Behavioral Health Case Manager

Case Management Society of America (CMSA) ®; Durham (NC); On-site; USD 50,000 - 75,000; Full time

Job summary

Join Duke Regional Hospital as a Behavioral Health Case Manager, where you will manage discharge plans and coordinate care for patients. Utilizing your Master’s degree in social work and LCSW licensure, you will engage in effective case management while contributing to compassionate care. Work within a supportive team to ensure optimal patient outcomes and resource utilization. This role requires strong communication and problem-solving skills, with opportunities to facilitate patient growth and positive community integration.

Qualifications

• 3 years of adult/mental health experience preferred.
• Licensed Clinical Social Worker (LCSW) required.
• Current licensure as an LCSW by the NC Social Work Certification Board.

Responsibilities

• Manage a designated caseload for discharge planning and care transitions.
• Maintain effective communication regarding discharge planning needs.
• Conduct family therapy and group sessions for skill-building.

Skills

Problem-solving skills for complex issues

Excellent written and verbal communication skills

Ability to multitask

Education

Master's degree in social work

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, according to 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 within CMS and other external review agencies' requirements.

Work Hours: Monday-Friday, some weekends and holidays included

Work Performed

1. Monitor daily census and assignments to assure all patients are assessed for case management needs including care coordination, transition, discharge planning, consultations, advocacy, and education.
2. Maintain effective communication with healthcare team members regarding 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.
3. Maintain knowledge of specific benefits, 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.
4. Collaborate with Utilization Management partners to enhance negotiations and denial prevention with payers.
5. Document assessment findings, discharge arrangements, and actions taken timely according to departmental guidelines; prepare reports and maintain records as required.
6. Complete initial assessment within 72 hours to identify psychosocial strengths, weaknesses, community supports, and needs.
7. Contact patients' primary support systems to gather information about support dynamics and needs.
8. Conduct support system and family therapy to practice skills supporting community living and develop functional interaction patterns.
9. Conduct group sessions for patients focused on skill-building and interactional skills.
10. Assist in developing safety plans to promote positive coping strategies for community living.
11. Facilitate discharge planning involving support systems to ensure safe community living environments.
12. Interface with the team for multidisciplinary assessment of discharge needs and provide support system/family function information.
13. Update Interqual as necessary.
14. Perform other duties as assigned.

Knowledge, Skills, and Abilities

• 3 years of adult/mental health experience preferred
• Ability to work effectively in a self-directed role
• Ability to multitask
• Licensed Clinical Social Worker (LCSW)
• Problem-solving skills for complex issues
• Excellent written and verbal communication skills
• Basic computer skills necessary

Minimum Qualifications

Education: Master's degree in social work from an accredited school

Experience: 3 years relevant experience

Licenses, Certifications: Current licensure as an LCSW by the NC Social Work Certification and Licensure Board; should also be a Notary.

BEHAVIORAL HEALTH CASE MANAGER
Job Level: G2

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex (including pregnancy), sexual orientation, or military status.

We strive to create a community built on collaboration, innovation, and diversity. Our collective success depends on the exchange of ideas and perspectives from all backgrounds. We are committed to ensuring all community members feel secure, respected, and heard. All members are responsible for upholding these values.

Essential Physical Job Functions: Specific physical and/or mental abilities may be required for certain jobs. Requests for reasonable accommodations will be addressed by each hiring department.