Behavioral Health Case Manager

Duke University
  • Durham, NC
    8 days ago

    Job Description

    At Duke Health, were 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 Regional Hospital

    Pursue your passion for caring with Duke Regional Hospital in Durham, North Carolina. With 388 beds it is the second largest of Duke Healths four hospitals and offers a comprehensive range ofmedical, surgical, and diagnostic services, including orthopedics, weight-loss surgery, womens services, and heart and vascular services.

    Manage a designated caseload to coordinate and complete timely assessment, planning, implementation and evaluation of discharge plans and care transitions across the continuum of care. Ensure optimum utilization of the patients and the Health Systems resources and perform these duties within the requirements of CMS and other external review agencies.

    Work Performed

    • Monitor daily census and assignment to assure all patients are assessed for case management needs including care coordination/transition and discharge planning, consultations, advocacy, education.
    • Maintain effective communication with health care team members related to assessment findings, discharge planning needs and provider orders needed to arrange Homecare, Durable Medical Equipment, Transportation, Skilled Nursing or Acute Rehab Facility placement, Substance Abuse Treatment and outpatient follow-up.
    • Maintain working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations. Provide education and guidance on these topics to providers, patients and families as needed.
    • Work with Utilization Management partners to provide information and feedback that will enhance negotiations and denial prevention with payers.
    • Maintain timely documentation of assessment findings, discharge arrangements and actions taken according to departmental guidelines; prepare reports and maintain records as requested and/or required. Monitor daily census and assignment to assure all patients are assessed for case management needs including care coordination/transition and discharge planning, consultations, advocacy, education.
    • Maintain effective communication with health care team members related to assessment findings, discharge planning needs and provider orders needed to arrange Homecare, Durable Medical Equipment, Transportation, Skilled Nursing or Acute Rehab Facility placement, Substance Abuse Treatment and outpatient follow-up.
    • Maintain working knowledge of specific benefits and reimbursement guidelines, the discharge planning process and applicable federal, state and local regulations. Provide education and guidance on these topics to providers, patients and families as needed.
    • Work with Utilization Management partners to provide information and feedback that will enhance negotiations and denial prevention with payers.
    • Maintain timely documentation of assessment findings, discharge arrangements and actions taken according to departmental guidelines; prepare reports and maintain records as requested and/or required.
    • Inpatient Job Responsibilities/Activities
    • Complete initial assessment within 72 hours to identify psychosocial strengths, weaknesses, community living supports present and needed.
    • Contact with patient primary support systems to gather information regarding dynamics and needs of support system.
    • Conduct support system/family therapy to allow patient/support to practice skills needed to support community living and/or assist in development of functional patterns of interactions.
    • Conduct group sessions for patients focused on skill building/interactional skills.
    • Assist patient in development of safety plan to promote positive coping while living in community setting.
    • Facilitate discharge planning for patients, involving support systems when possible, to provide level of intervention that creates environment for crisis contacts and safe community living.
    • Interface with team to determine multidisciplinary assessment of discharge planning needs and provide information regarding support system/family function.
    • Update Interqual.
    • Other duties as assigned.
    • Typical case load is 10 patients.

    Knowledge, Skills and Abilities

    • 3 yrs. Adult/Mental health experience preferred
    • Ability to work effectively in a self-directed role
    • Ability to multi-task
    • LCSW-A or LCSW
    • capable of daily problem-solving complex issues
    • Excellent written and verbal skills
    • Basic computer skills necessary

    Lev el Characteristics

    N/A

    Minimum Qualifications

    Education

    Masters degree in social work from an accredited school of social work.

    Experience

    3 years of relevant experience.

    Degrees, Licensures, Certifications

    Current licensure as a licensed clinical social worker (LCSW) by the NC Social Work Certification and Licensure Board. Consult/Liason should also be a Notary.

    Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individuals 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.

    Numbers & Facts

    LocationDurham, NC

    Skills

    • Academic Adviceunmatched
    • Acute Careunmatched
    • Behavioral Healthunmatched
    • Case Managementunmatched
    • Communication Skillsunmatched
    • Community Supportunmatched
    • Computer Skillsunmatched
    • Content Management Systems (CMS)unmatched
    • Cross-Functionalunmatched
    • Data Collectionunmatched
    • Discharge Plansunmatched
    • Diversityunmatched
    • Documentationunmatched
    • Durable Medical Equipmentunmatched
    • Federal Laws and Regulationsunmatched
    • Healthcareunmatched
    • Hospitalunmatched
    • Information Technology & Information Systemsunmatched
    • Licensed Clinical Social Worker (LCSW)unmatched
    • Multitaskingunmatched
    • Negotiation Skillsunmatched
    • Orthopedicsunmatched
    • Outpatient Careunmatched
    • Patient Assessmentunmatched
    • Patient Careunmatched
    • Presentation/Verbal Skillsunmatched
    • Problem Solving Skillsunmatched
    • Psychiatry and Mental Healthunmatched
    • Record Keepingunmatched
    • Rehabilitation Nursingunmatched
    • Reimbursement Guidelinesunmatched
    • Reporting Skillsunmatched
    • Social Workunmatched
    • State Laws and Regulationsunmatched
    • Substance Abuse Treatmentunmatched
    • Time Managementunmatched
    • Training/Teachingunmatched
    • Utilization Managementunmatched
    • Weight Managementunmatched
    • Writing Skillsunmatched

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