Location
Lemont, IL | United States
Job description
PURPOSE STATEMENT:
Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit/resources utilization .
Our Mission
Our mission is to offer innovative care solutions for the development of emotionally strong, personally responsible, and socially resilient girls and women. We are committed to maintaining a safe, nurturing environment where each girl or woman can benefit from superior individualized treatment provided by experienced professionals with relentless compassion and an unconditional joyful spirit.
Schedule: Tues-Friday 10a-6:30pm, Saturday 9a-5:30pm and rotating holidays. Off Sunday and Monday
ESSENTIAL FUNCTIONS:
- Respond to inquiries about the facility within facility policy timeframes.
- Ability to develop therapeutic relationships with patients and families.
- Perform benefit eligibility to ensure patient benefits are active at the time of admission. Communicate benefit eligibility to the business office and the patient or significant other.
- Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations regarding pending referrals.
- Coordinate admission and transfer from referral sources and between levels of care within the facility.
- Maintain knowledge of milieu management.
- Communicate projected admissions to designated internal representatives promptly.
- Ensure all clinical information from referral sources or patient (including medical comorbidity information) is received, when possible, prior to patient admission.
- Schedule (when applicable) and complete pre-admission assessments, consult with the admitting physician, and communicate disposition recommendations to patient or their family.
- Possess s kill in preparing and maintaining appropriate medical record documentation that will result in authorization at the level of care being requested of the payor.
- Complete initial pre-authorization for treatment and admission prior to admission, when possible, and within payor timeframe guidelines.
- Admit patient in the registration and accounting system. Complet e all admission and consent forms with the patient.
- Demonstrate a positive, empathetic and professional attitude towards customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
- Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.
- Three 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.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
- Current licensure, LPC or LSW or LCPC or LCSW
While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from par ticular jobs when circumstances
(e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.
AHMKT
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