Clinical Case Worker, Per Diem

UMass Memorial Health-posted 1 day ago
$26 - $47/Yr
Part-time • Mid Level
Onsite • Marlborough, MA
5,001-10,000 employees
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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.

  • 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.
  • 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.
  • Ability to converse in Spanish and Portuguese is helpful.
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