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Case Manager
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Raleigh, NC, United States Duke Health Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh...
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Case Manager
4 days ago
Raleigh, NC, United States Duke Health Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh...
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Case Manager
5 days ago
Raleigh, NC, United States Duke Health Full timeAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh...
Case Manager
2 months ago
Duke Health is a leading healthcare provider committed to delivering compassionate care that changes lives. Our team is dedicated to advancing health together, and we're seeking a skilled Case Manager to join our team.
Job SummaryThe Case Manager will be responsible for coordinating and completing timely assessments, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care. This role requires effective communication with healthcare team members, patients, and families to ensure optimal utilization of resources and compliance with CMS and external review agencies.
Key Responsibilities- Monitor daily census and assignment to ensure all patients are assessed.
- Perform other related duties incidental to the work described herein.
- Provide education and guidance on care coordination, transition, and discharge planning to providers, patients, and families.
- Maintain working knowledge of benefits and reimbursement guidelines, discharge planning processes, and applicable federal, state, and local regulations.
- Work 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.
- BSN or MSW required.
- 3 years of relevant experience.
- Requires Case Management Certification (ACM, CCM, or ANCC) within 3 years of hire.
Duke Health is an Affirmative Action/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.
