Case Manager - Gen Med Sat-Tuesday 4/10s at Duke University Health System
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.
Overview Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of Duke Health’s four hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.
Essential Information Duke University Health System is designated as a Magnet organization
Nurses from each hospital are recognized as North Carolina’s Great 100 Nurses
Awards for nursing certification advocacy and a large nursing workforce
Relocation Assistance (based on eligibility)
Responsibilities 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 duties within CMS and other external review agencies.
Monitor daily census and assignment to assure all patients are assessed.
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.
Qualifications Education: BSN or MSW required
Experience: 3 years of relevant experience
Licensure/Certification: 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.
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
Authorization 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.
Job Details Seniority level: Mid-Senior level
Employment type: Full-time
Job function: Health Care Provider
Industries: Hospitals and Health Care
Equal Opportunity Employer statement preserved as part of legal requirements.