Mental Health Case Manager I

W

WakeMed Health & Hospitals

Posted 2 months ago

Full Time

Raleigh, North Carolina

In Person

Smart Summary

Responsibilities

The Mental Health Case Manager supports patients and families by facilitating mental health and substance use care, including discharge planning and community resource navigation. They also manage insurance utilization reviews, conduct safety assessments, and represent the hospital in involuntary commitment hearings.

Qualifications

You have a Master's degree in Counseling, Marriage and Family Therapy, Psychology, or Social Work. You are responsible for supporting patients and families in managing mental health concerns, navigating resources, and facilitating connections to care while ensuring timely referrals and effective communication.

Must Have Skills for ATS

Mental Health

Substance Use

Discharge Planning

Resource Navigation

Community Engagement

Safety Assessments

Social Determinants of Health

Insurance Appeals

Utilization Reviews

Medical Record Reviews

Involuntary Commitment

Job Description

Overview

Supports patients and families in managing mental health and substance use concerns, assisting with discharge planning, resource navigation, and community engagement. Serves as a resource and placement specialist, ensuring timely referrals, warm handoffs, and effective communication. Provide education, advocacy, and support to enhance patient self-management and recovery. Facilitates inpatient and outpatient connections, monitors placements, conducts safety assessments, arranges transportation, and addresses social determinants of health. Acting as a liaison between patients, families, providers, and community resources. Proactively works to prevent delays in care and disposition. Reviews patient admissions and continued stays for appropriateness, monitors insurance benefits, and ensures care aligns with coverage to optimize payment. Assists with insurance appeals and utilization reviews. Supports clinical staff with coverage guidance and medical record reviews. Participates in the involuntary commitment process, including case tracking and representing the hospital in hearings. Must be able to work independently, prioritize tasks, and manage time efficiently. Demonstrates a flexibility in accepting diverse work assignments, managing stress related to change, and resolving conflicts effectively.
Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.
EOE


Licensure

Not Applicable
Education

Master's Degree Counseling Or Marriage and Family Therapy Or Psychology Or Social Work Required
Experience

No Experience Required

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WakeMed Health & Hospitals

WakeMed Health & Hospitals is a private, not-for-profit health care organization based in Raleigh, N.C. The 900+ bed system comprises a network of health care facilities that includes: • Level I Trauma Center and tertiary referral hospital, children’s hospital and rehabilitation hospital in Raleigh, N.C. • Community hospital in Cary • Women’s hospital and family health center in North Raleigh • Comprehensive outpatient centers and freestanding emergency departments in Brier Creek, Garner and Apex • Freestanding Children's Emergency Department and dedicated Children’s Hospital • One of the highest volume heart centers in the United States • Level IV Neonatal Intensive Care Unit • Multiple outpatient rehabilitation sites • 40+ primary care and specialty physician practices • Home health services WakeMed’s team of 8,000+ nurses, technologists and medical support staff and more than 1,000 affiliated physicians serve the residents of Wake County and beyond using the most advanced technologies and facilities to ensure the finest in health care. Specialties WakeMed is home to two nationally accredited, award winning Chest Pain Centers and two nationally accredited, award winning Stroke Centers. Centers of excellence include cardiac and vascular care, women’s and children’s services, physical rehabilitation, emergency and trauma, orthopedics, neurosciences, home care and numerous wellness and community outreach programs.
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