Intake Case Manager - Social Work Services

Prime Healthcare; Woonsocket (RI); On-site; USD 35,000 - 55,000; Part time

Job summary

Landmark Medical Center in Woonsocket, RI, part of Prime Healthcare, seeks an Intake Case Manager to triage psychiatric emergencies in the Emergency Department and guide admission decisions. You will collaborate with the attending psychiatrist and coordinate resources to ensure safe, appropriate disposition.

The role emphasizes utilization review, discharge planning, and delivering high-quality, cost-effective care across the hospital continuum. Part-time, day shifts with leadership requirements.

Qualifications

• Active license as RN, LCSW, or LICSW in Rhode Island.
• At least 5 years of Psychiatric experience.
• Must have greater than 2 years management experience, preferred.
• Experience in psychiatric emergency and triage preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Knowledge of psychiatric medical necessity, case management regulations in discharge planning.

Responsibilities

• Initiate triage of psychiatric emergencies in the ED.
• Coordinate admission/disposition with attending psychiatrist.
• Oversee medical necessity review and utilization management.
• Support discharge planning and cross-disciplinary collaboration.

Skills

Psychiatric nursing

Case management

Leadership

Regulatory knowledge

Triage

Tools

Milliman Criteria

InterQual Criteria

Job description

Overview

At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team!

Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been “A”rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the \"Woonsocket Hospital\", Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org.

Responsibilities

The Intake Case Manager (ICM) has overall responsibility to initiate triage of a patient who presents to the Emergency Department in psychiatric emergency crisis. ICM responsible for the quality of emergency triage and appropriate resource management for all patients who present for emergent psychiatric assessment, triage, disposition and/or crisis management. The ICM is responsible for ensuring appropriate for admission and/or disposition of any patient presenting with a potential psychiatric illness. The ICM provides assessment of psychiatric patients who present to the Emergency Department and/or in any acute care unit of the hospital. The ICM is responsible for ensuring all regulatory standards related to psychiatric admission are met, coordination with attending psychiatrist for appropriate admission orders, coordinates with community resources for appropriate disposition when the facility is unable to meet the patient’s care needs. The ICM is responsible for the utilization review process as it relates to triage and admission to the Behavioral Health Unit. The ICM is a patient advocate, promoting cost-containment and demonstrates leadership to integrate health care providers in achieving seamless delivery of care across the continuum. The methodology is designed to facilitate ensure the achievement of quality, clinical and cost-effectiveness, and utilization of evidence-based quality practices. The ICM ensures the comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of services and severity of illness. The ICM provides oversight throughout the patient admission, across the continuum and supports other interdisciplinary team members and the discharge planning process.

Qualifications

• Maintains an active license as a Registered Nurse, LCSW, or LICSW in Rhode Island.
• At least 5 years of Psychiatric experience.
• Must have greater than 2 years management experience, preferred.
• Experience in psychiatric emergency and triage preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.
• Knowledge of psychiatric medical necessity, case management regulations in discharge planning.

Employment Status

Part Time < 60

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf