​PURPOSE STATEMENT: 

​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. 

​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 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 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. 

​OTHER FUNCTIONS:  

• ​Perform other functions and tasks as assigned. 

​EDUCATION/EXPERIENCE/SKILL REQUIREMENTS: 

• ​Master's degree in a social services field (psychology, counseling, social work, sociology, health administration, nursing) or RN required.   
• ​Three or more years’ experience in mental/behavioral health working with individuals in a clinical or observational capacity preferred. 

• ​Experience in the managed care pre-certification process, level of care assessments and utilization preferred. 

​LICENSES/DESIGNATIONS/CERTIFICATIONS:  

• ​State licensure as one of the following:  LSW, LPC, LPCC, LISW 

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