CASE MANAGER - Oncology

  • Requisition Number: 401499885
  • Department: DUKE HOSPITAL
  • Location: Durham
  • Type of Position: Regular
  • Shift: Rotating
  • Apply
Occ SummaryResponsible for coordinating continuum of care activities for assignedpatients and ensuringoptimum utilization of resources, service delivery and compliance withexternal review agencies'requirements.Work PerformedCoordinate and facilitate timely implementation of discharge plans forrequired.assigned.PerformMaintainotherrelated duties incidental to the work described herein.assigned patients; arrange follow-up care as appropriate.effective communication with health care team members related todischarge planning andutilization management.Documentfindings, discharge arrangements and actions taken according todepartmental guidelines; preparereports and maintain records asAct as an educational resource and provideconsultation to hospital medical personnel regarding discharge planningprocess and applicablefederal, state and local regulations; identify benefits, implicationsand limitations of home care asappropriate. Provide concurrent review and follow up with appropriatepersonnel regarding denials.Collect denial data fortrendingWork with appropriate staff to develop processes toprevent denials and improve reimbursement.Collect analyze andreport data for resource utilization, compliance, QI and other areas asProvide feedback that willenhance negotiations withpayers.Develop and maintain positive relationships withcustomers internal and external to Duke Health System.Knowledge, Skills and AbilitiesAbility to work effectively in a self-directed rolenecessaryissuesAbility tomulti-task, capable of daily problem-solving complexExcellent written and verbal skillsBasic computer skillsLevel CharacteristicsN/A