Case Manager- Float

Duke Clinical Research Institute; Durham (NC); On-site; USD 75,000 - 85,000; Full time

Benefits offered by this job

Commitment Bonus of $7500 for external candidates over 1 year

Job summary

Duke Clinical Research Institute in Durham, NC, is seeking a Case Manager to oversee discharge planning and care transitions. This role focuses on managing a caseload, supporting patient outcomes, and working with interdisciplinary teams.

Qualifications include a BSN or MSW and a minimum of 3 years of relevant experience. The ideal candidate will have Case Management Certification (ACM, CCM, or ANCC) within three years of hire.

Duke is committed to equal opportunity employment, ensuring diverse talents are embraced.

Qualifications

• Must have minimum of 3 years of relevant experience.
• Case Management Certification required within 3 years of hire.
• Must hold a current RN license in North Carolina for BSN-prepared candidates.

Responsibilities

• Manage caseload to ensure timely assessment and discharge planning.
• Coordinate services like Home Health, DME, and outpatient follow-up.
• Maintain accurate documentation and ensure compliance with regulations.

Skills

Problem-solving

Communication skills

Independence

Computer proficiency

Education

BSN or MSW

Job description

Case Manager

The Case Manager is responsible for managing an assigned caseload to ensure timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role supports optimal patient outcomes, effective resource utilization, and compliance with CMS and other regulatory agencies. The Case Manager collaborates closely with interdisciplinary teams, patients, families, and community partners to coordinate safe, efficient care transitions.

$7500.00 Commitment Bonus for external candidates paid over 1 year.

Key Responsibilities

Care Coordination & Discharge Planning

• 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, Skilled Nursing Facility placement, and Acute Rehab referrals.
• Monitor daily census to ensure all patients are evaluated for case management needs.

Collaboration & Communication

• 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.

Documentation & Compliance

• Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken.
• Ensure compliance with federal, state, and local regulations, as well as organizational policies.
• Prepare reports and maintain records as required.

Quality & Professional Development

• Participate in Quality Assurance/Performance Improvement activities.
• Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners.
• Provide weekend, holiday, or after-hours coverage as assigned based on entity needs.

Knowledge, Skills & Abilities

• 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.

Minimum Qualifications

Education

• BSN or MSW required.

Experience

• Minimum of 3 years of relevant experience.

License and Certification

• 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.

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy and pregnancy related conditions), sexual orientation or military status.

Essential Physical Job Functions

Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.