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Case Manager - Duke Raleigh Hospital
Requisition Number:: 150430
Date: Nov 24, 2021
Raleigh, NC, US, 27609
Personnel Area: DUKE RALEIGH HOSPITAL
Duke Raleigh Hospital offers the latest in care and technology in a
patient-friendly setting. It has been an important part of Duke Health since
1998 and has served Wake County for more than 35 years, employing more than
2,000 team members. The hospital provides 186 inpatient beds and a
comprehensive array of services, including the Duke Raleigh Cancer Center,
Duke Raleigh Orthopedic and Spine Center, cardiovascular services,
neurosciences including the Duke Raleigh Skull Base and Cerebrovascular
Center, advanced digestive care, disease management and prevention, wound
healing, outpatient imaging, intensive and progressive care, pain clinic,
same-day surgery, emergency department and community outreach and education
U.S. News & World Report ranked Duke Raleigh Hospital as high performing in
orthopaedics and two adult procedures/conditions: Chronic Obstructive
Pulmonary Disease (COPD) and lung cancer surgery. #DukeRaleighJobs
Duke Nursing Highlights:
Duke University Health System is designated as a MagnetÂ® organization
Nurses from each hospital are consistently recognized each year as North
Carolinaâ€™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!
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.
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
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
BSN or MSW required
3 years of relevant experience
Degrees, Licensures, Certifications
Requires Case Management Certification (ACM, CCM or ANCC) within 2 years or
of hire. BSN required and must have current or compact RN licensure in state
of NC. MSW
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
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
Nearest Major Market: Raleigh