[Hiring] Case Manager Behavioral Health @Children's Health

Role Description

In this role you provide administrative and case management support to a team of 4-5 Behavioral Health Case Managers who oversee family clinic sites of Children's Health.

Provides case management services to an assigned patient population, including but not limited to:

• Referrals
• Follow-up phone calls
• Triage

Provides support that requires clinical expertise in various systems with focus on helping the family negotiate the complexities involved with a diagnosis. Each BHCC provides case management support to patients and is responsible for:

• Providing social service referrals for patients and families, including housing, transportation, medical and mental health services
• Ensuring the preparation and maintenance of required documentation per accreditation standards and CHST policy
• Working closely with a team of Behavioral Health Care Managers and consulting psychiatrists to ensure patients adhere to their plans of care
• Communicating with patient families, identifying barriers to care, and helping to ameliorate those barriers when possible
• Being part of a multi-disciplinary treatment team and building collaborative relationships with UTSW providers

Qualifications

• At least 3 years previous experience in social services or healthcare or related experience required
• Four-year Bachelor's degree or equivalent experience required
• Graduate or professional work or advanced degree; or equivalent experience in Social Work, Psychology, Marriage and Family Therapy or related discipline preferred

Requirements

• Attends and participates in team meetings with team lead as well as monthly departmental discussions
• Collaborate with inpatient treatment team to prevent gaps in care and provide discharge planning support
• Assists patient families navigate the behavioral health delivery system based on their clinical need and financial/insurance coverage
• Facilitate parent/child referrals to address social service needs and supportive therapy
• Coordinate and schedule psychiatric consultations, ongoing care with licensed providers, LMHAs, and support groups
• Support licensed behavioral health clinicians by outreaching families under their supervision
• Assists in identifying patient’s insurance coverage and facilitate access to health information, community resources, and social services
• Participate in rounds/treatment/consultation meetings as well as monitor the patient's progress toward the desired outcome
• Collaborate with providers to establish treatment milestones to prepare patient and family for transition to lower level of care
• Oversee the flow of treatment information across providers and within the care team in order to maximize patients' physical and emotional well-being
• Facilitate referrals to the appropriate areas to expedite care, treatment and services
• Participate in the development, implementation, evaluation and ongoing revision of the plan of care, clinical pathways and initiatives to improve quality, continuity and cost effectiveness
• Assesses patient functioning and escalates to the treating Behavioral Health Care Manager or consulting psychiatrist when clinically appropriate
• Work collaboratively with other departments and services to define and study areas of inefficiency and participate in process improvement projects
• Be involved in the development of strategies and plans to maximize the most appropriate use of services in assigned areas
• Submit to and pass external background check processes as required per vendor or funder requirements

Benefits

• Employee portion of medical plan premiums are covered after 3 years
• 4%-10% employee savings plan match based on tenure
• Paid Parental Leave (up to 12 weeks)
• Caregiver Leave
• Adoption and surrogacy reimbursement