Trinity Health TRIAGE CLINICIAN II - Per Diem, Clinical Assessment Center in Holyoke, Massachusetts
Conducts initial screening and level of care evaluations for inpatient, and residential behavioral health programs utilizing admission criteria to ensure appropriate level and intensity of service. Obtains authorization for proposed treatment. Provides referral and information to patients, families, community providers, managed care companies. Acts as a critical link to internal and external customers. Interacts with treatment units and patient accounts regarding census management.
PRIMARY JOB RESPONSIBILITIES AND DUTIES:
Provides initial screening for all patients and referral sources seeking access to behavioral health programs.
Performs comprehensive risk assessment as part of Bio Psycho Social Assessment.
Adheres to admission criteria as defined in Utilization Management plan in making level of care determinations.
Conducts face to face evaluations as appropriate to program and payer.
Accurately documents demographic and clinical data on Bio Psycho Social Assessment including clinical formulation and admission diagnosis.
Coordinates case management and bed management with internal and external customers.
Accurately communicates patient information to designated provider, retrieves information as per provider request.
Provides referral and information for community based services to patients, referral sources, and family members.
Verifies provider network information and obtains service authorization through managed care company prior to admission.
Maintains strong customer service orientation.Is professional and helpful with community resources, referral sources, and internal personnel.
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
Masters degree in social work or related field.License preferred.
Minimum two (2) years' experience or two (2) full academic year internships.
Strong diagnostic skills.
Knowledge of managed care principles.
Strong customer service orientation.
Prolonged sitting, close working conditions, medium to high noise level, prolonged data entry in computers, lengthy written summaries, and long periods of time on telephone.
Face to face evaluations only under direct supervision. Moderate to high levels of stress given fluctuations in volume and intensity.
Reports to the Clinical Supervisor-Admission.
Has no responsibility for the direct supervision of any other employees.
Job Number: 00101476
Location: Holyoke, MA
Organization Name: Mercy Medical Center
Facility: SPMA - Providence
Employment Type: Part time
Shift: Rotating Shift