Case Manager PRN

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. With 204-beds, it is the third largest of the four Duke Health hospitals 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)

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

Requirements

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
• Experience: Minimum of 3 years of relevant experience
• License and Certification: Case Management Certification (ACM, CCM, or ANCC) required within 3 years of hire
• For BSN-prepared candidates: Must hold a current RN license (or compact license) in the state of North Carolina

About Duke Health

As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.