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Patient Care Transition Manager
2 months ago
Duke University Health System is a leading academic medical center that provides comprehensive care to patients across the United States. Our team of healthcare professionals is dedicated to delivering exceptional patient care and advancing the field of medicine through innovative research and education.
Job SummaryWe are seeking a highly skilled Case Manager-Outpatient Clinic Specialist to join our team. The successful candidate will be responsible for coordinating and completing timely assessments, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care.
Key Responsibilities- Monitor daily census and assignment to ensure all patients are assessed.
- Perform other related duties incidental to the work described herein.
- Case management needs including care coordination/transition and discharge planning, consultations, advocacy, education.
- Maintain effective communication with healthcare team members related to assessment findings, discharge planning needs, and provider orders needed to arrange Homecare, Durable Medical Equipment, Transportation, Skilled Nursing or Acute Rehab Facility placement, Substance Abuse Treatment, and outpatient follow-up.
- Maintain working knowledge of specific benefits and reimbursement guidelines, the discharge planning process, and applicable federal, state, and local regulations.
- Provide education and guidance on these topics to providers, patients, and families as needed.
- Work with Utilization Management partners to provide information and feedback that will enhance negotiations and denial prevention with payers.
- Maintain timely documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines; prepare reports and maintain records as requested and/or required.
- Participate in Quality Assurance/Performance Improvement (QAPI) activities as requested.
- Job responsibilities may include site-specific duties, weekend/holiday or after-hours coverage as designated at each entity.
- Develop and maintain positive working relationships with customers internal and external to Duke Health System.
- BSN or MSW required.
- 3 years of relevant experience.
- Requires Case Management Certification (ACM, CCM, or ANCC) within 3 years of hire.
- MSW or BSN required. If BSN, must have current or compact RN licensure in the state of NC.
Duke University Health System is an equal opportunity employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas—an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard.
