Behavioral Health Case Manager

Duke Clinical Research Institute; Durham (NC); On-site; USD 55,000 - 85,000; Full time

Job summary

Duke Regional Hospital is seeking a licensed clinical social worker to support discharge planning and care coordination for patients in Durham, North Carolina. The role emphasizes collaboration with the healthcare team, patient and family education, and adherence to regulatory guidelines.

The successful candidate will have a Master’s degree in social work, a current LCSW license, and at least 3 years of relevant experience. Notary may be required for liaison duties within the department.

Qualifications

• Master's degree in social work from an accredited school of social work.
• 3 years of relevant experience.
• 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.

Responsibilities

• Monitor daily census and coordinate case management needs including discharge planning.
• Communicate with health care team regarding assessment findings, discharge planning and provider orders.
• Educate providers, patients and families on discharge planning, benefits, and reimbursement guidelines as needed.
• Work with Utilization Management to support negotiations and deny prevention with payers.
• Document assessment findings and discharge arrangements per guidelines; maintain records.

Skills

LCSW license

Notary public

Strong communication

Social work experience

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. With 388 beds it is the second largest of Duke Health's four 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.

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 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. 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.