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University of Rochester Psych Care Manager - 234348 in Rochester, New York

Psych Care Manager Job ID 234348

Location Strong Memorial Hospital Full/Part Time Full-Time Favorite Job Regular/Temporary Regular Opening

Full Time 40 hours Grade 052 OPD Pediatrics

Schedule

8 AM-4:30 PM

Responsibilities

GENERAL PURPOSE :

The Pediatric Practice subscribes to a “whole-child” approach to health care. Therefore, this “whole child” approach necessarily also subscribes to the biopsychosocial model, which weighs equally the consideration and care for the patient’s physical and psychosocial health and wellbeing. In this context, the behavioral health case management role and responsibilities are carried out and fulfilled within the broader position of RN Case Manager, a position that is based in UR Medicine: Division of General Pediatrics, which is a part of the clinical service enterprise of the Department of Pediatrics. The Division of General Pediatrics supports the Pediatric Practice, a primary care practice that provides outpatient medical care to patients (0-21 years) who reside in the greater Rochester region. The service accepts Medicaid, Managed Care Medicaid, and Private insurance plans. The service offers a sliding fee schedule to families with low income.

SPECIFIC RESPONSIBILITIES :

The Case Manager-carries a caseload of assigned clients.

  • Participate in triage of the behavioral health referrals. For example:

  • Review behavioral health internal referral work queue.

  • Complete outpatient phone screens to families regarding youth (0-21 year) in which identifying and clinical information is gathered to connect families to the appropriate level of behavioral health care and specific services.

  • Triage MyChart patient advice requests that are forwarded from Phone RNs.

  • Review all behavioral health no-show appointments and determine whom to task for rescheduling (e.g., OAS staff, Care Coordinators, behavioral health flex provider).

  • Facilitate referrals for psychosocial community resources and serve as liaison to community agencies for patients and families, in collaboration with and/or based on direction from a behavioral health or medical provider. Referral facilitation may be completed (a) proactively for patients and families to help avoid crisis situations and (b) responsively in real time to address current crises. For example:

  • For patients in acute crisis, independently collect information, prepare referrals, and follow up on referrals to Single Point of Access (SPOA) services (e.g., Waiver, Family Resiliency, Supportive Case Management, Intensive Case Management), Preventive Services, Home-Based Crisis Services (HMCS) and Home-Based Crisis Intervention (HBCI); Residential Treatment Facilities (RTF), and Residential Treatment Centers (RTC).

  • Complete various paperwork and referral workflows (e.g., for Children’s Health Home chart inquiries, faxing requested items back to CHH; MAS 2015 transportation verification forms; prior authorizations for psychiatric medications and out of network provider visits; FMLA/PFL paperwork).

  • Support the coordination of psychosocial care for patients identified as high risk of adverse outcomes, as assessed by behavioral health or medical providers. Assist in developing and implementing psychosocial service plans for patients with complex behavioral health needs.

  • Provide consultation to Pediatric Practice providers and staff regarding psychosocial community resources for patients and families.

  • In coordination with the Director of Behavioral Health and Collaborative Care, support coordination of roles, job duties, and workflows across the disciplines of Care Coordination, Social Work, and Behavioral Health.

  • Make collateral contacts for new and existing patients and families.

  • Collateral contacts may include Child Protective, Foster Care, and other DSS caseworkers; probation officers; specialty medical providers; and school personnel.

  • Support the development and coordination of comprehensive transitional care plans related to:

  • Pediatric to adult behavioral health care

  • Post-critical events (e.g., CPEP, psychiatric hospital admission/discharge). For example, call patients and schedule follow up visits (within 7 days) as appropriate for patients seen in CPEP; attend psychiatric inpatient meetings regarding discharge planning.

  • Attend / participate in evaluation and treatment appointments with a behavioral health staff clinician, as needed.

  • Attend / participate in community-based visits when clinically indicated to support youth and family advocacy efforts (e.g., school visits, CSE meetings, DHS appointments), as needed.

  • Attend / participate in designated meetings (e.g., weekly Treatment Team, monthly Behavioral Health Task Force).

  • Subscribe to UR Medicine ICARE values, including fostering a culturally competent environment by treating patients, families, trainees, and coworkers in a sensitive manner with appropriate attention to cultural differences.

    REQUIREMENTS :

  • Excellent communication and team skills, including ability to form strong collaborative interdisciplinary partnerships across care settings.

  • Ability to work independently and meet administrative and documentation deadlines.

  • Cultural competence in working with diverse populations.

  • Creativity and strong organizational skills.

  • Knowledge of community resources.

  • Sound computer knowledge and skills including an aptitude for using current health information technology to guide care management activities and functions.

  • Valid NYS driver’s license and access to reliable transportation that enables fulfillment of position’s travel requirements.

  • Adherence to Health Insurance Portability & Accountability Act (HIPAA), The Joint Commission (TJC), Occupational Safety & Health Administration (OSHA), and infection control/safety guidelines, regulations, and policies

    NOTE: This document describes typical duties and responsibilities and is not intended to limit management from assigning other work as required.

    How To Apply

All applicants must apply online.

EOE Minorities/Females/Protected Veterans/Disabled

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