Discharge & Care Transitions Case Manager (RN/MSW)

Duke Careers; Raleigh (NC); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Relocation assistance

Commitment bonus

Job summary

Duke Raleigh Hospital, a campus of Duke University Hospital, is seeking a dedicated Case Manager to coordinate comprehensive discharge planning and seamless care transitions. You will work with interdisciplinary teams to ensure timely assessments and efficient care coordination across the continuum.

Role requires RN with BSN or MSW, minimum 3 years of relevant experience, and CCM/ACM/ANCC 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.

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, and Acute Rehab referrals.
• Monitor daily census to ensure 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

Case management

Discharge planning

CMS/regulatory compliance

Communication

Education

BSN or MSW

RN license (NC) or compact

Job description

Duke Raleigh Hospital, a campus of Duke University Hospital, is seeking a dedicated Case Manager to coordinate comprehensive discharge planning and seamless care transitions. You will work with interdisciplinary teams to ensure timely assessments and efficient care coordination across the continuum.

Role requires RN with BSN or MSW, minimum 3 years of relevant experience, and CCM/ACM/ANCC certification within 3 years of hire.