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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.
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 skill 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. Complete all admission and consent forms with the patient.
* Demonstrate a positive, empathetic, and professional attitude toward customers and address unmet needs promptly. 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.
* Conduct safety checks and ensure 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.
Education, Experience, and 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, and 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.
Seniority level
* Entry level
Employment type
* Full-time
Job function
* Education and Training
Industries
* Mental Health Care
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