Population Health Complex Case Manager - Care Coordination

Duke University; Durham (NC); On-site; USD 85,000 - 120,000; Full time

Job summary

Duke Connected Care in Durham seeks an experienced case manager to optimize patient transitions and care coordination within a physician-led network serving Medicare Fee-for-Service beneficiaries. You will work across homecare, equipment, transportation and rehab placement, collaborating with the care team to ensure safe, efficient discharges.

The role requires clinical education (BSN/MSW) and 3 years of CM experience, with certification within 2 years of hire.

Qualifications

• BSN or MSW required.
• 3 years of relevant experience; Hospital Case Management preferred.
• Requires Case Management Certification (ACM, CCM or ANCC) within 2 years of hire.
• RN licensure in NC (current or compact).

Responsibilities

• Monitor daily census and assign patients for assessment.
• Coordinate discharge planning and arrange Homecare, DME, transportation.
• Provide education and guidance to providers, patients and families.
• Assist Utilization Management in payer negotiations and denial prevention.
• Document assessments, discharge plans and actions per guidelines.
• Participate in QAPI activities and quality improvement.
• Perform site-specific duties, weekend/holiday or after-hours coverage as designated.
• Build positive relationships with internal and external customers.

Skills

Multi-tasking

Written and verbal communication

Self-directed

Team collaboration

Education

BSN or MSW

Tools

Basic computer skills

Job description

Duke Connected Care in Durham seeks an experienced case manager to optimize patient transitions and care coordination within a physician-led network serving Medicare Fee-for-Service beneficiaries. You will work across homecare, equipment, transportation and rehab placement, collaborating with the care team to ensure safe, efficient discharges.

The role requires clinical education (BSN/MSW) and 3 years of CM experience, with certification within 2 years of hire.