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Case Management Director Jobs in Raleigh, NC (NOW HIRING)

NCSU

Assistant Director / Case Manager

Raleigh, NC

Essential Job Duties Join a dynamic and growing Violence Prevention & Threat Management team as an Assistant Director/Case Manager, where your work directly contributes to campus safety and well ...

Select Source International

Case Manager

Durham, NC · On-site

$19.25 - $25/hr

Case Manager Location : Durham, NC Duration : 5 Months + Extension Job Summary: * RN Diploma, RN ... directed. * Must possess the abilities to work independently, demonstrate effective time management ...

Select Source International

Case Manager

Durham, NC

$19.25 - $25/hr

Case Manager Location : Durham, NC Duration : 5 Months + Extension Job Summary: * RN Diploma, RN ... directed. * Must possess the abilities to work independently, demonstrate effective time management ...

genex

Medical Nurse Case Manager

Raleigh, NC · On-site

Minimum of two (2) years full time equivalent of direct clinical care to consumersrequired. Workers' compensation-related experience preferred. Prior case management experience preferred. MINIMUM ...

genex

Medical Nurse Case Manager

Chapel Hill, NC · On-site

Minimum of two (2) years full time equivalent of direct clinical care to consumersrequired. Workers' compensation-related experience preferred. Prior case management experience preferred. MINIMUM ...

Duke University

Case Manager

Durham, NC · On-site

$19.25 - $24.75/hr

Assess all assigned patients for case management needs, including discharge planning, care ... Ability to work independently in a self-directed role. * Strong problem-solving skills and ability ...

Duke Health

Case Manager

Raleigh, NC · On-site

$19.50 - $25/hr

Assess all assigned patients for case management needs, including discharge planning, care ... Ability to work independently in a self-directed role. * Strong problem-solving skills and ability ...

Advocate Aurora Health

Case Manager SE

Wake Forest, NC · On-site

$38.20 - $57.30/hr

... the Director of Coordinated Care, utilizes the nursing process to develop, implement, and evaluate case management outcomes for defined patient populations. This individual supports the mission ...

Advocate Aurora Health

Case Manager SE

Wake Forest, NC · On-site

$38.20 - $57.30/hr

... the Director of Coordinated Care, utilizes the nursing process to develop, implement, and evaluate case management outcomes for defined patient populations. This individual supports the mission ...

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Case Management Director information

See Raleigh, NC salary details

$43.7K

$120.2K

$193.9K

How much do case management director jobs pay per year?

As of Jun 16, 2026, the average yearly pay for case management director in Raleigh, NC is $120,153.00, according to ZipRecruiter salary data. Most workers in this role earn between $95,300.00 and $137,500.00 per year, depending on experience, location, and employer.

What Does a Case Management Director Do?

As a case management director, you typically work in a hospital or healthcare facility, ensuring that the patient care meets organizational standards. Duties in a case management director role involve overseeing a team of case managers, guiding and training personnel, developing policies and procedures for the work, establishing and adhering to budgets, communicating with physicians and nurses, providing educational resources to patients, and managing related in-facility projects and patient outreach. Responsibilities can also include analytical tasks such as producing and evaluating reports, tracking department progress, reviewing treatment plans and goals, and providing feedback to case managers.

What is the difference between Case Management Director vs Case Manager?

AspectCase Management DirectorCase Manager
CredentialsRelevant certifications (e.g., CCM, ACM), bachelor’s or master’s degree in healthcare or social servicesRelevant certifications (e.g., CCM), bachelor’s degree in related field
Work EnvironmentHealthcare facilities, insurance companies, social service agencies, overseeing teamsHospitals, clinics, community agencies, directly working with clients
ResponsibilitiesOverseeing case management programs, strategic planning, staff supervisionAssessing client needs, developing care plans, coordinating services

The main difference is that a Case Management Director oversees the entire program and manages staff, while a Case Manager works directly with clients to coordinate care. The director has broader responsibilities and strategic oversight, whereas the case manager focuses on individual client needs.

What does a Case Management Director do?

A Case Management Director oversees the case management department within a healthcare facility, ensuring that patients receive coordinated and effective care. They manage a team of case managers, develop care policies, and collaborate with physicians and other healthcare professionals to optimize patient outcomes. Their responsibilities also include monitoring compliance with regulations, improving care transition processes, and managing department budgets. Ultimately, the Case Management Director plays a crucial role in enhancing patient satisfaction and the efficiency of healthcare delivery.

What are some common challenges faced by Case Management Directors, and how can they effectively address them?

Case Management Directors often encounter challenges such as coordinating multidisciplinary teams, managing caseloads efficiently, and ensuring compliance with evolving healthcare regulations. To address these issues, strong communication and leadership skills are essential, as is staying up to date with regulatory changes and best practices in care coordination. Building collaborative relationships across departments and implementing data-driven strategies can help streamline processes and improve patient outcomes.

What are the key skills and qualifications needed to thrive as a Case Management Director, and why are they important?

