Social Worker BH Admissions

Beacon Health Options; South Bend (IN); On-site; USD 60,000 - 85,000; Full time

Job summary

Beacon Health Options is seeking a qualified candidate to perform initial psychiatric assessments and coordinate patient care across the continuum of services. You will collaborate with physicians and other providers to ensure effective implementation of the approved plan and ensure accurate medical records.

The role includes obtaining pre-authorization when required, communicating treatment recommendations, and assisting Social Work services on inpatient units as needed.

Qualifications

• Master's degree in social work or counseling; a minimum of two years experience conducting psychiatric assessments preferred.

Responsibilities

• Perform initial psychiatric assessments and coordinate patient care throughout the continuum of care.
• Obtain initial authorization when applicable and coordinate with physicians and other providers to implement plans of care.
• Communicate treatment recommendations, coordinate community services, follow-up care, and education as needed.
• Ensure completeness and accuracy of the medical record and report patient outcomes to the manager.
• Assist with Social Work services on inpatient units as needed.

Skills

Communication skills

Prioritization

Resource identification

Computer literacy

Education

Master's degree in social work or counseling

Tools

EMR software

Job description

Reports to the Admissions Manager. Utilizes clinical expertise to perform assessments of patients potentially requiring mental health services.

MISSION, VALUES and SERVICE GOALS

• MISSION: We deliver outstanding care, inspire health, and connect with heart.
• VALUES: Trust. Respect. Integrity. Compassion.
• SERVICE GOALS: Personally connect. Keep everyone informed. Be on their team.

Performs initial assessment of patient and coordinates patient care throughout the entire continuum of care by:

• Performing psychiatric assessments.
• Obtains initial authorization if applicable.
• Consulting with physicians and other health care providers to assure effective implementation of patients' plans of care.
• Communicating treatment recommendations made by the doctor, which may include coordination of community services, follow-up care, and education.
• Ensure completeness and accuracy of the medical record.
• Reporting patient outcome information to the manager.
• Assists with Social Work services on the inpatient units as needed.

Participates in continuous quality improvement by:

• Compiling and analyzing data to generate reports which accurately represent utilization trends and patterns.

Registers patients in order to obtain demographic, physician and insurance information in accordance with established departmental policies and procedures by:

• Interviewing patients/obtaining collateral information via telephone for pre-admission or for admission upon presentation in the intake area or patient room.
• Obtaining identification, demographic, physician and insurance information from patients and accurately entering this information into the Hospital financial system.
• Updating the system after validation of the new patient's financial information.
• Pre-certify with the patient's insurance carrier in order to ensure maximum coverage to the limits of the insured's insurance policy.
• Requesting copies of the insurance card(s) and drivers license or other government picture ID to confirm insurance benefits and identification.
• Providing the Medicare letter for Medicare patients; also completing the Medicare Secondary Payor Questionnaire (MSP) and Advance Beneficiary Notice (ABN).
• Referring the patient to the Patient Account Liaison (PAL) if they are unable to secure satisfactory payment arrangements. Also assisting the PAL in obtaining additional patient information, copies of insurance card(s) and church information.
• Obtaining all required signatures for the 'consent to treat' and assignment of insurance benefits forms.

Coordinates both the Verification of Benefits (VOB) and Pre-certification/documentation (PA) processes for patients by:

• Verifying insurance coverage by calling the insurance company or using online eligibility systems to determine the patient's benefits under the insurance plan.
• Obtaining pre-certification information from the insurance company's pre-certification unit (i.e., whether pre-certification is required, if the ordering physician has completed it, etc.).

Notifies the appropriate area of the patient's arrival and ensures that the patient is escorted to the appropriate location by:

• Notifying the assigned Unit of the patient's arrival.
• Preparing the patient's chart, ID band and labels for the medical record.
• Arranging for an escort to assist the patient to the assigned unit (by wheelchair or by walking with the patient).

Performs other functions to maintain personal competence and contribute to the overall effectiveness of the department by:

• Completing other job-related assignments and projects as directed.

ORGANIZATIONAL RESPONSIBILITIES

Associate complies with the following organizational requirements:

• Attends and participates in department meetings and is accountable for all information shared.
• Completes mandatory education, annual competencies and department specific education within established timeframes.
• Completes annual employee health requirements within established timeframes.
• Maintains license/certification, registration in good standing throughout fiscal year.
• Direct patient care providers are required to maintain current BCLS (CPR) and other certifications as required by position/department.
• Consistently utilizes appropriate universal precautions, protective equipment, and ergonomic techniques to protect patient and self.
• Adheres to regulatory agency requirements, survey process and compliance.
• Complies with established organization and department policies.
• Available to work overtime in addition to working additional or other shifts and schedules when required.

Education and Experience

• The knowledge, skills and abilities as indicated below are normally acquired through the successful completion of a master's degree in social work or counseling field. A minimum of two years experience conducting psychiatric assessments is preferred.

Knowledge & Skills

• Requires thorough knowledge of procedures and techniques required to treat targeted patient population.
• Demonstrates clear, effective communication and interpersonal skills, including verbal, written, and listening skills.
• Requires ability to independently prioritize and organize work activities and work effectively under pressure.
• Requires ability to identify and utilize appropriate resources.
• Demonstrates computer literacy and the ability to use various computer programs.

Working Conditions

• Works in various environments with frequent changes in job demands.

Physical Demands

• Requires the physical ability and stamina to perform the essential functions of the position.