Clinical Case Worker, Per Diem

Umass Memorial Health Job Posting

Exemption Status: Exempt

Schedule Details: Friday, Monday, Thursday, Tuesday, Wednesday

Scheduled Hours: 0800-1630

Shift: 1 - Day Shift, 8 Hours (United States of America)

Cost Center: 21000 - 0634 Psych Inpatient

This 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 16,000 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.

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

• Performs psychosocial assessments and develops treatment plans for assigned patients and families
• Participates in the development of an individualized treatment plan
• Provides goal directed clinical interventions according to defined plan
• Initiates and oversees the discharge planning and implementation process
• Facilitates contact and treatment team planning meetings with treatment team, family and community care providers as needed
• Participates in treatment team rounds
• Provides clinical case management back up to medical floors and Emergency Department appropriately if needed
• Documents all interactions in Electronic Medical Record

2. Performs integrated and concurrent utilization, quality, and discharge planning reviews of all admissions

• Performs level of care evaluations and collaborates with managed care groups and insurers to determine appropriate level of care
• Accurately certifies admissions and continued stays using appropriate criteria
• Conducts timely reviews of all cases and maintains accurate files
• Appropriately refers cases, i.e., denials and quality issues, to attending
• Collects and reports data elements and clinical reviews for certification by insurers
• Independently works with Managed Care Providers companies. Submits required documentation when necessary
• 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.

Standard Staffing Level Responsibilities

1. Complies with established departmental policies, procedures and objectives.

2. Attends variety of meetings, conferences, seminars as required or directed.

3. Demonstrates use of Quality Improvement in daily operations.

4. Complies with all health and safety regulations and requirements.

5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.

6. Maintains, regular, reliable, and predictable attendance.

7. Performs other similar and related duties as required or directed. All responsibilities are essential job functions.

Position Qualifications

License/Certification/Education: Required: 1. CPI and BLS required within 30 days of hire. 2. Independent licensure as a Social Worker (LICSW) or Mental Health Counselor (LMHC) preferred or LICSW/LMHC eligible with the expectation of receiving licensure required. 3. Master's degree in Psychology, Social Work or another clinical human services discipline required

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 converse in Spanish and Portuguese is helpful. OR equivalent combination of the above

Physical Demands and Environmental Conditions:

Constantly: Working indoors

Frequently: Sitting, repetitive movements, high stress level - Precise hearing, vision

Occasionally: Standing, walking, pushing, pulling, twisting, balancing, bending, kneeling, reaching, grasping, temperature extremes - Precise motor skills - Lifting, carrying, pushing, pulling 0-20 pounds

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

We're striving to make respect a part of everything we do at UMass Memorial Health for our patients, our community and each other. Our six Standards of Respect are: Acknowledge, Listen, Communicate, Be Responsive, Be a Team Player and Be Kind. If you share these Standards of Respect, we hope you will join our team and help us make respect our standard for everyone, every day.

As an equal opportunity and affirmative action employer, UMass Memorial Health recognizes the power of a diverse community and encourages applications from individuals with varied experiences, perspectives and backgrounds. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, gender identity and expression, protected veteran status or other status protected by law.

If you are unable to submit an application because of incompatible assistive technology or a disability, please contact us at talentacquisition@umassmemorial.org. We will make every effort to respond to your request for disability assistance as soon as possible.