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Glenwood Behavioral Hospital is looking for a clinical professional that will be 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/resource utilization.
Job Responsibility:
Review medical documentation for all admissions, complete medication reconciliation, and obtain admission orders from physicians
Facilitate emergency transfers for patients presenting with emergency medical conditions outside of the facility’s capabilities
Review referrals from hospitals, facilities, and other community agencies for medical and behavioral acuity and respond within facility policy timeframes
Respond to inquiries about the facility and provide appropriate recommendations
Conduct assessments to determine the appropriate level of care within the facility
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions
Facilitate admissions process for incoming patients including assessment, consent, and inventory of patient belongings
Perform insurance benefit verifications and secure initial pre-authorization for treatment and admission
Monitor patient status throughout the admissions process in accordance with facility policy and/or physician orders
Utilize multiple web-based programs to track and review referrals
Communicate projected admissions to designated internal representatives promptly
Ensure all clinical information from referral sources or patients (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 the patient or their family
Possess skill 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 the patient to the registration and accounting system. Complete all admission and consent forms with the patient
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
Coordinate care for patients who are not being admitted and ensure that they receive appropriate follow-up care and referrals
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
Perform other functions and tasks as assigned
Requirements:
Minimum of Associate’s degree in nursing
Minimum one year of experience working with individuals in a clinical or observational capacity, preferably within the area of specialty for the hiring facility
Clear and active nursing license in the state
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