Belmont Behavioral Health System has been a trusted source of superior service for more than 75 years. To ensure that we are best prepared to provide the highest quality of care to individuals and families in the Philadelphia area for decades to come, we have moved into a brand-new building.
We are seeking a 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.
Hours Wed-Fri 7pm-730am
Responsibilities:
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 skill in preparing and maintainingappropriate 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. Complete 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.
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 by individualized supervision guidelines as needed.
OTHER FUNCTIONS:
Perform other functions and tasks as assigned.
Qualifications:
EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:
Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN preferred.
One or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred.
LICENSES/DESIGNATIONS/CERTIFICATIONS:
Current licensure, as required for the area of clinical specialty, i.e., current RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates.
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.
We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.
AHMKT
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Numbers & Facts
Location
Philadelphia, Pennsylvania
Job Type
Full-time
Skills
Accounting Softwareunmatched
Behavioral Healthunmatched
CPR Certificationunmatched
Clinical Assessmentunmatched
Clinical Informationunmatched
Community and Social Servicesunmatched
Consultingunmatched
Customer Support/Serviceunmatched
Documentationunmatched
Healthcare Administrationunmatched
Informed Consentunmatched
Medical Recordsunmatched
Nursing Administrationunmatched
Patient Admissionsunmatched
Patient Careunmatched
Patient Care Authorizationsunmatched
Patient Registrationunmatched
Patient Safetyunmatched
Psychiatry and Mental Healthunmatched
Psychologyunmatched
Quality of Careunmatched
Record Keepingunmatched
Registered Nurse (RN)unmatched
Resolve Customer Issuesunmatched
Resource Utilizationunmatched
Social Workunmatched
Sociologyunmatched
Utilization Managementunmatched
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