Behavioral Health Case Manager Lake Norman

Duke Clinical Research Institute; Mooresville (NC); Vor Ort; USD 60.000 - 75.000; Vollzeit

Zusammenfassung

Duke Health Lake Norman Hospital in Mooresville, NC seeks a licensed clinical social worker to manage discharge planning and care transitions for a designated caseload. You will work with a multidisciplinary team to ensure CMS and payer requirements are met while prioritizing patient safety and timely transitions.

Ideal candidates are LCSW or LCSW-A with 3+ years of adult/mental health experience, strong communication, and the ability to work independently in a fast-paced hospital setting.

Qualifikationen

• Master's degree in social work from an accredited school of social work.
• 3 yrs of relevant adult/mental health experience preferred.
• Current licensure as an LCSW or LCSW-A by the NC Social Work Certification and Licensure Board; notary/Liaison duties may be required.

Aufgaben

• Coordinate discharge planning and care transitions to ensure timely and efficient patient flow.
• Manage a designated caseload to assess, plan, implement and evaluate discharge plans in alignment with CMS and external guidelines.
• Maintain clear, timely documentation and communication with the health care team about discharge planning needs and payer requirements.
• Collaborate with Utilization Management to support negotiations and denial prevention with payers.
• Provide education and guidance to providers, patients and families on benefits, regulations and discharge processes.

Kenntnisse

LCSW

LCSW-A

Adult mental health

Self-directed

Multi-task

Communication

Computer skills

Ausbildung

Master's in Social Work

Jobbeschreibung

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.

Duke Health Lake Norman Hospital

Pursue your passion for caring with Duke Health Lake Norman Hospital in Mooresville, North Carolina. The smallest of the four Duke Health hospitals at 123-beds, it offers a comprehensive range of medical services, including 24-hour emergency care, cardiology, orthopedics, women's services, and surgical specialties.

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 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

Level Characteristics

N/A

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.

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.

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.