Case Manager PRN ED Nights
Durham, NC, US, 27710
About Duke University Hospital
Duke Nursing Highlights:
- Duke University Health System is designated as a Magnet organization
- Duke University Health System has 6000 + registered nurses
- Quality of Life: Living in the Triangle!
- Relocation Assistance (based on eligibility)
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.
Work Performed
- 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.
- 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
Level Characteristics
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 of hire. MSW or BSN required. If BSN must have current or compact RN licensure in state of NC.
Nearest Major Market:DurhamNearest Secondary Market:Raleigh
Freqently Asked Questions
This PRN role focuses on overnight emergency department coverage, requiring swift discharge planning and care coordination during night shifts. Unlike standard case manager jobs, it demands adaptability to urgent situations and familiarity with ED processes within Duke’s renowned health system.
Candidates must obtain case management certification such as ACM, CCM, or ANCC within three years of hire. Additionally, holding an active RN license in North Carolina or an MSW degree is mandatory, reflecting regulatory compliance in the Durham healthcare landscape.
Dealing with fluctuating patient census, coordinating rapid discharge plans, managing complex care transitions, and navigating insurance guidelines are typical challenges. The role demands multitasking, precise documentation, and effective communication with multidisciplinary teams during night shifts.
Yes, besides flexible PRN scheduling, employees benefit from Duke's Magnet recognition, access to extensive nursing resources, and the vibrant Triangle area's quality of life. Relocation assistance may also be available, making it an attractive choice for qualified professionals.
Durham's healthcare sector, anchored by institutions like Duke University, offers robust demand for case managers with competitive salaries. Raleigh, while also growing, has a slightly broader mix of opportunities but intense competition. Candidates with specialized certifications have an edge locally.
Typical earnings for this role in Durham fluctuate between $60,000 and $75,000 annually, influenced by experience and certifications. The PRN nature may affect income stability, but Duke University’s compensation aligns well with regional healthcare standards.
Duke invests in ongoing education, offering resources for certification maintenance and QAPI involvement. Night shift case managers gain exposure to diverse acute care scenarios enhancing clinical and coordination skills, supported by an environment fostering career growth.
Exceptional multitasking, strong problem-solving aptitude, and excellent verbal and written communication are essential. Familiarity with federal and state discharge policies, plus the ability to navigate complex insurance negotiations, sets top performers apart in this high-demand position.
This role embodies Duke’s commitment to patient-centered, efficient care transitions. Case managers collaborate closely with clinical teams, enhancing outcomes through advocacy and education, reflecting the hospital’s Magnet status and dedication to quality nursing practice.
Night shifts involve managing a dynamic patient list with urgent discharge needs, coordinating with homecare and rehab providers, and ensuring compliance with CMS guidelines. Flexibility and independence are crucial, as the workload can shift rapidly in the emergency department environment.
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