Behavioral Health Case Management Specialist (PRN)

ECU Health; Greenville (NC); On-site; USD 34,000 - 50,000; Full time

Job summary

ECU Health Medical Center in North Carolina seeks a Behavioral Health Case Management Specialist to handle external referrals from the emergency department and non-psychiatric units, perform pre-admission intake, verify benefits, and document in EPIC. The role requires DSM criteria knowledge and collaboration with ED staff and consult/liaison teams.

You will prioritize multiple referrals, coordinate bed placements, support discharge planning, monitor insurance coverage, and communicate decisions

Qualifications

• Bachelor's degree required.
• At least 3 years assessment experience in inpatient behavioral health or ED setting.

Responsibilities

• Manage referral and intake calls/faxes per service protocols.
• Document cases in the referral system (e.g., EPIC).
• Gather and present clinical data for admission decisions.
• Communicate admission decisions and alternative referral options.
• Coordinate with ED and floor teams to resolve placement issues and ensure appropriate screenings.
• Facilitate behavioral health bed placements and verify transfer protocols and IVC documentation.
• Support discharge planning with BH CM/CM teams, including transportation and follow-up care.
• Monitor insurance coverage and coordinate benefits verification.
• Maintain contact with referring sources to track and document progress.
• Build relationships with internal staff and external providers to support safe transitions.
• Analyze program effectiveness and recommend improvements.
• Assist with policy compliance and provide staff training on discharge planning and regulatory standards.

Skills

DSM criteria knowledge

Involuntary commitment processes

Customer service

Referral coordination

Education

Bachelor's degree

Tools

EPIC

Job description

Position Summary

The Behavioral Health Case Management (BH CM) Specialist is responsible for processing external referrals and coordinating placement for patients requiring behavioral health services from the Emergency Department or non-psychiatric inpatient units. Responsibilities include pre-admission intake, benefit verification, and documentation in the designated ECU Health system. This role requires close collaboration with internal and external referral sources, including consult/liaison teams and emergency department staff. The specialist must manage multiple priorities efficiently, respond promptly to referrals, and demonstrate strong customer service skills. Knowledge of DSM criteria and involuntary commitment processes is essential.

Responsibilities

• Manage referral and intake calls/faxes per service protocols.
• Document cases in the referral system (e.g., EPIC).
• Gather and present clinical data for admission decisions.
• Communicate admission decisions and alternative referral options.
• Coordinate with ED and floor teams to resolve placement issues and ensure appropriate screenings.
• Facilitate behavioral health bed placements and verify transfer protocols and IVC documentation.
• Support discharge planning with BH CM/CM teams, including transportation and follow-up care.
• Monitor insurance coverage and coordinate benefits verification.
• Maintain contact with referring sources to track and document progress.
• Build relationships with internal staff and external providers to support safe transitions.
• Analyze program effectiveness and recommend improvements.
• Assist with policy compliance and provide staff training on discharge planning and regulatory standards.

Minimum Requirements

• Bachelors degree is required.
• Possess at least 3 years assessment experience in either an inpatient behavioral health setting or an outpatient emergency services setting.

Pay Range

$24.69 - $35.99 per hour

ECU Health

About ECU Health Medical Center

ECU Health Medical Center, one of four academic medical centers in North Carolina, is the 974-bed flagship hospital for ECU Health and serves as the primary teaching hospital for The Brody School of Medicine at East Carolina University. ECU Health Medical Center has achieved Magnet® designation twice and provides acute and intermediate care, rehabilitation and outpatient health services to a 29-county region that is home to more than 1.4 million people.

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant’s qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.