Responsible for reviewing all referrals coming into Inpatient Behavioral Health Unit prior to admission, verifying that patient meets admission criteria, and reviewing 3rd party payment source.
A. Coordinates all referrals and utilizes established admission criteria to evaluate appropriateness of admission
B. Obtains physician orders for patient status prior to admission
C. Identifies areas in need of improvement.
II. Communicates Effectively
A. Resolves situations as appropriate within scope of job. Handles complaints/concerns in a prompt and courteous manner; assess and directs to appropriate person to deal with concerns as needed; makes attempt to solve issues with involved parties.
B. Demonstrates tact, courtesy, sound judgment and a professional attitude when relating with patients, families, coworkers, physicians, and affiliated agencies.
C. Gives and receives feedback in a positive manner.
D. Communicates both verbally and in writing with physician and appropriate hospital staff regarding patient needs and progress of discharge plan.
E. Meets with Care Management Leadership to discuss case specific issues.
F. Actively participates in staff meetings, for information exchange, discussion of performance indicator results and action planning.
G. Develops professional relationship with community partners.
III. Professional Public Image
A. Portrays a positive public image at all times.
a. Acts as a role model for others.
b. Recognizes, appreciates, accepts and values differences in people and treats all with dignity and respect.
c. Attends and participates in CHI- St. Vincent facility committees as assigned.
d. Wears clothing and CHI-St. Vincent identification badge consistent with dress code and attends to personal hygiene to maintain a clean, well groomed appearance.
e. Maintains attractive, safe, and clean workspace.
f. Meets CHI- St. Vincent facility attendance standards.
IV. Team Work
A. Builds and maintains positive relationships with healthcare team, placing organizational/team goals first.
B. Assumes responsibility, authority, and accountability for patient load, assisting other coworkers when requested or as the need arises.
C. Meets deadlines and takes responsibility for accomplishing ones own work.
D. Takes feedback from coworkers and uses feedback to improve performance.
E. Participates in peer evaluations.
F. Identifies and actively participates in projects to assist with team self-actualization.
G. Participates as a team member with department wide events/programs.
H. Uses appropriate resources and methods to resolve conflicts with others in a positive and professional manner.
A. Documents data accurately in the utilization management module to ensure data for tracking and trending is accurate.
B. Uses technology for risk management, quality improvement activities, data collection, process improvement and evaluation of improvement interventions.
C. Maintains technical knowledge and skills of computer systems (Interqual, Cerner, Star, and Email)
VI. Organizational Skills
A. Consistently makes appropriate mandatory reports to appropriate agencies.
VII. Other Duties as Assigned
Education: Registered Nurse with Bachelors degree or diploma/associates degree with care management certification within 2 years of hire date (CCM or ACM)
Licensure: A current unencumbered RN license to practice in the State of Arkansas is required.
Preferred: Masters degree and case management certificate (CCM or ACM)
Experience: Requires Minimum of three years in acute care hospital
Preferred experience in case management, discharge planning or utilization management role
Physical Requirements: Occasionally requires light physical effort as in periods of standing at files or worktables, repeated changes of position within the work routine or prolonged sitting. Workload demands and irregularity of hours may impose home and social life inconvenience. Regular volume of work and deadlines impose strain on routine basis. Nature of work requires substantive involvement in stressful situations causing strain.
Analytical decision making and clinical judgment
High degree of professionalism
Strong interpersonal communication
Computer proficiency in Microsoft Word, Cerner and Star
Excellent telephone etiquette
Requisition ID: 2018-R0181238