Case Manager PRN

Duke Health • Durham, NC

73d

About The Position

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. 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.

Requirements

• BSN or MSW required.
• 3 years of relevant experience.
• Requires Case Management Certification (ACM, CCM or ANCC) within 3 years of hire.
• If BSN must have current or compact RN licensure in state of NC.

Nice To Haves

• 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.

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 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 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.
• Develop and maintain positive working relationships with customers internal and external to Duke Health System.

Benefits

• Relocation Assistance (based on eligibility)

What This Job Offers

• Career Level: Mid Level
• Education Level: Bachelor's degree