Clinical professional is 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.
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 facilitys 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. als, as noted in special precautions, or in accordance with individualized supervision guidelines as needed.
Numbers & Facts
Location
Westminster, CO
Skills
Accounting Softwareunmatched
Clinical Assessmentunmatched
Clinical Informationunmatched
Consultingunmatched
Documentationunmatched
Hospitalunmatched
Informed Consentunmatched
Medical Conditionsunmatched
Medical Recordsunmatched
Medicationsunmatched
Patient Admissionsunmatched
Patient Assessmentunmatched
Patient Careunmatched
Patient Care Authorizationsunmatched
Patient Registrationunmatched
Psychiatry and Mental Healthunmatched
Quality of Careunmatched
Reconciliationunmatched
Record Keepingunmatched
Registered Nurse (RN)unmatched
Resource Utilizationunmatched
Utilization Managementunmatched
Web Programmingunmatched
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