Behavioral Health Navigator I - UPMC Mercy

UPMC; Pittsburgh (Allegheny County); On-site; USD 45,000 - 65,000; Full time

Job summary

A leading healthcare organization is seeking a full-time Behavioral Health Navigator I for their Emergency Department. The role involves patient assessment and navigation while collaborating with psychiatrists, developing treatment plans, and ensuring documentation complies with mental health laws. Ideal candidates will demonstrate skills in triage and have a strong understanding of insurance processes, offering crucial support in patient care.

Qualifications

• Ability to utilize DSMV and develop provisional diagnoses.
• Knowledge of insurance programs and processes for authorizations.
• Familiarity with outpatient scheduling documentation.

Responsibilities

• Assessment and navigation of patients in collaboration with psychiatrists.
• Develop initial treatment designs for disposition planning.
• Maintain documentation standards and complete required paperwork.

Skills

Triage

Assessment

Communication

Knowledge of mental health laws

Insurance processes

Job description

We are hiring a full-time Behavioral Health Navigator I to support UPMC Mercy!

The Behavioral Health Navigator I is responsible for the assessment and navigation of patients and families in collaboration with attending psychiatrists and other staff within the UPMC Mercy Emergency Department. They will develop initial treatment plans to facilitate disposition planning and assists with bed placement or disposition planning. They will have the ability to identify acuity level of patient and facilitate the flow of information to promote effective communication regarding the patient care and patient operations and disposition.

The incumbent will work rotating shifts, with two 12-hour and two 8-hour shifts per week. Rotating weekends and holidays.

Responsibilities:

• Meet standards for documentation and completes all required paperwork, including psychiatric evaluation, commitment paperwork. Demonstrate ability to utilize DSMV and to develop provisional diagnosis.
• Demonstrate knowledge of mental health laws and reviews inpatient commitment for accuracy, competencies and proper time frames.
• Knowledge of insurance programs, processes and able to obtain authorizations as needed.
• Participate in interdisciplinary activities such as staff meetings and other committees as assigned.
• Maintain competency requirements.Learn and utilize up-to-date technology in delivery of patient care for assessment and disposition/referral planning.Efficiently take a sizable volume of calls and disposition callers to meet their needs rapidly
• Follow outpatient scheduling or referral documentation guidelines
• Responds rapidly to appointment or inpatient admission requests through email, phone, or voicemail
• Review and summarizes the patient information for admissions to a behavioral health unit and triaging patient for appropriate placement
• Ability to verbally present the case to physicians and others
• Demonstrate triage and assessment skills for medical necessity or appropriate outpatient clinic
• Provides accurate, timely information to coworkers, physicians, outside agencies, with a professional and courteous manner
• Demonstrates expertise in accessing social systems by providing resource-specific information to patients and families, initiating contact with appropriate resources and facilitating the patient/family's ability to accept referrals.