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Behavioral Health Case Manager

2 months ago


Durham, North Carolina, United States Duke Health Full time
About the Role

Duke Health is seeking a skilled Behavioral Health Case Manager to join our team. As a key member of our healthcare team, you will play a critical role in coordinating and completing timely assessments, planning, implementation, and evaluation of discharge plans and care transitions across the continuum of care.

Key Responsibilities
  • Monitor daily census and assignment to ensure all patients are assessed for case management needs, including care coordination, transition, and discharge planning.
  • Maintain effective communication with healthcare team members regarding assessment findings, discharge planning needs, and provider orders for homecare, durable medical equipment, transportation, skilled nursing, or acute rehab facility placement.
  • Stay up-to-date on specific benefits and reimbursement guidelines, the discharge planning process, and applicable federal, state, and local regulations, providing education and guidance to providers, patients, and families as needed.
  • Collaborate with Utilization Management partners to provide information and feedback that enhances negotiations and denial prevention with payers.
  • Maintain timely documentation of assessment findings, discharge arrangements, and actions taken according to departmental guidelines, preparing reports and maintaining records as requested and/or required.
Requirements
  • Master's degree in social work from an accredited school of social work.
  • 3 years of relevant experience.
  • Current licensure as a licensed clinical social worker (LCSW) by the NC Social Work Certification and Licensure Board.
About Duke Health

Duke Health is a world-renowned healthcare system dedicated to providing compassionate care that changes lives. We are committed to advancing health together, and we invite you to join our team of dedicated professionals who share our passion for delivering exceptional patient care.

We are an 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.