Intake Registered Nurse

Summit BHC; Leland (MS); On-site; USD 50,000 - 68,000; Full time

Job summary

Carolina Dunes Behavioral Health is seeking an Intake Clinician to facilitate admissions, perform initial assessments, and coordinate the prior authorization process at our Leland, NC facility. The role works closely with clinical and administrative staff to ensure timely admissions and accurate information flow.

The ideal candidate has a master's degree in social work or related field, relevant behavioral health experience, and licensure or certifications as required.

Qualifications

• Master’s Degree in a related mental health field is required.
• 1+ year of mental/behavioral health experience preferred.
• Experience with managed care pre-certifications and utilization preferred.
• Clinical interviewing, patient assessment, referral and treatment planning experience.
• Strong interpersonal, interviewing, and telephone etiquette skills.

Responsibilities

• Facilitates intake, admission, and prior authorization for incoming patients.
• Performs insurance benefit verifications and communicates findings internally and to patients.
• Provides coverage for the Call Center Team during high volume periods.
• Provides accurate ongoing assessment of patient status in admission and prior authorization.
• Initiates service requests and determines appropriate level of care with follow-up.
• Follows EMTALA regulations to complete verifications and precertifications when appropriate.
• Responds to inquiries about the facility within policy timeframes.
• Schedules/pre-admission assessments and communicates recommendations to patients or families.
• Collaborates with medical and psychiatric staff to ensure appropriate admissions.
• Maintains documentation involved with the admissions process.

Skills

Clinical interviewing

Patient assessment

Crisis intervention

Insurance verification communication

Interpersonal skills

Telephone etiquette

Education

Master’s Degree in social work, counseling, psychology, mental health or related field

RN license or related clinical license (LCSW, LPC) as alternative

CPR and de-escalation certification; First aid may be required

Job description

Intake Registered Nurse | Carolina Dunes Behavioral Health | Leland, North Carolina

About the Job:

PURPOSE STATEMENT:

The Intake Clinician is a behavioral health professional responsible for facilitating admissions, conducting clinical intake assessments, and managing the prior authorization process to ensure patients receive the most appropriate level of care. This role handles daily intake and admissions operations, which may include screening, scheduling, financial counseling, and insurance verification. Intake Clinicians are responsible for completing assessments both at the facility and off-site as needed, screening for clinical and medical appropriateness and communicating assessment results to a physician, who determines the appropriate level of care. The Intake Clinician works closely with the business office, nursing, clinical staff, and external parties to ensure patients are admitted promptly and efficiently.

Roles and Responsibilities:

ESSENTIAL FUNCTIONS:

• Facilitates intake, admission, and prior authorization process for incoming patients.
• Performs insurance benefit verifications, disseminating the information gathered to patients, their families, and appropriate internal staff.
• Provides additional coverage for the Call Center Team – e.g. answers phones, processes admission requests, completes call center duties reviewing and accepting patients, verifies insurance, and assists with insurance pre-certifications during times of high volume.
• Provides accurate and ongoing assessment of patient’s status in the admission and prior authorization process.
• Facilitates the response to requests for services, including the initial response, the assessment and referral process, the designation of appropriate level of care, initiation/intake into services, and appropriate follow up activity.
• Follows EMTALA regulations to complete insurance verification and precertification’s, when appropriate.
• Responds to inquiries about the facility within facility policy timeframes.
• Schedules/completes pre-admission assessments and communicates recommendations to patients or their family.
• Collaborates with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
• Performs ongoing assessments of physical/function, emotional, social, spiritual and financial needs of patients and implements crisis intervention and referral.
• Provides education regarding healthcare and social resource systems to empower patients and their family to access resources independently.
• Maintains all the documentation involved with the admissions process.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Master’s Degree from an accredited college or university in social work, counseling, psychology, mental health or a related field required. In some states, may also be a registered nurse, in which case, an associate’s or bachelor’s degree in nursing is required.
• One or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
• Experience in the managed care pre-certification process, level of care assessments and utilization preferred.
• Experience in clinical interviewing, patient assessment, referral, treatment planning, communicating with external review organizations or comparable entities, and working effectively with people of diverse backgrounds.
• Outstanding interpersonal and interviewing and assessment skills. Skill in telephone etiquette and paging procedures.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Current licensure, as required for the area of clinical specialty, i.e., current RN license, LCSW, LPC or other clinical counseling or therapy license, as designated by the state in which the facility operates.
• CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility requirements.

WORK LOCATION:

This position is onsite and is not a remote position.

SUPERVISORY REQUIREMENTS:

This position is an Individual Contributor.

Why Carolina Dunes Behavioral Health?Carolina Dunes Behavioral Health offers a comprehensive benefit plan and a competitive salary commensurate with experience and qualifications. Carolina Dunes Behavioral Health is an EOE.

Veterans and military spouses are highly encouraged to apply. Summit BHC is dedicated to serving Veterans with specialized programming at our treatment centers across the country. We recognize and value the unique strengths of the military community in supporting our mission to serve those who have served.