Nurse Intake Coordinator

Ventura Services Florida; Tiffin (OH); On-site; USD 55,000 - 75,000; Full time

Job summary

Ventura Services Florida seeks a skilled intake coordinator to manage intake admissions, insurance precertification, and treatment reviews in a behavioral health setting.

You will collaborate with leadership to strengthen community relationships and ensure accurate, timely assessments and documentation for referrals and patients.

Qualifications

• Nursing license in the state of Ohio is required.
• Experience in behavioral health and chemical dependency fields is preferred.
• Clinical experience sufficient to perform required assessment services.

Responsibilities

• Provide clinical evaluations of prospective referrals determining patients' appropriateness for the program.
• Coordinate the psychiatric assessment process with attending psychiatrists.
• Identify developmental tasks and needs for care and treatment planning.
• Maintain contact with community facilities to promote the program and educate on services.
• Complete medical necessity documents for insurance reviews and precertification.
• Develop strategies to improve third-party utilization review and report issues as needed.
• Participate in reporting from Intake at director/manager and staff meetings.
• Communicate new processes or referral changes to sources as needed.
• Maintain referral logs and reports.
• Maintain ongoing contact with community agencies to coordinate referrals.
• Comply with corporate and management reporting requirements.

Skills

Behavioral health knowledge

Communication skills

Organizational skills

Ability to work under pressure

Rapport building with referral sources

Education

Ohio Nursing License

Job description

SUMMARY PERFORMANCE DESCRIPTION

To coordinate the intake admissions, insurance precertification and reviews of treatment. To develop strategies that result in a positive community relationships and image that assists the facility in meeting its goals. To work closely with the Director of Business Development and Admissions Manager to enhance the goals of the hospital.

EDUCATION

Nursing License in the state of Ohio required.

SPECIAL KNOWLEDGE AND SKILLS

Knowledge of or experience in behavioral health and chemical dependency fields. Ability to work under pressure, meet deadlines and adapt to workload demands. Provide a positive and professional presentation to build rapport quickly with referral sources and program staff. Must have good communication and organizational skills. Clinical experience sufficient to perform required assessment services.

PRIOR EXPERIENCE

Minimum of 3-5 years of experience in the behavioral health/Detox field or hospital setting preferred.

ESSENTIAL JOB RESPONSIBLITIES

• Provide clinical evaluations of prospective referrals determining patients' appropriateness for the program.

• Coordinate the psychiatric assessment process with the attending psychiatrists.

• Identify age-appropriate developmental tasks and needs as evidenced in the development of care and the treatment planning sessions.

• Maintain contact with personal care homes, nursing homes (assisted living/long term care facilities), medical-surgical units, local Emergency Departments, local Mental Health Clinic and other facilities and agencies to promote the program and to provide education regarding services available for their patients/clients/residents

• Complete appropriate medical necessity documents for insurance reviews and precertification.

• Aide in developing strategies to seek HMO/PPO and other third-party Utilization Review success including reporting regulatory or poor quality indications such as readmission, insurance denials, extended length of stay, and any other issues / needs as appropriate.

• Participate and provide appropriate reporting from Intake in all director/manager level and staff level meetings.

• Coordinate the announcement of new processes or referral changes to all referral sources as needed.

• Maintain referral logs and reports as needed.

• Aide in maintaining ongoing contact with community agencies to provide information on the program and assist in coordinating referrals.

• Comply in a timely, honest and quality manner with all Corporate and management reporting requirements, including, but not limited to, Quality reporting, HR and Finance reporting requirements.

WORKING ENVIRONMENT

Moderate physical activity. Will be located in and around the inpatient Hospital. Some hazard potential from possibility of physical acting out behavior of patient and health related communicable disease.

PHYSICAL AND MENTAL REQUIREMENTS OF JOB

Must be able to work and concentrate amidst distractions such as noise, conversations, and foot traffic; ability to handle interruptions often and be able to move from one task to another. Must be professional when dealing with referral sources. Ability to exercise self-control in potentially volatile situations such as being verbally or physically confronted by patients in a threatening or aggressive manner.