Case Manager-Behav Health

WVU Medicine; Morgantown (WV); On-site; USD 42,000 - 62,000; Full time

Job summary

WVU Medicine in Morgantown seeks a case manager to oversee outpatient clinic case management, crisis response, and coordination between patients, families and providers. The role involves liaising with community resources, arranging pre/post hospital needs, and supporting care teams to ensure timely access to services.

The candidate will collaborate with physicians, therapists, and staff, providing education on diagnosis, treatment, and adaptation, while contributing to care plans and ensuring

Qualifications

• Bachelor’s degree in social work or related field.
• Minimum of 1 year social work experience.
• Preferred West Virginia social work licensure.
• State and federal background checks as required for regulated areas.

Responsibilities

• Facilitates referrals of patients to providers.
• Handles crisis calls and coordinates patient outcomes.
• Sends refill requests to providers and coordinates with pharmacies as needed.
• Documents assessments, plans, interactions, and interventions per guidelines.
• Coordinates discharge planning and post-hospital needs with care teams.

Skills

Care coordination

Patient advocacy

Interdisciplinary teamwork

Behavioral health assessment

Education

Bachelor’s Degree in Social Work or related field

Job description

Welcome! We’re excited you’re considering an opportunity with us. Below, you’ll find other important information about this position.

This position will combine and utilize professional skills and expertise in the area of case management of patient care in the outpatient clinic providing support for the physicians, other therapists and staff to be able to serve their patients in an efficient manner. This position will be responsible for handling crisis that arise for patients daily and interfacing between the patients, families and providers within the department.

MINIMUM QUALIFICATIONS:

• 1. Bachelor’s Degree in Social Work or related field.
• 2. State criminal background check and Federal (if applicable), as required for regulated areas.

EXPERIENCE: 1. One (1) year of experience in Social Work experience.

PREFERRED QUALIFICATIONS:

• 1. Current West Virginia Social Work licensure.

CORE DUTIES AND RESPONSIBILITIES:

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• 1. Facilitates referrals of patients to providers.
• 2. Takes crisis calls and works outcomes for patients.
• 3. Sends refill requests to providers and call pharmacy per direction of MD/NP/PA as needed.
• 4. Maintain a working knowledge of relevant medical/legal issues that impact on patient care, e.g., advance directives, child and elder abuse.
• 5. Provide education to patients and families around issues related to adaptation to the patient's diagnosis, illness, treatment and/or life situation.
• 6. Participate in multi-disciplinary health care teams.
• 7. Acts as a liaison with community agencies and resources.
• 8. Arrange, procure, and coordinate patient/family pre and post hospital needs.
• 9. Document assessment, plan, interactions, and interventions according to departmental, hospital and/or health system guidelines and standards.
• 10. Assisting in obtaining prior authorizations from third party carriers.
• 11. Working with the units in securing beds for admission.
• 12. Preparing or assisting in the preparation of discharge letters.
• 13. May schedule MRI’s, PET’s, and other imaging procedures.
• 14. Works with discharge planners and consult team to secure appointments.
• 15. Schedules new patient visits per established protocols.
• 16. Meets with patients face to face as needed to resolve crisis situations.
• 17. Assists Residents/front desk staff with resolving scheduling problems.
• 18. Covers messages and work ques for providers that are out of the office.

PHYSICAL REQUIREMENTS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 1. Frequent walking, standing, stooping, kneeling, reaching, pushing, pulling, lifting, grasping are necessary body movements utilized in performing duties through the work shift.
• 2. Ability to sit for extended periods of time.
• 3. When working on inpatient units must be able and willing to participate in physical restraint of patient if needed.

WORKING ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 1. Standard office environment & clinical environment.

SKILLS AND ABILITIES:

• 1. Must be knowledgeable and able to access different outpatient and community support systems to grant patients access to different types of services, ie patient assistance programs, Medicaid, and welfare services.
• 2. Must have the ability to be able to work closely with patients, families, physicians, psychologists, social workers and other members of the treatment team to develop individual and departmental treatment goals.
• 3. Must be knowledgeable and able to access many different types of services.
• 4. Must have the ability to assess and treat individuals with behavioral health and mental illnesses.

Additional Job Description:

Scheduled Weekly Hours: 40 Shift: Exempt/Non-Exempt: United States of America (Non-Exempt) Company: WVUH West Virginia University Hospitals Cost Center: 3184 UHA Neuro Healthy Minds University Address: 930 Chestnut Ridge Road Morgantown West Virginia

Equal Opportunity Employer West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws.

WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.

The West Virginia University Health System is a West Virginia-based academic health system that provides the full continuum of healthcare services at 30 hospitals in West Virginia, Pennsylvania, Ohio, and Maryland. With more than 47,000 employees, of which 7,200 are providers, and $10 billion in total operating revenues, the WVU Health System is anchored by an 890-bed academic medical center and the 150-bed WVU Medicine Golisano Children’s Hospital in Morgantown, West Virginia. Together, the Health System’s hospitals, clinics, and specialty programs provide a comprehensive continuum of care, ranging from community-based primary and specialty services to highly complex, quaternary care and post-acute care.