TRANSITIONS NAVIGATOR PRN

At Cooper University Health Care, our commitment to providing extraordinary health care begins with our team. Our extraordinary professionals are continuously discovering clinical innovations and enhanced access to the most up-to-date facilities, equipment, technologies and research protocols. We have a commitment to its employees by providing competitive rates and compensation, a comprehensive employee benefits programs, attractive working conditions, and the chance to build and explore a career opportunity by offering professional development.

Discover why Cooper University Health Care is the employer of choice in South Jersey.

• Assess and identify the social needs of patients on the inpatient psychiatry unit
• Collaborate with patients to develop a safe, unique and appropriate treatment plan
• Complete treatment plans in a timely manner in accordance with Joint Commission requirements
• Link patients to appropriate services within the community
• Facilitate family meetings
• Facilitate group therapy on the inpatient unit
• Provide individual psychotherapy to patients on the inpatient unit and on the psychiatry consult service as directed by attending physicians
• Follow patients referred for CRISIS screening on the inpatient unit and in the emergency department to facilitate smooth transition
• Collaborate with Transitional Navigators on cases involving complex psych discharge planning needs
• Participate in multidisciplinary rounds and function as an integral member of the multidisciplinary team
• Participate in research as directed by unit clinical director
• Complete prior authorizations for continuing care as directed by community agencies
• Completes an admission review of all patients within 24 business hours of admission utilizing specific behavioral health (InterQual or MCG) criteria and accurately documents all review determinations.
• Conducts daily concurrent continued stay and discharge reviews with appropriate provider utilizing specific behavioral health utilization management criteria.
• Collaborates and communicates with the multidisciplinary (behavioral health and medical) team, and attends team meetings as required for appropriate exchange of information.
• Proactively follows and intervenes on open cases to include concurrent appeals of denials.  Identifies and refers cases that do not meet established clinical criteria to the Physician Advisor.
• Communicates denials to the Physician Advisor to evaluate for peer to peer, and sends to denial work queue for written appeal if necessary. 
• Collaborates with billing office to ensure proper accurate billing per patient status.
• Delivers the Important Message from Medicare to patient and/or next of kin according to policy.

• 3 - 5 years health care experience preferred
• Experience working in multidisciplinary teams preferred
• Hospital social work experience preferred
• Psychiatric Social Worker should remain well versed and adherent to the social work code of ethics as defined by the National Association of Social Workers

• Position requires a Masters in Social Work from an ASWB accredited university

• NJ LSW

• Scheduled Days / Hours: As needed