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Behavioral Health Case Manager

Duke University Health System
Full-time
On-site
Durham, North Carolina, United States
Overview Join to apply for the Behavioral Health Case Manager role at Duke University Health System .
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 CMS and other external review agencies.
Work Hours Monday-Friday, some weekends and holidays included.
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 practice skills for community living; conduct group sessions for patients focused on skill building/interactional skills; assist patient in development of safety plan to promote positive coping in the community; facilitate discharge planning involving support systems; interface with team for multidisciplinary assessment; 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
Capable of daily problem-solving complex issues
Excellent written and verbal skills
Basic computer skills necessary
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. Notary is recommended for consult/liaison.
Employment details Job Level: G2
Employment type: Part-time
Equal Opportunity Duke is an Equal Opportunity Employer committed to providing employment opportunity without regard to 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. All members of our community have a responsibility to uphold these values.

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