Duke Regional Hospital has served Durham, Orange, Person, Granville and Alamance counties and the surrounding communities for nearly 40 years. With more than 1,900 employees, its focus is on providing outstanding medical care with compassionate, personalized service in a comfortable community hospital setting. Duke Regional Hospital has 369 inpatient beds and offers a comprehensive range of medical, surgical and diagnostic services, including orthopedics, weight-loss surgery, women's services, and heart and vascular services, and also offers care at the Duke Rehabilitation Institute and Davis Ambulatory Surgical Center. In fiscal year 2018, Duke Regional Hospital admitted 16,299 patients and had 165,953 outpatient visits in fiscal year 2017.

U.S. News & World Report ranked Duke Regional Hospital as #10 in North Carolina and #4 in the Raleigh-Durham area for 2018-19.

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.

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.

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 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.

Required Qualifications at this Level

Master's degree in social work from an accredited school of social work.

3 years of relevant experience. (One year can be an internship). Preferred - Substance abuse experience helpful.

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.

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

N/A

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.

The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform job-related tasks other than those specifically presented in this description.

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.

Job Code: 5598 BEHAVIORAL HEALTH CASE MGR
Job Level: G1