Behavioral Health Case Manager-DUH and DRH ED with Psychiatric Consult Service Coverage 12p-10p
Company: Duke Health
Location: Durham
Posted on: January 25, 2023
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Job Description:
Duke University Hospital Duke University Hospital is
consistently rated as one of the best in the United States and is
known around the world for its outstanding care and groundbreaking
research. Duke University Hospital has 1,048 licensed inpatient
beds and offers comprehensive diagnostic and therapeutic
facilities, including a regional emergency/trauma center; a major
surgery suite containing 65 operating rooms; an endo-surgery
center; a separate hospital outpatient surgical department with
nine operating rooms and an extensive diagnostic and interventional
radiology area. For , U.S. News and World Report ranked Duke
University Hospital nationally in 11 adult specialties: cancer,
cardiology & heart surgery, diabetes & endocrinology, ear, nose &
throat, gastroenterology & GI surgery, gynecology, neurology &
neurosurgery, ophthalmology, orthopedics, pulmonology & lung
surgery, and urology. Duke University Hospital is also ranked first
in North Carolina and first in the Raleigh-Durham area. In addition
to its hospitals, Duke Health has an extensive, geographically
dispersed network of outpatient facilities that include primary
care offices, urgent care centers, multi-specialty clinics and
outpatient surgery centers. Behavioral Health Case Manager-DUH and
DRH ED with Psychiatric Consult Service Coverage 12 p.m. - 10 p.m.
Occ 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 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, thedischarge 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 livingin 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.
Consult/Liason Job Responsibilities/Activities Primary
responsibility is to complete assessments in ED and discharge
planning for patients within the hospitals. Secondary
responsibility is discharge planning assistance for psychiatric
followup 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 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 varies as immediate needs
vary. As a guide, 3 initial assessments and discharge planning
activities for up to 6 patients could be completed during 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.
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 Level 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. Job Code: BEHAVIORAL HEALTH CASE MGR
Job Level: G2 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
atDuke 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.
Keywords: Duke Health, Durham , Behavioral Health Case Manager-DUH and DRH ED with Psychiatric Consult Service Coverage 12p-10p, Executive , Durham, North Carolina
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