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Case Manager-Outpatient Clinic- BSN Highly Preferred

DUKE HOSPITAL Full Time Durham, North Carolina
Requisition Number: 244383
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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 $10,000.00 Commitment Bonus paid over 2 years

Occ Summary

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.

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 essentialjob 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.

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Explore Duke University Hospital

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Serving With Purpose

You’ve always been called to care – and we share your dedication to making a meaningful difference in the community. With the entire team united through this purpose, there are no limits to what we can achieve together. You’ll have all the resources you need here to leave a legacy of exceptional service because at Duke Health we support you in your calling to care.

Awards and Recognition

Duke Health is consistently recognized as a top employer for our dedication to the team members and the patients we serve.

Forbes list

On Forbes list of Best Large Employers, we are the #1 healthcare recipient in North Carolina for 2023.

LGBTQ Recognition

Our hospitals are consistently recognized as LGBTQ Healthcare Equality Leaders by Healthcare Equality Index.

Magnet Recognition

We are among about 9 percent of U.S. hospitals that hold the American Nurses Credentialing Center’s Magnet Recognition honor.

CHIME Digital Health

CHIME Digital Health Most Wired recipient since 2018, honoring our ability to elevate the health and care of communities around the world.

Magnet Recognition
We are proud to be named a top healthcare system in North Carolina on Fortune’s 2024 list of America’s Most Innovative Companies.

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More About Duke Health

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  • What We Stand For

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  • Other Locations

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