Psychiarty- Admissions Coordinator, per diemJob ID 10783416
•Facilitates admissions to 2 South, Partial Programs, 6 North ARP and Evening Addiction , Suboxone, Vivitrol.
•Evaluates patients presenting in the ER for 6 North ARP admissions
•Evaluates patients seeking admission to PHP Verifies insurance for incoming patients
•Obtains initial insurance authorization for patients who are admitted to 2 South and 6 North ARP.
•Cross train to provide coverage to CL Social Worker.
•Update MABHA bed board (2S and 6N).
•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 and submits triage/detox assessment documented in epic and to the doc on call (DOC) followed by paging the DOC with patient name and MR number. Document patient’s clinical information and any other pertinent data needed by members on the interdisciplinary treatment team into Epic.
•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 auth/cert or referral activities in Epic.
•Arranges for admission and/or referral to the most appropriate level of care based on an assessment of the patient’s clinical needs.
•Communicates with the charge nurse if the patient is admitted to the inpatient unit.
•Refers patients, as clinically indicated, to external services when a service is not provided within the array of Brigham and Women’s Faulkner Hospital’s 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.
•If a patient meets all requirements to be admitted to one of the partial programs Triage will contact the patient to schedule an intake appointment.
•Demonstrates effective communication “hand offs” between providers, shifts, departments, etc.
•Notify BWFH admitting when patient has been accepted.
•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 level of care criteria to ensure that the requirements for authorizations 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.
•Responsible for making sure MABHA bed board is updated during each shift.
•MA level of education in psychology/social work/addictions
•Required LMHC, LCSW or LICSW
•LMHC, LCSW or LICSW required to evaluate patients for Level of Care Assessments in the ER.
•De-escalation Training annually
•Safety Fair annually
•Follow universal precautions
•Preferred work experience in admissions
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.