Case Manager- Gen Med

4 days ago

Durham, United States Duke Health Full time

At 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 University Hospital

 

Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States and is the number one hospital in North Carolina, according to U.S. News and World Report for 2023-2024. Duke University Hospital is the largest of Duke Health's three hospitals and features 1048 patient beds, 65 operating rooms, as well as comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Duke Nursing Highlights:

 

  • Duke University Health System is designated as a Magnet organization
  • Nurses from each hospital are consistently recognized each year as North Carolina's Great 100 Nurses.
  • Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
  • Duke University Health System has 6000 + registered nurses
  • Quality of Life: Living in the Triangle
  • Relocation Assistance (based on eligibility)

 

External Candidates eligible for a Commitment Bonus of $7,500.00 paid over 1 year. 

 

Manage a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patient's and the Health System's resources and perform these duties within the requirements of CMS and other external review agencies.

 

Work Performed

  • Monitor daily census and assignment to assure 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 health care 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.

 

Knowledge, Skills and Abilities

Ability to work effectively in a self-directed role Ability to multi-task, capable of daily problem-solving complex issues Excellent written and verbal skills Basic computer skills necessary

 

Level Characteristics

N/A

 

Minimum Qualifications

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 state of NC.

 

CASE MANAGER
Job Level: G2

 

Duke 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. 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. All members of our community have a responsibility to uphold these values.

 

Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essential job functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.

 

  • Case Manager- Gen Med

    7 days ago

    Durham, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    1 week ago

    Durham, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    1 week ago

    Durham, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    5 days ago

    Durham, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    4 months ago

    Durham, United States Duke Health Full time

    At 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 Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    4 months ago

    Durham, United States Duke Health Full time

    At 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 Regional Hospital Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    7 days ago

    Durham, NC, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    7 days ago

    Durham, NC, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina,...

  • Case Manager- Gen Med

    6 days ago

    Durham, NC, United States Duke Health Full time

    At 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North...

  • Case Manager

    1 month ago

    Durham, North Carolina, United States Duke University Full time

    Job Title: Case ManagerAt Duke University, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. Our team is dedicated to providing exceptional patient care, and we're seeking a skilled Case Manager to join our team.About the Role:The Case Manager will be responsible for providing...

  • Case Manager

    4 weeks ago

    Durham, North Carolina, United States Duke University Health System Full time

    About the RoleWe are seeking a skilled and compassionate Case Manager to join our team at Duke University Health System. As a Case Manager, you will play a vital role in providing high-quality patient care and ensuring the best possible outcomes for our patients.Key ResponsibilitiesPlan, provide, and document professional nursing care for patients in a...

  • Nurse Case Manager

    4 weeks ago

    Durham, North Carolina, United States Duke University Health System Full time

    Job SummaryAs a Nurse Case Manager at Duke University Health System, you will play a critical role in providing high-quality patient care and ensuring seamless transitions between healthcare settings. This position requires a skilled and compassionate professional who can assess patient needs, develop individualized care plans, and coordinate with...

  • Population Health Care Manager Team Lead

    3 weeks ago

    Durham, North Carolina, United States Duke Health Full time

    Duke Health is seeking a highly skilled Population Health Care Manager Team Lead to join our team. As a key member of our care management team, you will play a critical role in ensuring the effective delivery of high-quality care to our patients.Key Responsibilities:Coordinate and facilitate timely implementation of appropriate interventions for identified...

  • Case Manager

    4 weeks ago

    Durham, North Carolina, United States Resources For Human Development Full time

    Job Title: Case ManagerResources for Human Development (RHD) is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in providing support and services to individuals in need.Job Summary:The Case Manager will work closely with program participants, clinical and medical staff, and other stakeholders to develop and...

  • Case Manager

    4 weeks ago

    Durham, North Carolina, United States Resources For Human Development Full time

    Job Title: Case ManagerResources for Human Development is seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in determining the resources needed to meet the individualized needs of our program participants. Your primary responsibility will be to ensure the implementation of the service treatment plan, including...

  • Case Manager

    3 weeks ago

    Durham, North Carolina, United States Duke University Full time

    About the Role:We are seeking a skilled Case Manager to join our team at Duke University. As a Case Manager, you 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...

  • Case Manager

    4 weeks ago

    Durham, North Carolina, United States Resources For Human Development Full time

    Job Title: Case ManagerAt Resources for Human Development, we are seeking a skilled Case Manager to join our team. As a Case Manager, you will play a critical role in determining the resources needed to meet the individualized needs of our program participants.Key Responsibilities:Act as part of a multidisciplinary team to provide holistic and values-based...

  • RN Case Manager

    4 weeks ago

    Durham, North Carolina, United States HonorVet Technologies Full time

    Job Title: RN Case ManagementAt HonorVet Technologies, we are seeking a highly skilled Registered Nurse to join our team as a Case Manager. This is a unique opportunity to make a meaningful impact in the lives of our patients and their families.Job Summary:The RN Case Manager will be responsible for coordinating all systems and services required for an...

  • Nursing Case Manager

    3 weeks ago

    Durham, New Hampshire, United States Interim HealthCare of New Hampshire Full time

    Job Title: Home Health RN Case ManagerJob Summary:We are seeking a skilled and compassionate Registered Nurse Case Manager to join our team at Interim HealthCare of New Hampshire. As a Home Health RN Case Manager, you will be responsible for managing a defined caseload of patients, providing direct patient care and comprehensive nursing services to...

  • RN Case Manager

    4 weeks ago

    Durham, North Carolina, United States HonorVet Technologies Full time

    Job Title: RN Case ManagementJob Summary:HonorVet Technologies is seeking a highly skilled Registered Nurse to join our team as a Case Manager. As a key member of our healthcare team, you will be responsible for coordinating patient care, ensuring quality outcomes, and managing resources effectively.Responsibilities:Coordinate patient care services,...