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Case Manager
full-timeMooresville

Summary

Location

Mooresville

Type

full-time

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About this role

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.

 

Duke Health Lake Norman Hospital

Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of Duke Health’s four hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties.

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)

 


General Description of the Job Class

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.

Duties and Responsibilities of this Level

Monitor daily census and assignment to assure all patients are assessed for 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.

Perform other related duties incidental to the work described herein.

 

Required Qualifications at this Level

Education

BSN or MSW required

Experience

3 years of relevant experience

Degrees, Licensure, and/or Certification

Requires Case Management Certification (ACM, CCM or ANCC) within 3 years of hire.

BSN required and must have current or compact RN licensure in state of NC.

or

MSW(if no BSN or compact RN licensure in 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

Distinguishing Characteristics of this Level

N/A


 

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.

 

Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends onthe 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.

 

Other facts

Tech stack
Case Management,Care Coordination,Discharge Planning,Communication,Education,Documentation,Quality Assurance,Problem-Solving,Multi-Tasking,Advocacy,Utilization Management,Regulatory Knowledge,Team Collaboration,Patient Advocacy,Healthcare Regulations,Resource Utilization

About Duke Health

Duke University Hospital (DUH) is consistently rated as one of the best hospitals in the United States and is known around the world for its outstanding care and groundbreaking research.

Driven to bring extraordinary discoveries to fruition, deliver cutting edge clinical services to patients, and apply care and compassion to all stages of care, we maintain an unwavering focus on making the individuals and communities we serve healthier.

Today, DUH is the flagship of the Duke University Health System and a full-service, 957-bed, tertiary and quaternary academic medical center. Ranked nationally in 10 adult specialties by U.S. News and World Report for 2019-2020 and ranked first in North Carolina and first in the Raleigh-Durham area, care is delivered with inspiring passion and a deep commitment to put the person who needs our care at the center of everything we do.

Team size: 10,001+ employees
Industry: Hospitals and Health Care
Founding Year: 1925

What you'll do

  • Manage a designated caseload to coordinate and complete timely assessment, planning, implementation, and evaluation of discharge plans and care transitions. Ensure optimum utilization of the patient's and the Health System's resources while adhering to CMS and other external review agency requirements.

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Frequently Asked Questions

What does a Case Manager do at Duke Health?

As a Case Manager at Duke Health, you will: manage a designated caseload to coordinate and complete timely assessment, planning, implementation, and evaluation of discharge plans and care transitions. Ensure optimum utilization of the patient's and the Health System's resources while adhering to CMS and other external review agency requirements..

Why join Duke Health as a Case Manager?

Duke Health is a leading Hospitals and Health Care company.

Is the Case Manager position at Duke Health remote?

The Case Manager position at Duke Health is based in Mooresville, North Carolina, United States. Contact the company through Clera for specific work arrangement details.

How do I apply for the Case Manager position at Duke Health?

You can apply for the Case Manager position at Duke Health directly through Clera. Click the "Apply Now" button above to start your application. Clera's AI-powered platform will help match your profile with this opportunity and guide you through the application process. You can also learn more about Duke Health on their website.