Clinical Case Worker, Per Diem

UMass Memorial Health•Marlborough, MA

51d•$26 - $47•Onsite

About The Position

Everyone Is a Caregiver At UMass Memorial Health, everyone is a caregiver – regardless of their title or responsibilities. Exceptional patient care, academic excellence and leading-edge research make UMass Memorial the premier health system of Central Massachusetts, and a place where we can help you build the career you deserve. We are more than 20,000 employees, working together as one health system in a relentless pursuit of healing for our patients, community and each other. And everyone, in their own unique way, plays an important part, every day. Provides clinical assessment, treatment, and/or disposition planning services to patients in the behavioral health inpatient and/or partial hospital programs. Works under the direction of the Manager of Behavioral Health Operations and/or Director of Behavioral Health.

Requirements

CPI and BLS required within 30 days of hire.
Independent licensure as a Social Worker (LICSW) or Mental Health Counselor (LMHC) preferred or LICSW/LMHC eligible with the expectation of receiving licensure required.
Master’s degree in Psychology, Social Work or another clinical human services discipline required
Minimum two years full-time or equivalent part-time experience providing mental health and/or substance abuse assessment, treatment and/or disposition planning to acute patients preferred.
Excellent verbal communication skills.

Nice To Haves

Ability to converse in Spanish and Portuguese is helpful.

Responsibilities

According to departmental care standards and protocols and all applicable hospital standards, policies, and procedures, provides clinical treatment and care management services to patients with psychiatric problems and/or dual diagnosis problems
Performs psychosocial assessments and develops treatment plans for assigned patients and families
Participates in the development of an individualized treatment plan
Provides goal directed clinical interventions according to defined plan
Initiates and oversees the discharge planning and implementation process
Facilitates contact and treatment team planning meetings with treatment team, family and community care providers as needed.
Participates in treatment team rounds.
Provides clinical case management back up to medical floors and Emergency Department appropriately if needed.
Documents all interactions in Electronic Medical Record.
Performs integrated and concurrent utilization, quality, and discharge planning reviews of all admissions.
Performs level of care evaluations and collaborates with managed care groups and insurers to determine appropriate level of care.
Accurately certifies admissions and continued stays using appropriate criteria.
Conducts timely reviews of all cases and maintains accurate files.
Appropriately refers cases, i.e., denials and quality issues, to attending.
Collects and reports data elements and clinical reviews for certification by insurers.
Independently works with Managed Care Providers companies. Submits required documentation when necessary.
Independently pursues payment for any patient that is denied coverage by a provider. Submits appeals and other requested documentation.
Provides counseling, education, and psychotherapy to individual patients, patient groups and patient support system members.
Advocates for the patient with community agencies, insurers, managed care organizations, health maintenance organizations and other providers as necessary.