Care Transition Case Manager

Goduke; Durham (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Relocation assistance

Commitment bonus ($7,500)

Job summary

Duke University Health System in Durham, NC is seeking a skilled Case Manager to oversee patient assessments, discharge planning, and coordination of care transitions across the continuum. This role emphasizes collaboration with interdisciplinary teams and patient education to optimize outcomes.

The position requires a BSN or MSW, 3+ years of experience, and CCM/ACM/ANCC certification within 3 years. RN licensure in NC is required for BSN candidates; relocation support and a commitment bonus are

Qualifications

• BSN or MSW required.
• Minimum of 3 years of relevant experience.
• Case Management Certification (ACM, CCM, or ANCC) required within 3 years of hire.
• For BSN-prepared candidates: Must hold a current RN license (or compact license) in the state of North Carolina.

Responsibilities

• Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education.
• Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care.
• Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow-up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals.
• Monitor daily census to ensure all patients are evaluated for case management needs.
• Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders.
• Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements.
• Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use.

Skills

Independent work

Problem solving

Communication skills

Computer literacy

Education

BSN or MSW

Job description

Duke University Health System in Durham, NC is seeking a skilled Case Manager to oversee patient assessments, discharge planning, and coordination of care transitions across the continuum. This role emphasizes collaboration with interdisciplinary teams and patient education to optimize outcomes.

The position requires a BSN or MSW, 3+ years of experience, and CCM/ACM/ANCC certification within 3 years. RN licensure in NC is required for BSN candidates; relocation support and a commitment bonus are