Behavioral Health Case Managers
Company: Duke Health
Location: Efland
Posted on: April 21, 2024
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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, accordingto 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 and
perform these duties within the requirements of CMS and other
external review agencies. Work Hours : Monday-Friday some weekends
and holidays included 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
Affirmative Action/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, sexual
orientation, or veteran 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 essentialjob 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.
Keywords: Duke Health, Burlington , Behavioral Health Case Managers, Healthcare , Efland, North Carolina
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