Behavioral Health Case Managers
Company: Duke Health
Location: Durham
Posted on: April 20, 2024
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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.
About Duke Regional Hospital
Pursue your passion for caring with Duke Regional Hospital in
Durham, North Carolina, which ranks as the number four hospital in
the Raleigh-Durham, North Carolina area, accordingto U.S. News and
World Report for 2023-2024. Duke Regional Hospital is the second
largest of Duke Health's three hospitals and offers a comprehensive
range of medical, surgical, and diagnostic services, including
orthopedics, weight-loss surgery, women's services, and heart and
vascular services.
Location: Duke Regional Behavioral Health Center, Durham, North
Carolina
General Summary
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 patient's and the Health System's
resources and perform these duties within the requirements of CMS
and other external review agencies.
Work Hours: Monday-Friday some weekends and holidays included
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
Master's 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 Affirmative Action/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, sexual orientation, or veteran 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 essentialjob
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.
Keywords: Duke Health, Chapel Hill , Behavioral Health Case Managers, Healthcare , Durham, North Carolina
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