Care Transitions Case Manager

Duke University; Durham (NC); On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Relocation Assistance (based oneligibl

Commitment Bonus paid over 1 year for外

Job summary

Duke University Hospital in Durham, NC is seeking a Case Manager to manage discharge planning and care transitions across the continuum of care. You will coordinate services with interdisciplinary teams, patients, families, and community partners to optimize outcomes and resource use.

The role emphasizes independent work, strong communication, and adherence to CMS/regulatory requirements, with education for patients and families and weekend/after-hours coverage as needed.

Qualifications

• Ability to work independently in a self-directed role.
• Strong problem-solving skills and ability to manage complex situations.
• Excellent written and verbal communication skills.
• Basic computer proficiency.

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, DME, transportation, Substance Abuse Treatment, outpatient follow-up, 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

Written & verbal communication

Computer proficiency

Education

BSN or MSW

Job description

Duke University Hospital in Durham, NC is seeking a Case Manager to manage discharge planning and care transitions across the continuum of care. You will coordinate services with interdisciplinary teams, patients, families, and community partners to optimize outcomes and resource use.

The role emphasizes independent work, strong communication, and adherence to CMS/regulatory requirements, with education for patients and families and weekend/after-hours coverage as needed.