Case Manager Gen Med
Duke University Health System, Durham, NC, United States
Case Manager
Area: Gen Med
Key Responsibilities
Care Coordination & Discharge Planning
Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education.
Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care.
Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow‑up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals.
Monitor daily census to ensure all patients are evaluated for case management needs.
Collaboration & Communication
Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders.
Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements.
Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use.
Documentation & Compliance
Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken.
Ensure compliance with federal, state, and local regulations, as well as organizational policies.
Prepare reports and maintain records as required.
Quality & Professional Development
Participate in Quality Assurance/Performance Improvement (QAPI) activities.
Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners.
Provide weekend, holiday, or after‑hours coverage as assigned based on entity needs.
Knowledge, Skills & Abilities
Ability to work independently in a self‑directed role.
Strong problem‑solving skills and ability to manage complex situations.
Excellent written and verbal communication skills.
Basic computer proficiency.
Minimum Qualifications
Education
BSN or MSW required
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.
Equal Employment Opportunity
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.
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Area: Gen Med
Key Responsibilities
Care Coordination & Discharge Planning
Assess all assigned patients for case management needs, including discharge planning, care transitions, advocacy, consultations, and patient/family education.
Develop, implement, and evaluate individualized discharge plans ensuring timely and appropriate transitions of care.
Coordinate services such as Home Health, Durable Medical Equipment (DME), transportation, Substance Abuse Treatment, outpatient follow‑up, Skilled Nursing Facility (SNF) placement, and Acute Rehab referrals.
Monitor daily census to ensure all patients are evaluated for case management needs.
Collaboration & Communication
Maintain effective communication with the healthcare team regarding assessment findings, discharge needs, and provider orders.
Provide education to patients, families, and care teams regarding benefits, reimbursement guidelines, and regulatory requirements.
Collaborate with Utilization Management to support payer negotiations, reduce denials, and promote appropriate resource use.
Documentation & Compliance
Maintain timely, accurate documentation of assessments, interventions, discharge arrangements, and all actions taken.
Ensure compliance with federal, state, and local regulations, as well as organizational policies.
Prepare reports and maintain records as required.
Quality & Professional Development
Participate in Quality Assurance/Performance Improvement (QAPI) activities.
Represent the department with professionalism while fostering positive working relationships across Duke Health and external partners.
Provide weekend, holiday, or after‑hours coverage as assigned based on entity needs.
Knowledge, Skills & Abilities
Ability to work independently in a self‑directed role.
Strong problem‑solving skills and ability to manage complex situations.
Excellent written and verbal communication skills.
Basic computer proficiency.
Minimum Qualifications
Education
BSN or MSW required
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.
Equal Employment Opportunity
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military status.
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