Responsibilities

Clinical professional responsible for inquiries, assessments and admissions to facility.

Essential Functions

• Facilitate admissions and assessment processes for incoming patients.
• Respond to inquiries about the facility within facility policy timeframes.
• Schedule/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 representative in a timely manner.
• Perform insurance benefit verifications, disseminating the information gathered to 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 multi-disciplinary treatment team.
• Provide accurate and ongoing assessment of patient status in the admissions process.
• Communicate treatment recommendations to and coordinate with other treatment teams.

Experience

• Strong clinical assessment skills.
• Knowledge of insurance pre-authorization. Prior experience with insurance authorization and development of crisis safety planning a plus.
• 1 year(s): Minimum one-year experience working with individuals in a clinical or observational capacity, preferably within the area of specialty for the hiring facility.

• Prior experience in a psychiatric healthcare facility preferred.

Education

• Bachelors or better in Nursing/Healthcare
• Masters or better in Social Work or related field

Licenses & Certifications

• Lic Ind Soc Wkr

Skills

• Customer Focus
• Oral Communication

Behaviors

• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

• Self-Starter: Inspired to perform without outside help