Overview
PURPOSE STATEMENT:
Clinical professional responsible for inquiries, assessments, and admissions to the facility.
Responsibilities
ESSENTIAL FUNCTIONS:
- Facilitate admissions and assessment processes for incoming patients.
- Respond to inquiries about the facility within facility policy timeframes.
- Schedule and complete pre-admission assessments and communicate recommendations to patients or their families.
- Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
- Coordinate admission and transfer between levels of care within the facility.
- Communicate projected admissions to designated internal representatives promptly.
- Perform insurance benefit verifications, disseminating the information gathered to the patient, their families, and other appropriate facility staff.
- Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.
- Assist individual therapists with concurrent reviews with insurance companies to secure continued treatment.
- Coordinate and facilitate peer-to-peer reviews when needed and collaborate the results of reviews with the multi-disciplinary treatment team.
- Provide accurate and ongoing assessment of patient status in the admissions process.
- Communicate treatment recommendations to other treatment teams.
- Demonstrate a positive, empathetic, and professional attitude toward customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
- When a patient’s needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
- Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service.
- Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or in accordance with individualized supervision guidelines as needed.
OTHER FUNCTIONS:
- Perform other functions and tasks as assigned.
Qualifications
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Bachelor’s degree in Behavioral Science, Social Services Field, may also be an RN registered nurse, in which case, an Associate's degree in nursing may be the minimum educational requirement or a licensed practical or vocational nurse, in which case, successful completion of an LPN or LVN training program may be the minimum requirement.
- For states in which a therapist may act in this role, a master's degree in a therapeutic field is preferred.
- One or more years’ experience working with individuals in a clinical or observational capacity within the area of specialty for the facility preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Licensure, as preferred for the area of clinical specialty 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.
ADDITIONAL REGULATORY REQUIREMENTS:
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