Case Manager-Behav Health

WVU Medicine

About The Position

The Case Manager combines professional skills and expertise in case management of patient care in an outpatient clinic, supporting physicians, therapists, and staff so they can serve patients efficiently. The role handles daily patient crises and serves as an interface among patients, families, and providers within the department. Responsibilities also include coordinating care, connecting patients with community resources, supporting appointments and admissions, and documenting assessments and interventions in accordance with applicable guidelines.

Requirements

Bachelor's degree in Social Work or a related field.
One year of experience in Social Work.
State criminal background check and federal background check, if applicable, as required for regulated areas.
Knowledge of and ability to access outpatient and community support systems, including patient assistance programs, Medicaid, and welfare services.
Ability to work closely with patients, families, physicians, psychologists, social workers, and other treatment-team members to develop individual and departmental treatment goals.
Knowledge of and ability to access a range of services.
Ability to assess and treat individuals with behavioral health and mental illnesses.

Nice To Haves

Current West Virginia Social Work licensure.

Responsibilities

Facilitate referrals of patients to providers.
Take crisis calls and work toward outcomes for patients.
Send refill requests to providers and call pharmacies as directed by an MD, NP, or PA.
Maintain working knowledge of medical and legal issues affecting patient care, including advance directives and child and elder abuse.
Educate patients and families about adapting to a patient's diagnosis, illness, treatment, or life situation.
Participate in multidisciplinary health care teams.
Act as a liaison with community agencies and resources.
Arrange, procure, and coordinate patient and family needs before and after hospitalization.
Document assessments, plans, interactions, and interventions according to departmental, hospital, and health system guidelines and standards.
Assist in obtaining prior authorizations from third-party carriers.
Work with units to secure beds for admission.
Prepare or assist with preparing discharge letters.
Schedule MRI, PET, and other imaging procedures as needed.
Work with discharge planners and the consult team to secure appointments.
Schedule new-patient visits according to established protocols.
Meet face to face with patients as needed to resolve crisis situations.
Assist residents and front-desk staff with resolving scheduling problems.
Cover messages and work queues for providers who are out of the office.