BHC Case Mgr, LMSW Job Listing at WMCHealth in Valhalla, NY (Job ID 3929372-2024-07-11)

Description

Job Summary: The BHC Case Manager, Licensed should have advance knowledge and understanding of mental health and substance abuse diagnoses; acute inpatient symptoms and interventions; the psychosocial impact of behavioral health on patients and families. The candidate will have the capacity to conduct case certifications and reviews to present rationale for level of care, LOS, interventions and discharge plans. They must have the ability to deliver these functions for all payer sources.

Responsibilities:

• Reviews patient charts to ensure that Westchester Medical Center is in compliance with required standards.
• Screens patients charts concurrently and/or retrospectively, using approved screening criteria for Quality Management and Utilization Management issues.
• Participates in patient care monitoring.
• Evaluates clinical management and/or outcome of treatment.
• Assesses and responds to patient/family needs by coordinating efforts of the team members.
• Reviews daily census and forwards abstracts to appropriate coordinator to ensure ongoing review of patient care.
• Identifies quality care issues which have the potential for impact on the process and outcome of the treatment of patients.
• Confers with the treatment team members, if indicated, when occurrences are identified, and assists in the development of corrective action.
• Conducts discharge planning services for patients.
• Participates in weekly multi-disciplinary team discharge planning meetings.
• Completes PRI or DMS-1 forms for patients being discharged to nursing homes, adult homes, rehabilitation facilities.
• Initiates discharge process for completing PRI form and contacting Nursing Supervisor for transfers back to Skilled Nursing Facilities.
• Identifies potential discharge problems and bringing them to the attention of the social work staff via Discharge Planning Referral platforms.
• Screen patients chart on admission, concurrently and/or retrospectively, using approved clinical guidelines in Utilization Management.
• Collaborates with the team members to ensure safe and timely care against clinical guidelines and best practices and ensures a safe and timely discharge.
• Represents the hospital on community committees; act as liaison and coordinator between hospital and community.
• Participates and contributes in multi-disciplinary treatment team rounds in continually monitoring patient care assessments to ensure patient is moving towards desired outcomes.