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Behavioral Health Case Manager

1800 Parkway Center • Roswell, Georgia • Various Shift • PRN • JR-36425

Facility: 1800 Parkway Center

Job Summary:

Functioning under the leadership of the Manager of Behavioral Health and located in the Assessment and Resource Center, the Behavioral Health Case Manager serves as the primary liaison between the patient and the identified level of care. The case manager facilitates the discharge planning process in coordination with the Behavioral Health Assessor, to include coordinating with both internal and external partners for patient appointments. The case manager will also provide an element of post-discharge follow-up with patients that have received assistance with outpatient resources to ensure patient needs have been met. The Behavioral Health Case Manager coordinates the sharing of all necessary clinical information to secure inpatient stabilization or outpatient services. The Case Manager documents all contacts as appropriate. In addition, the Case Manager regularly communicates updates on disposition to the Behavioral Health Assessor, physician, and team members. The Case Manager will also serve as a system-level support to assist with resources and appointments when needed. The Case Manager will maintain knowledge of provider availability at WMG practices, assist with scheduling/coordinating appointments within the Wellstar system and with external resources, and ensure closed loop communication with all members of the care team. The Behavioral Health Case Manager responds to inquiries from the hospital system and surrounding community, engages callers in brief screening to clarify needs, and provides guidance and/or referral to behavioral health resources, as appropriate. The Behavioral Health Case Manager helps to ensure the consistent provision of quality care and supports performance improvement initiatives through departmental audits and data collection.

Core Responsibilities and Essential Functions:

Facilitation of Patient/Placement/Discharge Planning * Communicates with the BH Assessor after assessment completion in order to facilitate referral to the appropriate inpatient setting or outpatient provider based upon patient age and need for services. * Establish contact and coordination of services with the recommended level of care; scheduling of outpatient appointments with community based resources. *Contact assigned caseload of patients post-discharge to confirm if outpatient appointment was attended and offer additional support for connection to services if needed. * Serve as a liaison between the patient and the determined level of care until disposition is complete: * Complete BHL Pre-Admission Referral Forms electronically * Fax appropriate documentation need to establish disposition * Completes follow up calls with placement resources to ensure timely acceptance and transfer * Coordinate nurse to nurse calls * Coordinate doctor to doctor consultations * Schedule all necessary aftercare appointments with appropriate providers * Verify proof of insurance eligibility and benefits in order to coordinate the next level of care. * Initiate pre-certification for inpatient psychiatric or substance abuse hospitalization * Communicates regular updates in both written and verbal form to the Behavioral Health Assessor, Physician and Nursing Staff to ensure timely discharge to the identified service. Documentation * Documents all contacts initiated with inpatient and outpatient providers to demonstrate linkage to the appropriate level of care. * Documents time and date of accepting physician when a referral for inpatient stabilization has been completed. * Documents details of outpatient referrals to include community provider, date, time and location. * Documents pre-certification information when appropriate. * Documents all necessary clinical information and identified data points to ensure accurate and timely metrics tracking and reporting to key stakeholders. General Requirements *Adheres to ethical business practices by striving to perform in a manner that conforms to the highest standards of ethical behavior, integrity and honesty. *Embraces diversity and demonstrates the ability to work together. *Maintains confidentiality of all patient information. *Maintains attendance/punctuality in accordance with system policy and procedure. *Communicates information effectively both verbally and in writing with all team members. *Attends and participates in staff meetings, required in-services, process improvement activities, and other meetings as requested. *Organizes workload to complete responsibilities in an appropriate and timely manner. *Maintain relationships with community resources and providers to ensure up-to-date resource and referral information for patients. Performs other duties as assigned Complies with all Wellstar Health System policies, standards of work, and code of conduct.

Required Minimum Education:

  • Bachelors Psychology or Bachelors Social Work or Bachelors Mental Health Services or Bachelors Other

Required Minimum License(s) and Certification(s):

All certifications are required upon hire unless otherwise stated.
  • BLS - Basic Life Support or BLS-I - Basic Life Support - Instructor

Additional License(s) and Certification(s):

Required Minimum Experience:

Experience working within a healthcare system or with a behavioral health provider (internships and volunteer experiences may apply). Required

Required Minimum Skills:

Ability to communicate effectively both verbally and in writing; capacity to follow directives and provide services that can better meet organizational and patient needs; specific interest in behavioral health and willingness to work at various WellStar sites depending upon need; knowledge of behavioral health practices; basic technological capabilities in Word, and Excel, as well as the ability to utilize a Telemedicine cart for remote assessments.
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