Care Coordinator Specialist

1 week ago


Durham, North Carolina, United States Duke Health Full time

About Duke Health

Duke Health is a world-renowned healthcare provider, driven by a commitment to compassionate care that transforms lives. Our team of dedicated professionals is passionate about delivering exceptional patient experiences.

Job Overview

We are seeking a highly skilled Care Coordinator Specialist to join our team. This role will play a critical part in coordinating and completing timely assessment, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care.

Responsibilities

  1. Monitor daily census and assignment to ensure all patients are assessed.
  2. Perform other related duties incidental to the work described herein.
  3. 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.
  4. Maintain working knowledge of specific benefits and reimbursement guidelines, the discharge planning process, and applicable federal, state, and local regulations.
  5. Provide education and guidance on these topics to providers, patients, and families as needed.
  6. Work with Utilization Management partners to provide information and feedback that will enhance negotiations and denial prevention with payers.
  7. 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.
  8. Participate in Quality Assurance/Performance Improvement (QAPI) activities as requested.
  9. Job responsibilities may include site-specific duties, weekend/holiday or after-hours coverage as designated at each entity.
  10. Develop and maintain positive working relationships with customers internal and external to Duke Health System.

Requirements

  • Bachelor's degree in Nursing (BSN) or Master's degree in Social Work (MSW)
  • Three years of relevant experience
  • Case Management Certification (ACM, CCM, or ANCC) within three years of hire
  • Excellent written and verbal skills
  • Basic computer skills necessary

Estimated Salary Range: $60,000 - $80,000 per year

Benefits

Duke Health offers a comprehensive benefits package, including medical, dental, vision, 401(k), and paid time off.

About Working at Duke Health

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.



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