Discharge & Care Transitions Case Manager

Duke PA; Durham (NC); On-site; USD 70,000 - 95,000; Full time

Benefits offered by this job

Commitment Bonus

Relocation Assistance (eligibility)

Job summary

The Case Manager at Duke Regional Hospital in Durham, North Carolina, will oversee discharge planning and care transitions to support optimal patient outcomes and efficient resource use. You will collaborate with interdisciplinary teams, families, and community partners to coordinate services and smooth transitions across the continuum of care.

Applicants should have a BSN or MSW, at least 3 years of relevant experience, and must obtain Case Management Certification within 3 years of hire.

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: NC RN license (or compact).

Responsibilities

• Assess assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and education.
• Develop, implement, and evaluate individualized discharge plans for timely 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.
• 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 skills

Basic computer skills

Education

BSN

MSW

Job description

The Case Manager at Duke Regional Hospital in Durham, North Carolina, will oversee discharge planning and care transitions to support optimal patient outcomes and efficient resource use. You will collaborate with interdisciplinary teams, families, and community partners to coordinate services and smooth transitions across the continuum of care.

Applicants should have a BSN or MSW, at least 3 years of relevant experience, and must obtain Case Management Certification within 3 years of hire.