Case Manager Women and Children

Duke University Health System; Durham (NC); On-site; USD 85,000 - 110,000; Full time

Benefits offered by this job

Relocation assistance

Commitment bonus

Job summary

Duke University Hospital in Durham, North Carolina is seeking a Nurse Case Manager to coordinate discharge planning and transitions of care for assigned patients. The role collaborates with the healthcare team, educates patients and families, and ensures adherence to regulations.

Requirements include BSN or MSW, 3+ years of relevant experience, and active RN license in NC with Case Management Certification within 3 years.

Qualifications

• BSN or MSW required.
• Minimum of 3 years of relevant experience.
• Case Management Certification 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.

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

Skills

Care coordination

Discharge planning

Collaboration

Documentation

Communication

Problem solving

Computer proficiency

Education

BSN

MSW

Case Management Certification

RN license (NC)

Job description

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

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, 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.

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 (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.

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.