Manager, Case Management-Duke Regional
Company: Duke Health
Location: Durham
Posted on: January 27, 2023
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Job Description:
Duke Regional Hospital Duke Regional Hospital offers the
personal touch and hometown feel of a community hospital while
serving as an essential arm of internationally recognized Duke
University Health System. Duke Regional has served Durham, Orange,
Person, Granville and Alamance counties for more than 45 years. To
be successful at caring for our community and have a strong
reputation among patients who seek our care, we have 3,500 team
members who work together to provide exceptional, compassionate and
equitable healthcare 24/7. We are a place of learning and
acceptance for team members just starting their careers, as well as
an institution of family culture and professional development for
employees who have served for decades in our hospital units.Duke
Regional has 388 inpatient beds and offers a comprehensive range of
medical, surgical and diagnostic services, including orthopedics,
weight-loss surgery, women's services, and heart and vascular
services. We also offer care at our Duke Rehabilitation Institute,
Davis Ambulatory Surgical Center, Duke Ambulatory Surgery Center
Arringdon, Health Services Center, and Duke Behavioral Health
Center North Durham. In fiscal year 2021, Duke Regional Hospital
admitted 16,422 patients, performed 18,152 surgeries and welcomed
2,673 babies into the world. U.S. News & World Report ranked Duke
Regional Hospital as in North Carolina and in the Raleigh-Durham
area for 2021-22. The Human Rights Campaign consistently names us a
Healthcare Equality Leader, and we are a Joint
Commission-accredited and Magnet-designated hospital.
The Manager reports directly to the Assistant Director of the Case
Management Department and provides direct supervision and oversight
of the Case Managers (CMs) and Clinical Social Workers (CSWs ) who
function within the inpatient and outpatient settings. The Manager
is responsible for operationalizing Case Management and Clinical
Social Work workflow standards and processes, ensuring adherence to
regulatory guidelines and ensuring operations are consistent with
DUHS organizational standards.
Work Performed
Experience withcare coordination, discharge planning, clinical
information documentation and Utilization review.
PC proficiency and experience with care management workflow
systems, such as Canopy Knowledge of InterQual criteria and patient
status change Strong communication and leadership skills
Knowledgeable of JCAHO, federal and state
standards/regulations.
Considerable knowledge of large-scale health care facilities,
policies, and issues.
Considerable knowledge of clinical protocols and practice
management requirements in assigned area.
Ability to analyze data and employ approved management techniques
and statistical tools to obtain maximum effectiveness,
efficiency,
Ability to interpret established policies into operating procedures
and to execute case management programs.
Ability to coordinate effectively various functions and activities
for maximum cooperation and efficiency
Ability to direct, instruct and advise staff in the approved
methods, procedures and practices employed in effective health care
administration
Ability to receive and effectively react to day-to-day problems
presented by staff as well as others Knowledge of accreditation
standards, health care regulations, performance improvement,
patient safety and policy formulation.
Effective organizational, oral and written communication skills,
problem solving, program development, computer skills, strong
leadership, and team building skills.
Ability to work with a variety of disciplines and levels of staff
across departments and the health system is required.
Knowledge of payer requirements and discharge planning regulations
that support the effect development of departmental policies,
procedures and standards Ability to establish priorities, meet
deadlines, develop and manage the department's productivity
standard in the management of the work assignment
Ability to form positive, collaborative relationships with members
of the executive team, hospital staff, post-acute providers and
payers
Ability to effectively negotiate with internal and external service
providers Knowledge of information systems to support the
evaluation of current capacity as well as future needs
Education
BSN or MSW required
Experience
5 years of relevant experience
Degrees,Licensure, and/or Certification
Must have current or compact RN licensure in the state of North
Carolina or current licensure as a licensed clinical social worker
by the NC Social Work Certification and Licensure Board
Job Code: MANAGER, CASE MANAGEMENT
Job Level: I1
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.
Keywords: Duke Health, Durham , Manager, Case Management-Duke Regional, Executive , Durham, North Carolina
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