Behavioral Health Case Manager

ECU Health

About ECU Health North Hospital

ECU Health North Hospital is a Joint Commission-accredited, 204-bed acute bed facility serving Halifax, Northampton and Warren counties in the north-central region of North Carolina. Its service area also reaches into southern Virginia. With more than 600 team members, the hospital offers a broad range of medical and surgical services. It features a 24-hour emergency department and offers advanced diagnostics as well as specialty and primary care.

Position 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.

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.
• 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.

Minimum Requirements

• Master's degree in Social Work , Counseling (Clinical), and/or Marriage & Family Therapy, (may consider Master's in Psychology if full licensure as any of the above disciplines has been obtained).
• North Carolina full licensure to practice as professional Social Worker (LCSW), Counselor (LCMHC), or Marriage& Family Therapist (LMFT).
• Non-Violent Crises Intervention certification within 60 days of hire for all inpatient roles required.

Other Information

• Location/Department: Emergency Department - ECU Health North in Roanoke Rapids, NC

General Statement

It is the goal of ECU Health and its entities to employ the most qualified individual who best matches the requirements for the vacant position.

Offers of employment are subject to successful completion of all pre-employment screenings, which may include an occupational health screening, criminal record check, education, reference, and licensure verification.

We value diversity and are proud to be an equal opportunity employer. Decisions of employment are made based on business needs, job requirements and applicant's qualifications without regard to race, color, religion, gender, national origin, disability status, protected veteran status, genetic information and testing, family and medical leave, sexual orientation, gender identity or expression or any other status protected by law. We prohibit retaliation against individuals who bring forth any complaint, orally or in writing, to the employer, or against any individuals who assist or participate in the investigation of any complaint.