Overview:

PURPOSE STATEMENT:

Clinical professional

responsible for

facilitating

admissions, clinical intake assessments and

utilization

review processes to assure continuity for the most

appropriate level

of care for patients and their benefit/resources

utilization

Responsibilities:

ESSENTIAL FUNCTIONS:

• Respond to inquiries about the facility within facility policy

  timeframes

• Ability to develop therapeutic relationships with patients and families.

• Perform benefit eligibility to ensure patient benefits are active at the time of admission

  Communicate benefit eligibility to the business office and the patient or significant other.

• Collaborate with other

  facility

  medical and psychiatric personnel to ensure

  appropriate recommendations

  regarding pending referrals.

• Coordinate admission and transfer from referral sources and between levels of care within the facility.

• Maintain knowledge of milieu management.

• Communicate projected admissions to

  designated

  internal representatives promptly.

• Ensure all clinical information from referral sources or

  patient

  (including medical comorbidity information) is received, when possible, prior to patient admission.

• Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician, and communicate disposition recommendations to patient or their family.

• Possess s

  kill in preparing and

  maintaining

  appropriate medical

  record documentation that will result in authorization at the level of care being requested of the payor.

• Complete

  initial

  pre-authorization for treatment and admission prior to admission, when possible, and within payor

  timeframe

  guidelines.

• Admit

  patient

  in the registration and accounting system

  Complet

  e

  all admission and consent forms with the patient.

• Demonstrate a positive,

  empathetic

  and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

• When a patient's needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.

• Coordinate care for patients who are not being admitted and ensure that they receive appropriate follow-up care and referrals.

• Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service.

• Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or by individualized supervision guidelines as needed.

OTHER FUNCTIONS:

• Perform

  other functions and tasks as assigned.

Qualifications:

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Bachelor's degree in a social services field required (if state allows).

• ?Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.

• One or more years' experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Current licensure, as required for the area of clinical specialty, i.e., current RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.

• CPR and de-escalation/restraint certification

  required

  (training available upon hire and offered by facility).

• First aid may be

  required

  based on state or facility.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual's characteristics protected by applicable state, federal and local laws.

OAS01