Behavioral Health Case Manager 7p to 7a

At Duke Health, we are 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 University Hospital Pursue your passion for caring with Duke University Hospital in Durham, North Carolina, which is consistently ranked among the best in the United States. The largest of the four Duke Health hospitals with 1062 patient beds, it features comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center, an endo-surgery center, and more.

Job Overview

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 patients and the Health Systems resources and perform these duties within the requirements of CMS and other external review agencies.

Duties and Responsibilities

• 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

Typical case load is 10 patients.

Consult/Liason Job Responsibilities/Activities

Primary responsibility is to complete assessments in ED and discharge planning for patients within the hospital. Secondary responsibility is discharge planning assistance for psychiatric follow-up for patients being treated for a medical condition. Complete crisis assessments to determine level of care required for patient to move to safe community living including but not limited to reason for presentation, current symptoms, and level of distress, ability to participate in treatment, safety assessment, past history of treatment, current support systems, strengths, weaknesses, and primary psychiatric diagnosis.

Facilitate Discharge Planning

Facilitate discharge planning with psychiatric appointments or referrals to other facilities as determined by level of care needed. Facilitate tracking of IVC paperwork for all patients who are awaiting transfer to another facility. Interface with team for cases covered by consult service to determine multidisciplinary assessment of discharge planning needs and provide information regarding support system/family function. Update Interqual for patients who are not being treated for a medical condition (typically observation patients at Duke Raleigh).

Case Load

Case load varies as immediate needs vary. As a guide, 3 initial assessments and discharge planning activities for up to 6 patients could be completed during an 8-hour shift. Pediatric cases take longer to complete initial assessment, so the total number would be reduced if a patient is under 18. Provide community liaison to one mental health workgroup.

Minimum Qualifications

• Education: Masters degree in social work from an accredited school of social work.
• Experience: 3 years of relevant experience.
• Degrees, Licensure, and/or Certification: 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.

Knowledge, Skills, and Abilities

• Ability to work effectively in a self-directed role.
• Ability to multi-task, capable of daily problem-solving complex issues.
• Excellent written and verbal skills.
• Basic computer skills necessary.

Duke University and Duke University Health System

Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individuals 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.