Care Coordinator

2 weeks ago


Durham, North Carolina, United States Duke Health Full time

At Duke Health, we prioritize quality care and seamless transitions for our patients. As a dedicated member of our team, you will play a vital role in ensuring the continuity of care across the healthcare continuum.

About the Role:

This position is responsible for managing a designated caseload to coordinate and complete timely assessment, planning, implementation, and evaluation of discharge plans and care transitions. You will work closely with healthcare teams to ensure optimum utilization of resources and adhere to CMS and external review agency requirements.

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, and effective communication with healthcare team members.
  • Maintain working knowledge of benefits, reimbursement guidelines, discharge planning processes, and applicable federal, state, and local regulations.
  • Provide education and guidance on these topics to providers, patients, and families as needed.
  • Collaborate with Utilization Management partners to enhance negotiations and denial prevention with payers.
  • Maintain timely documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines.
  • Participate in Quality Assurance/Performance Improvement (QAPI) activities as requested.

Requirements:

Education: BSN or MSW required

Experience: 3 years of relevant experience

Degrees, Licensures, Certifications: 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 North Carolina.

Duke Health is an equal opportunity employer. We strive to create a community where diverse perspectives and experiences are valued and respected. We are committed to providing a work environment that is free from discrimination and harassment.



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