Registered Nurse (RN) - Case Management
Duke University
Raleigh, NC

Case Manager

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 Raleigh Hospital, A Campus of Duke University Hospital Pursue your passion for caring with the Duke Raleigh Campus in Raleigh, North Carolina, which has been part of Duke Health since 1998 and has served Wake County for more than 35 years. Duke Raleigh Campusfeatures 204 inpatient beds and offers a comprehensive array of services, including cancer, cardiovascular, neuroscience, advanced gastrointestinal, and wound healing care. 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) Monday-Friday Inpatient Case Management 1 weekend day per month External Candidates eligible for $7,500.00 Commitment Bonus paid over 1 year Occ Summary Manage a designated caseload to coord inateandcomplete timelyassessment, planning, implementation and evaluati onofdischarge plansand care transitions across the continuum of care. E nsureoptimumutilization of the patient's and the Health System's resourc esandperform these duties within the requirements of CMS and other exter nalreview agencies. Work Performed Monitor daily cens usandassignment to assure all patients are assessedfor case managementn eedsincluding care coordination/transition anddischarge planning, consul tations, advocacy, education.Maintain effective communication with healt hcareteam members relatedto assessment findings, discharge planning need sand provider ordersneeded to arrange Homecare, Durable Medical Equipmen t,Transportation,Skilled Nursing or Acute Rehab Facility placement, Subs tance AbuseTreatment and outpatient follow-up.Maintain working knowledge ofspecific benefits and reimbursementguidelines, the discharge planningp rocess and applicable federal, stateand local regulations. Provideeduca tion and guidance on these topicsto providers, patients and families asn eeded.Work with Utilization Management partners to provide informationan dfeedback that will enhance negotiations and denial prevention withpayer s.Maintain timely documentation of assessment findings, dischargearrange ments andactions taken according to departmental guidelines;preparerepo rts and maintain records as requested and/or required.Participate inQual ity Assurance/Performance Improvement (QAPI)activities as requested.Jobr esponsibilities may include site specific duties, weekend/holidayor afte rhours coverage as designated at each entity.Develop and maintainpositiv e working relationships with customersinternal and externalto Duke Healt h System.Perform other related duties incidental to the work describedhe rein. Knowledge, Skills and Abilities Ability toworke ffectively in a self-directed roleAbility to multi-task,capable of daily problem-solving complex issuesExcellent written and verbal skillsBasicc> omputer skills necessary Level Characteristi cs 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 or of hire. BSN required and must have current or compact RN licensure in state of NC. MSW(if no BSN or compact RN licensure in NC) CASE MANAGER Job Level: G2 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 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. Nearest Major Market: Durham Nearest Secondary Market: Raleigh