether rendered directly or indirectly.

Knowledge, Skills & Abilities

  • Must be willing and able to care for patients with infectious disease processes unless approved accommodations
  • Knowledge of Federal, State and Local regulations and Medicare Conditions of Participation
  • Knowledge of HIPAA privacy rules and regulations
  • Knowledge of electronic medical records systems
  • Demonstrate basic data entry skills
  • Demonstrate excellent organization skills
  • Demonstrate excellent interpersonal skills
  • Demonstrate excellent written and oral communication skills
  • Ability to work under pressure to meet deadlines
  • Ability to take initiative and utilize innovative techniques and ingenuity
  • Ability to interact with various departments throughout the organization
  • Ability to work flexible hours, if needed
  • Ability to participate as a team player to coordinate projects
  • Ability to plan, prioritize and coordinate multiple projects
  • Demonstrate skill/expertise in pain and symptom management
  • Demonstrate ability to effectively collaborate and facilitate the work of a group
  • Demonstrate understanding of reimbursement, regulatory requirements, and Medicare Conditions of Participation

Minimum Qualifications

Experience

  • Two years of clinical experience preferred

Licensures & Certifications: (if applicable)

  • Valid NC RN license
  • Valid Driver’s License and proof of automobile insurance

Summary of Physical Requirements

  • Walking, standing, sitting, bending, reaching, twisting, crouching/squatting, kneeling
  • Flexion/Extension of arms/wrist
  • Hand dexterity to include gripping, pushing/pulling and writing
  • Lifting/carrying of 50 lbs. often

Intent & Function

All descriptions have been reviewed to ensure that only essential functions and basic duties have been included. Peripheral tasks, only incidentally related to each position, have been excluded.

Requirements, skills, and abilities included have been determined to be the minimal standards required to successfully perform the duties of the position. In no instance, however, should the duties, responsibilities, and requirements delineated be interpreted as all-inclusive. Additional functions and requirements may be assigned as deemed appropriate.

In accordance with the Americans with Disabilities Act, it is possible that requirements may be modified to reasonably accommodate disabled individuals.

JOB DESCRIPTIONS ARE NOT INTENDED AS AND DO NOT CREATE EMPLOYMENT CONTRACTS. THE ORGANIZATION MAINTAINS ITS STATUS AS AN AT-WILL EMPLOYER.

Other Duties

  • Work to achieve performance goals, pursue progress toward individual development plan (IDP) and demonstrate Four Seasons values and competencies
  • Participate in department and staff meeting as required
  • Participate in ongoing education and training offered by the agency and/or required by nursing supervisor as part of individual education plan of RN
  • Comply with company policies, procedures, guidelines, and Mission Statement
  • Practice safety and infection control methods
  • Assist in providing 24 hour on-call services, including coverage of at least one holiday per year
  • Assess for the need of other disciplines
  • Perform other but similar duties as assigned

Key Responsibilities

Coordinates the nursing plan of care and provides direct nursing care to an assigned caseload of approximately 15 patients. Supervises LPN and Hospice Aide staff while collaborating with other healthcare providers to ensure effective patient-centered treatment.

Requirements

Requires a valid North Carolina RN license and a valid driver's license with proof of automobile insurance. Two years of clinical experience is preferred, along with knowledge of Medicare Conditions of Participation and HIPAA regulations.

Qualifications

Experience
2+ years of experience

Key Skills

Patient careCase managementHospice carePain managementRegulatory complianceTeam collaborationClinical supervision

Case Management — Registered Nurse Career Context

Of the 34 active Nurse Case Manager listings this role was benchmarked against, 35% are remote, 68% have no call, 62% require no weekends.

The cost-of-living index for North Carolina is 94.3 (US average = 100; BEA Regional Price Parities (2024)). 59.2% of North Carolina clinicians report burnout symptoms in WeekdayDoc's Burnout Index (2026-01 data).

How many Nurse Case Manager jobs are remote?
MeasureThis jobMarket
Work-life score5.1 / 10 · above average in nurse case managerranked against 2,789 Nurse Case Manager listingslisting-based score, 0–10
Listed paynot listedNurse Case Manager median $90k (middle half $83k–$98k)172 comparable listings, Oct 2026
Cost of livingNorth Carolina index 94.3US average = 100BEA Regional Price Parities (2024)
Nurse Case Manager listings in North Carolina201 active6,058 nationallylive on WeekdayDoc, Oct 2026
Work settingon-sitepeers: 35% remote · 68% no call · 62% no weekends34 benchmarked listings
Sources: WeekdayDoc live listing index (2,789 Nurse Case Manager listings), BEA Regional Price Parities (2024); as of Oct 2026. Same values as the Weekday Verdict and Market Insights on this page.

Top Nurse Case Manager Jobs

24 matches · ranked by pay

Salary Distribution

16 jobs · 15 employers
5
<$95k
5
$95k-110k
3
$110k-125k
3
$125k-140k

Annual compensation range

Benefits & Perks

13 jobs
401k / retirement match
92% this job
Sign-on bonus
38%
Loan repayment
8%
CME allowance
8%

Share of similar jobs offering each benefit

#1

Inpatient Case Manager/ Registered Nurse (RN) for Emergency Department (ED)

Sentara Health · Elizabeth City, North Carolina

$90k-$136k
#2

Case Manager RN (Temporary, Remote. Day shift)Contract

Hudson Regional Hospital · Hoboken, New Jersey

$62.13-$65.34/hr
#3

Case Manager, Registered Nurse (Remote)

$61k-$130k
#4

Hospice RN Case Manager- Round Lake, Lake Villa and surrounding areas

$38.2-$57.3/hr
+ 22 more · ranked by pay

Work-life snapshot

median 3.9this job 5.1
Better work-life than 60% of Nurse Case Manager listings

Listing-based score, 0–10, across 2,789 comparable listings. Shaded area = the share scoring below this one.

  • Includes call
  • Includes weekends
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About Confidential Employer

Benefits & Perks

Competitive Salaries
Annual Operational Performance Bonus Opportunities
$0 Employee Premiums on Medical Insurance
Annual $600 Well-Care Benefit
Medical & Dental Insurance
403B Retirement Plan with Employer Match
Generous Paid Time Off (20+ Days)
Up to 6 Paid Holidays

Living in Franklin

Typical 3-bedroom home value
$337k
Typical market rent
$1,125/mo
Residents’ average commute
23 min
State income tax
Up to 4.8%
Sources & methodology

Sources: Zillow home values (Sep 2026), Zillow market rents (Sep 2026), U.S. Census ACS 2024 five-year.

City-level figures. Not a cost-of-living guarantee.