Care Transitions & Population Health Manager

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

Job summary

Duke Connected Care in Durham, NC, seeks an experienced Case Manager to coordinate discharge planning and care transitions for Complex Care patients at Duke University Hospital.

You will assess needs, arrange Homecare, DME, transportation and post-acute services, and work with care teams to ensure CMS compliance and timely documentation. Strong communication and problem-solving are essential.

Qualifications

• Ability to work effectively in a self-directed role.
• Excellent written and verbal skills.
• Basic computer skills necessary.
• BSN or MSW required; RN licensure in NC.

Responsibilities

• Case management needs including care coordination, discharge planning and transitions.
• Maintain timely documentation of assessment findings and actions.
• Coordinate services such as Homecare, DME, transportation, and post-acute placement.
• Collaborate with utilization management to support payer negotiations and denial prevention.
• Participate in Quality Assurance/Performance Improvement activities.

Skills

Self-directed work

Multitask

Communication skills

Computer skills

Education

BSN or MSW

Job description

Duke Connected Care in Durham, NC, seeks an experienced Case Manager to coordinate discharge planning and care transitions for Complex Care patients at Duke University Hospital.

You will assess needs, arrange Homecare, DME, transportation and post-acute services, and work with care teams to ensure CMS compliance and timely documentation. Strong communication and problem-solving are essential.