Neuro Case Manager: Discharge & Transitions

Duke University; Durham (NC); On-site; USD 70,000 - 90,000; Full time

Job summary

Duke University Health System in Durham, NC seeks a Case Manager to coordinate discharge planning, care transitions, and patient education across the continuum of care. You will work with an interdisciplinary team to ensure timely assessments and efficient resource use.

The role requires independent work, strong problem-solving and communication skills, and a relevant license. BSN or MSW is required with CCM/ACM/ANCC within 3 years.

Qualifications

• Ability to work independently in a self-directed role.
• Strong problem-solving skills.
• 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, 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.

Education

BSN or MSW

Job description

Duke University Health System in Durham, NC seeks a Case Manager to coordinate discharge planning, care transitions, and patient education across the continuum of care. You will work with an interdisciplinary team to ensure timely assessments and efficient resource use.

The role requires independent work, strong problem-solving and communication skills, and a relevant license. BSN or MSW is required with CCM/ACM/ANCC within 3 years.