Case Manager – General Medicine Care Transitions

Duke PA; Durham (NC); On-site; USD 72,000 - 95,000; Full time

Benefits offered by this job

Relocation assistance

Commitment bonus

Job summary

Duke Health in Durham, North Carolina, is seeking a Case Manager to coordinate discharge planning and care transitions across the continuum of care, ensuring timely assessment and effective resource use.

The role partners with interdisciplinary teams, patients, and families to optimize outcomes, meet CMS and regulatory requirements, and support safe transitions. BSN or MSW required; 3 years of relevant experience; CCM/ACM/ANCC certification within 3 years.

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

Independence

Problem-solving

Communication

Computer literacy

Education

BSN or MSW

Job description

Duke Health in Durham, North Carolina, is seeking a Case Manager to coordinate discharge planning and care transitions across the continuum of care, ensuring timely assessment and effective resource use.

The role partners with interdisciplinary teams, patients, and families to optimize outcomes, meet CMS and regulatory requirements, and support safe transitions. BSN or MSW required; 3 years of relevant experience; CCM/ACM/ANCC certification within 3 years.