Healthcare Case Management Professional

2 weeks ago

Raleigh, North Carolina, United States Duke Health Full time

About Duke Health

At Duke Health, our mission is to provide compassionate care that transforms the lives of patients, their families, and the broader community. We invite you to join us in our commitment to advancing health and well-being.

Overview of Duke Raleigh Campus

Duke Raleigh Campus, a vital part of Duke Health since 1998, has been serving the Wake County community for over 35 years. Our facility boasts 204 inpatient beds and offers a wide range of services, including cancer care, cardiovascular services, neuroscience, advanced gastrointestinal care, and wound healing.

Duke Nursing Highlights:

  • Designated as a Magnet organization, recognizing excellence in nursing.
  • Annual recognition of nurses as part of North Carolina's Great 100 Nurses.
  • Awarded for advocacy in nursing certification by the American Board of Nursing Specialties.
  • Support for registered nurses in their professional development.
  • Quality of Life: Experience the vibrant Triangle area.
  • Relocation assistance may be available based on eligibility.

External candidates may qualify for a $7,500.00 Commitment Bonus, distributed over one year.

Position Summary

The Case Manager will oversee a designated caseload, ensuring timely assessment, planning, implementation, and evaluation of discharge plans and care transitions throughout the continuum of care. This role is essential for optimizing the use of both patient and Health System resources while adhering to CMS and other external review agency requirements.

  • Coordinate case management needs, including care transitions and discharge planning, while providing consultations, advocacy, and education.
  • Maintain effective communication with healthcare team members regarding assessment findings, discharge planning requirements, and necessary provider orders for arranging home care, durable medical equipment, transportation, skilled nursing, or rehabilitation facility placement, substance abuse treatment, and outpatient follow-up.
  • Stay informed about specific benefits and reimbursement guidelines, the discharge planning process, and relevant federal, state, and local regulations.
  • Participate in Quality Assurance/Performance Improvement (QAPI) initiatives as needed.
  • Responsibilities may include site-specific duties, weekend/holiday, or after-hours coverage as designated by the entity.

Knowledge, Skills, and Abilities

Successful candidates will demonstrate:

  • Ability to work effectively in a self-directed capacity.
  • Strong multitasking skills and problem-solving capabilities.
  • Excellent written and verbal communication skills.
  • Basic computer proficiency.

Minimum Qualifications

Education: A Bachelor of Science in Nursing (BSN) or Master of Social Work (MSW) is required.

Experience: A minimum of three years of relevant experience is required.

Licensure and Certification: Case Management Certification (ACM, CCM, or ANCC) is required within three years of hire.

Duke Health is an Affirmative Action/Equal Opportunity Employer, dedicated to providing employment opportunities without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

We strive to foster a community based on collaboration, innovation, creativity, and belonging. Our collective success relies on the exchange of diverse ideas and perspectives, ensuring that all community members feel secure, respected, and heard.

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