Case Manager Gen Med

Duke Careers; Durham (NC); On-site; USD 65,000 - 85,000; Full time

Benefits offered by this job

Commitment bonus

Relocation assistance

Job summary

Duke Health in Durham, NC seeks a Case Manager to coordinate discharge planning and transitions across the continuum of care. You will assess patients, develop individualized discharge plans, and collaborate with home health, DME, transportation, and post-acute care partners to ensure safe, timely moves.

The role requires BSN or MSW and at least 3 years of relevant experience; certification in ACM/CCM/ANCC within 3 years of hire. You will join a multidisciplinary team and support CMS compliance.

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 in NC.

Responsibilities

• Assess patients for case management needs, including discharge planning and care transitions.
• Develop, implement, and evaluate individualized discharge plans for timely transitions.
• Coordinate Home Health, DME, transportation, Substance Abuse Treatment, SNF referrals, and post-acute care.
• Monitor daily census and ensure all patients are evaluated for case management needs.
• Maintain communication with the healthcare team regarding assessments and orders.
• Educate patients, families, and care teams on benefits, reimbursement guidelines, and regulatory requirements.
• Collaborate with Utilization Management to support payer negotiations and optimize resource use.

Skills

Discharge planning

Care transitions

Communication

Problem-solving

Independent work

Computer literacy

Education

BSN or MSW

Tools

EMR systems

Job description

Select how often (in days) to receive an alert:

At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.

About Duke University Hospital

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Healthhospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

• Duke University Health System is designated as a Magnet organization
• Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
• Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
• Duke University Health System has 6000 + registered nurses
• Quality of Life: Living in the Triangle!
• Relocation Assistance (based on eligibility)

External candidates eligible for $7,500.00 Commitment Bonus paid over 1 year

Up to $8,000.00 in relocation available if moving 50 miles or more for new career at Duke Health

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.

Key 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.

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 (QAPI) 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.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.

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.

Nearest Major Market: Durham
Nearest Secondary Market: Raleigh

Read more about Duke’s commitment to affirmative action and nondiscrimination at hr.duke.edu/eeo.