Population Health: Complex Case Manager & Care Transitions

Duke Clinical Research Institute; Durham (NC); On-site; USD 85,000 - 105,000; Full time

Job summary

Duke Connected Care in Durham seeks a clinically experienced Case Manager to coordinate discharge planning and care transitions for Complex Care patients. You will manage a designated caseload, ensure optimal resource use, and maintain compliance with CMS and local guidelines.

The role requires a BSN or MSW, 3+ years of hospital case management experience, and certification within 2 years of hire. NC RN licensure is required, with a focus on high-quality patient outcomes and collaboration.

Qualifications

• Ability to work effectively in a self-directed role.
• Excellent written and verbal communication skills.
• Basic computer skills necessary.

Responsibilities

• Monitor daily census and assignments to ensure all patients are assessed.
• Coordinate and complete discharge planning and care transitions.
• Maintain timely documentation of assessments and discharge plans.
• Communicate with health care team about assessment findings and orders for services.
• Support arrangements for Homecare, DME, transportation, and post-acute placement.

Skills

Self-directed work

Multi-tasking

Written and verbal communication

Basic computer skills

Education

BSN

MSW

Job description

Duke Connected Care in Durham seeks a clinically experienced Case Manager to coordinate discharge planning and care transitions for Complex Care patients. You will manage a designated caseload, ensure optimal resource use, and maintain compliance with CMS and local guidelines.

The role requires a BSN or MSW, 3+ years of hospital case management experience, and certification within 2 years of hire. NC RN licensure is required, with a focus on high-quality patient outcomes and collaboration.