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Duke Careers

Population Health Care Manager – Care Transition

Duke Careers

Population Health Care Manager at Duke Connected Care providing clinical support for patient care transitions. Focus on chronic condition management and patient advocacy during discharge processes.

Posted 7/17/2026full-timeRemote • North Carolina • 🇺🇸 United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit
Core Competencies

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Demonstrates clinical expertise in care transitions, disease management, and patient assessment, ensuring optimal outcomes for individuals with complex medical and psychosocial needs. Holds relevant licensure and certifications to support effective case management and care planning.

Highest-signal resume keywords
Clinical ExpertiseCare Transitions ManagementDisease ManagementLicensed Clinical Social WorkerACM or CCM Certification

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
Patient AssessmentCare Plan DevelopmentSymptom ManagementDischarge PlanningChronic Condition Management
Soft Skills
Interpersonal CommunicationGuidance and SupportCollaboration
Certifications & Qualifications
Current RN LicensureLicensed Clinical Social WorkerLicensed Professional CounselorLicensed Addiction SpecialistACM CertificationCCM Certification
Industry Keywords
Inpatient Case ManagementTransitions of CareChronic ConditionsMental HealthPsychosocial Issues

About the role

Key responsibilities & impact
  • Provide clinical expertise, support, and guidance for care transitions of patients being discharged from the Duke University Health System.
  • Support for inpatient case management with core administrative functions related to discharge disposition.
  • Perform disease and symptom management, assessment of disease, care plan development and facilitation, and referral to appropriate levels of care.
  • Ensure excellence with transitions of care to achieve optimal clinical outcomes through a seamless model of access and care.
  • Improve the health status and care for individuals with chronic conditions with complex medical, mental health, and psychosocial issues.

Requirements

What you’ll need
  • Education: Bachelor's degree in clinical field such as Nursing, Counseling, Social Work, Therapy, Allied Health, or community health related fields.
  • Experience: 3 years of clinical experience required.
  • Degrees, Licensure, and/or Certification: Must have a current license in at least one of these areas: current or compact RN licensure in the state of North Carolina, current licensure as a licensed clinical social worker by the NC Social Work Certification and Licensure Board, current licensure as a Licensed Professional Counselor by the state of NC, or current licensure as a Licensed Addiction Specialist by the state of North Carolina.
  • Requires ACM or CCM certification within 3 years of hire date.

Benefits

Comp & perks
  • 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.