Psych Admissions Coordinator-per diem
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POST DATE 9/19/2020
END DATE 9/22/2020
Brigham & Women's Faulkner Hospital
PER DIEM Triages all incoming phone calls and pages
Facilitates admissions to 2 South and 7 South behavioral health units
Evaluates patients presenting in the ER for 7 South admissions
Verifies insurance for incoming patients
Obtains initial insurance authorization for patients who are admitted to 2 South and 7 South
PRINCIPLE DUTIES AND RESPONSIBILITIES:
Receives all incoming phone calls from persons and providers requesting acute clinical services for psychiatry and addictions to determine appropriate level of care.
Refers callers to appropriate location and insurance services for level of care assessments.
Conducts preliminary assessments by gathering data from provider and/or through patient interview to obtain medical, addiction, psych, social and treatment histories, and pertinent collateral information from appropriate sources.
Reviews clinical data and determines appropriate level of care for the patient after consulting with the attending physician.
Completes an intake form documenting patient s clinical information and any other pertinent data needed by members on the interdisciplinary treatment team.
Contacts managed care representatives, third party payers, primary physicians or other relevant persons in order to provide clinical and/or demographic information required to verify insurance and/or obtain authorization for clinical services.
Records all pertinent insurance information on insurance tracking sheet.
Arranges for admission and/or referral to the most appropriate level of care based on an assessment of the patient s clinical needs.
Gives this report to the charge nurse if the patient is admitted to the in-patient unit.
Refers patients, as clinically indicated, to external services when a service is not provided within the array of Faulkner Hospital programs. In instances involving a capitated patient, the Triage Clinician consults with the medical director and/or designee to receive final authorization for the external referral.
Demonstrates effective communication hand offs between providers, shifts, departments, etc.
Establishes a working relationship with insurance and managed care utilization staff to process authorizations for clinical services effectively.
Provides clinical triage services to the Emergency Department and other hospital departments where appropriate.
Develops a working knowledge of the various payers admission criteria to ensure that the requirements for pre-certification are met..
When appropriate, performs initial clinical evaluations to determine the acute mental health and/or substance abuse needs for patients in the Emergency Department and/or med/surg floors.
Participates in data collecting for monthly statistics reports.
Performs administrative tasks that include but are not limited to the following: utilization and management reports, monthly statistics and any other administrative task that is assigned by supervisor.
Brigham and Women's Faulkner Hospital is a 171- bed non-profit, community teaching hospital located in Jamaica Plain directly across the street from the Arnold Arboretum. Founded in 1900, Brigham and Women's Faulkner Hospital has a long history of meeting the health care needs of our patients by offering comprehensive care in a wide variety of specialties. At Brigham and Women's Faulkner Hospital, our world revolves around our patients and their families, which is why we ve been nationally recognized for our best practices in patient care, safety measures and surgical outcomes. If you re looking for more than a career, join Brigham and Women s Faulkner Hospital. Our patients call it better care. Our employees call it home.
Preferred MA level of education in psychology/social work/addictions
Preferred LMHC or LICSW
LMHC or LICSW required to evaluate patients for Level of Care Assessments in the ER.
MOAB Training annually
Safety Fair annually
Follow universal precautions
Required clinical coursework in psychiatry and addictions
Preferred work experience in admissions
Fast pace in a busy service to field calls, screen and admit patients, obtain initial authorizations, and maintain paperwork. Interact effectively with hospital wide departments and disciplines.
Brigham and Women s Faulkner Hospital is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to an employee s protected status, such as age, race, sex, color, ancestry, religion, national origin, physical or mental disability, veteran status, citizenship, gender identity or expression or sexual orientation.