Mental Health Crisis Case Manager-Days/PMs-LOH Assessment & Referrals

Endeavor Health•Naperville, IL

9d•$36 - $56•Onsite

About The Position

This position is responsible for conducting crisis clinical assessments for patients seeking treatment at Edward Hospital and Elmhurst Hospital. The role involves assessing clinical needs, obtaining initial diagnostic impressions, and confirming them with a physician or designee. The Case Manager will also assess patients including vital signs, weight, blood alcohol, and BMI calibration for specific populations, and review previous documentation prior to the assessment process. They will provide treatment referrals consistent with the patient's medical and psychiatric status, identify potential issues that may affect the patient or department, and report them immediately. The role includes overseeing follow-up with referral sources, obtaining collateral information from families and support systems, and consulting with multidisciplinary treatment team members. Responsibilities also encompass completing admission paperwork and patient rights documentation, coordinating with families and community agencies, and participating in care conferences and emergency department huddles. The Case Manager must demonstrate a comprehensive understanding of hospital admission policies, including EMTALA, Illinois Mental Health Code, Confidentiality Act, and HIPAA, as well as Behavioral Health Reimbursement systems. They will obtain pre-certification with insurance companies when necessary, document precert information in the Epic system, and facilitate bed management planning. This role also functions as backup for Assessment Specialists and educates patients and families regarding illness and disability effects.

Requirements

Master’s Degree or higher in a behavioral health field
A high level of communication skills is required in order interact effectively with others in very difficult situations
Knowledge of DSM5 (Diagnostic and Statistical Manual of Mental Disorders) diagnostic criteria, ICD10 and interqual/MCG standards
A minimum of two years of previous assessment experience
Licensed Social Worker (LSW), Licensed Clinical Social Worker (LCSW), Licensed Profession Counselor (LPC), Licensed Clinical Professional Counselor (LCPC) licensure
Current State of Illinois driver’s license required if the incumbent is selected to perform related duties at an alternate location. If the incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.
CPI certification is required within 90 days of start date into position.
Current CPR Certification issued by either American Heart Association or Red Cross within 90 days of start date into position.

Nice To Haves

Minimum of two years of experience in crisis/emergency services, behavioral health setting
Knowledge of patient rights and law pertaining to mental health

Responsibilities

Conducting crisis clinical assessments for patients seeking treatment.
Appropriately assessing clinical needs and obtaining initial diagnostic impressions.
Assessing patients including vital signs, weight, blood alcohol and calibration of BMI for specific population.
Reviewing previous documentation prior to assessment process and “case formulation”.
Providing treatment referrals consistent with the customer’s medical and psychiatric status and symptoms.
Identifying potential/actual problems that may adversely affect the patient and/or department and reporting situations immediately.
Overseeing follow up with referral sources as appropriate.
Obtaining collateral with families and support systems through face-to-face interviews and/or phone calls.
Consulting with multidisciplinary treatment team members on the assessment, treatment and discharge planning of patients with mental health problems.
Completing and acting as a resource to hospital staff on admission paperwork and patient rights.
Contacting and coordinating with families and community agencies as appropriate.
Participating in care conferences and emergency department huddles to discuss key social, financial, and discharge planning factors.
Demonstrating comprehensive understanding of hospital admission policies, including EMTALA, Illinois Mental Health Code and Confidentiality Act and HIPAA.
Demonstrating understanding of Behavioral Health Reimbursement systems, including managed care contracts, utilization management processes, Medicare and Medicaid.
Obtaining pre-certification with insurance companies when necessary.
Documenting precert information in Epic system and appropriately handing off to UM Dept.
Facilitating bed management planning and coordination with LOH nursing supervisors and LOH ARC Charges.
Functioning as backup for Assessment Specialists when needed.
Educating patients and patient families regarding the effects of illness and disability on personal adjustment, family dynamics, relationships, social issues and the like.