To thrive as a Case Management Director, you need a comprehensive background in healthcare, social work, or nursing, often supported by a bachelor's or master's degree and relevant licensure such as RN or LCSW. Familiarity with case management software, electronic health records (EHRs), and certifications like ACM or CCM is highly valued. Leadership, strategic thinking, and strong communication skills help drive team performance and coordinate care effectively. These competencies are crucial for ensuring optimal patient outcomes, regulatory compliance, and efficient resource management across healthcare settings.
More about Case Management Director jobs
What are the most commonly searched types of Case Management jobs in Raleigh, NC? The most popular types of Case Management jobs in Raleigh, NC are:
What are popular job titles related to Case Management Director jobs in Raleigh, NC? For Case Management Director jobs in Raleigh, NC, the most frequently searched job titles are:
What job categories do people searching Case Management Director jobs in Raleigh, NC look for? The top searched job categories for Case Management Director jobs in Raleigh, NC are:
What cities near Raleigh, NC are hiring for Case Management Director jobs? Cities near Raleigh, NC with the most Case Management Director job openings:
Case Management Director jobs near you
Care Coordination Specialist- Case Management PRN

Care Coordination Specialist- Case Management PRN

Duke Health

Durham, NC • On-site

Per diem

This job post has expired today. Applications are no longer accepted.

Duke Health rating

7.2

Company rating: 7.2 out of 10

Based on 247 frontline employees who took The Breakroom Quiz

330th of 872 rated healthcare providers

Job description

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.
PRN position Case Management Department
General Description of the Job Class
  • Perform a variety of specialized, complex activities in the coordination of the care needed for patient discharges and transitions of care. Strong emphasis on proactive problem resolution and departmental communications.
  • Independently perform activities necessary to organize, maintain, and use electronic patient health records. Positions at this level have high customer service, strong analytic and problem solving skills, require interpretation and explanation of policy and external requirements related to, privacy, release of information, positive patient identity, and other department and organization-wide functions.
  • Regular interaction required with case management staff, physician advisors, post-acute care providers, community based organizations, insurance companies, and governmental agencies.
  • Detailed working knowledge and ability to apply HIPAA rules, North Carolina General Statutes, and other State and Federal laws regarding patient privacy. Detailed working knowledge and ability to apply State and Federal laws regarding discharge planning, Joint Commission requirements, and CMS guidelines and rules.

Duties and Responsibilities of this Level
  • Partners with Case Management team in arranging for discharge needs of patients including but not limited to durable medical equipment, home health, facility placement, dialysis, outpatient appointments, back transfers to outside hospitals, transportation, and home infusion.
  • Performs a variety of specialized, complex activities in the coordination of post-acute care services. Reviews discharge planning forms for completeness, timing, and conformity to policy and guidelines. Delivers the Important Message from Medicare according to CMS guidelines to all indicated patients based on case manager's noted expected discharge date.
  • Participates in daily Case Management touchpoints with Case Managers, Social Workers, and Utilization Managers. Discusses referred cases, including, patient status, barriers to discharge, payer communication, expected discharge date, transition planning priorities, escalations and support needed.
  • Reviews insurance coverage updates on all appropriate patients, as assigned. Regularly evaluates work list and re-prioritizes items for the day. Reviews requests for care coordination to identify dates of service, entity, provider and specific clinical documents needed to complete the requested referrals. Works extensively in the electronic health record to locate specific clinical documents for the purpose of fulfilling a request. Escalates more complex inquiries and barriers to the appropriate resource.
  • Stays in close contact with the requester to alert Case Management Staff of barriers to completion of needed task, provide status updates and ultimately share details of case completion. Enters appropriate documentation of all discharge planning activities and communications according to department standard and closely monitors pending tasks and priority level of each task.
  • Maintains strong working relationships with both internal Duke staff as well as external agency staff such as post-acute liaisons, admissions coordinators, medical providers and staff in community-based organizations to ensure timely, appropriate and safe transitions of care.
  • Obtains all authorizations for SNF care, both by utilizing the NaviHealth portal for the payers who utilize that system as well as any other processes used by all other managed care and health plans. They will also use a similar system as NaviHealth utilized by the State to approve all post-acute care (including Home Health) for Medicaid beneficiaries covered by these commercial plans.
  • Schedules peer-to-peer reviews for Physician Advisors (PAs) and communicate electronically to the PAs the dates/times and contact names/numbers of the payer's Medical Director with whom they will be speaking. Discusses rationale for initial denial of services with the PAs to assist in their preparation for the peer to peer discussion. Meticulous record keeping of this process will be expected as data will be needed to assess volume for future expansion.
  • Develops, administers activities, monitors and evaluates program effectiveness, and investigates trends. Advises supervisor as to the status of current activities and additional or expanded program requirements. Provides input into appropriate program recommendations or conclusions. Assists in developing and defining short and long term departmental specific goals and objectives. Implements decided upon program adjustments. Coordinates projects and audits to improve processes related to Case Management efficiency of care coordination and discharge planning.
  • Requires the ability to interpret and explain policy and external requirements related to, discharge planning, release of information, positive patient identity, and other department and organization-wide functions. Completes regular interaction, as indicated, with governmental agencies, providers of health care, insurance companies and auditing agencies. Possesses a detailed working knowledge and ability to apply HIPPA rules and other State and Federal laws regarding patient privacy. Possesses working knowledge of Joint Commission requirements and CMS guidelines and rules.
  • Develops, coordinates and advises staff regarding relevant policies and guidelines. Educates and trains employees in proper methods and procedures to ensure efficient and accurate completion of work. Develops and provides job-specific training to new and existing employees within department.

Required Qualifications at this Level
Education
Associate's degree in business, healthcare administration, social work or a related healthcare
Bachelor's degree in business, healthcare administration, social work or a related health field highly preferred
Experience
2 years of related experience required
A Bachelors degree in related field can subsitute for the experience requirement
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.
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.

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