Clinical Case Worker [LMHC or LICSW] - 40 Hours, Days
UMass Memorial Medical CenterAbout the role
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Exemption Status:
ExemptHiring Range:
$59,051.20 - $106,308.80Please note that the final offer may vary within this range based on a candidate’s experience, skills, qualifications, and internal equity considerations.
Schedule Details:
Monday through FridayScheduled Hours:
8am-4:30pmShift:
1 - Day Shift, 8 Hours (United States of America)Hours:
40Cost Center:
10021 - 0606 Partial Hosp UnitThis position may have a signing bonus available a member of the Recruitment Team will confirm eligibility during the interview process.
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.Job DescriptionI. Major Responsibilities:
1. 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
a. Performs psychosocial assessments and develops treatment plans for assigned patients and families.
b. Participates in the development of an individualized treatment plan.
c. Provides goal directed clinical interventions according to defined plan.
d. Initiates and oversees the discharge planning and implementation process.
e. Facilitates contact and treatment team planning meetings with treatment team, family and community care providers as needed.
f. Participates in treatment team rounds.
g. Provides clinical case management back up to medical floors and Emergency Department appropriately if needed.
h. Documents all interactions in Electronic Medical Record.
2. Performs integrated and concurrent utilization, quality, and discharge planning reviews of all admissions.
a. Performs level of care evaluations and collaborates with managed care groups and insurers to determine appropriate level of care.
b. Accurately certifies admissions and continued stays using appropriate criteria.
c. Conducts timely reviews of all cases and maintains accurate files.
d. Appropriately refers cases, i.e., denials and quality issues, to attending.
e. Collects and reports data elements and clinical reviews for certification by insurers.
f. Independently works with Managed Care Providers companies. Submits required documentation when necessary.
g. Independently pursues payment for any patient that is denied coverage by a provider. Submits appeals and other requested documentation.
3. Provides counseling, education, and psychotherapy to individual patients, patient groups and patient support system members.
4. Advocates for the patient with community agencies, insurers, managed care organizations, health maintenance organizations and other providers as necessary.
II. Position Qualifications:
License/Certification/Education:
Required:
1. Master’s degree in Psychology, Social Work, or another clinical human services discipline. Must be license eligible for LICSW or LMHC.
2. Workplace violence certification and BLS required within 30 days of hire.
Preferred:
1. Independent licensure as a Social Worker (LICSW) or Mental Health Counselor (LMHC).
Experience/Skills:
Required:
1. 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.
2. Ability to co
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