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Posted: 15-Nov-25
Location: Durham, North Carolina
Internal Number: 263640
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 HomeCare & Hospice
Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home forthe Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.
The DHCH Care Coordination team consists of 12 RN-Care Coordinators working across the 3 Duke hospitals. As a coordinator, you will have the opportunity to work closely with the hospital team to include the Case Manager, and Physician to initiate home care services for those patients who need home health, hospice, or infusion services at discharge. We provide education to the patient and their caregiver related to the services needed to facilitate an appropriate discharge plan. The NPC will utilize their strong assessment skills and clinical knowledge in order to fulfill our goal to provide the patient/family with a smooth transition to home.
This position is at Duke University Hospital. The employee will be cross-trained to coordinate care for all 3 of Duke's home-based care entities; Home Health, Hospice, and Infusion Services.
Shift: Friday-Monday; 4-10 hour days; 8 AM-6 PM:
JOB SUMMARY:
Responsible for the coordination of home health, hospice, and infusion services for the hospitalized patient, clinic/outpatient and/or patient in an alternative setting (i.e. extended care facilities) by acquiring admission information and assessing the appropriateness of home care services.
Responsible for providing community education, responding to customer requests and concerns, and interfacing with referral sources, organizations, government agencies and third-party payors.
Participate in care team unit huddles and function as an educational resource.
Provide consultation to physicians, hospitals, and other referral sources regarding home coordination and available services through DHCH.
Meet with the referral source regularly to identify patient population needs, referral process improvements and identify patient/staff educational opportunities.
MAJOR JOB FUNCTIONS:
- Maintains current knowledge base of the comprehensive services, products and supplies available through DHCH.
- Maintains current knowledge of federal and state regulatory guidelines related to home care services.
- Remains current of reimbursement issues, and maintains understanding of their impact on the delivery of home health, hospice, and infusion services.
- Functions as an educational resource, providing consultation to physicians, hospitals, and other referral sources regarding home care coordination and available services through DHCH.
- Utilize comprehensive assessment skills to determine patients appropriateness of home care and initiate development of a plan of care.
- Meet with referral sources regularly to identify patient population needs, referral process improvements and identify patient/staff educational opportunities.
- Maintains daily record of referral source/community contacts and assists in identifying referral trends and needs.
- Initiates home care coordination in collaboration with referral source, MD, patient/caregiver and central intake staff.
- Participate in patient case conferences.
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education, Degrees and Formal Training:
BSN required. Current RN licensure in the state of North Carolina, or compact licensure in participating state is required.
BLS required, but may be renewed during orientation.
Work Experience:
Three years of nursing experience are required.
Duke is an 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 (including pregnancy and pregnancy related conditions), sexual orientation or military 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.
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.