Psych Admissions Coordinator l

Mass General Brigham•Belmont, MA

3d•Onsite

About The Position

Psychiatric triage for all levels of care for McLean Hospital units on and off site, certain McLean affiliates, Partners facilities and capitated contracts. Provides teaching function for all evaluating clinicians regarding payers and precertification requirements.

Requirements

Bachelor's Degree Related Field of Study required
Experience working in a mental healthcare setting 3-5 years required
Experience as a Psych Admissions Coordinator I 1-2 years required
Demonstrated strong interviewing skills, clinical knowledge of psychiatric diagnoses and treatment, data entry, excellent interpersonal communication via telephone and in person, with a high degree of comfort working with a psychiatric population.
Must be able to handle sensitive information with discretion and good judgment, knowledge of computer terminal, EPIC and Microsoft Teams preferred.
Keyboarding.

Responsibilities

Provides Partners wide bed/service search following established triage procedure.
Gathers clinical and financial information according to established procedures in order to make referrals to participating Partners facilities, (when available and outside Partners when needed) based on clinical needs and managed care contracts.
Provide after hours psychiatric triage for Newton-Wellesley Hospital inpatient adult and geriatric facilities.
Act as a resource to Partners wide facilities regarding services and bed availability within Partners.
Provide psychiatric triage for Franciscan’s Children’s Hospital inpatient and ART (Adolescent Residential Treatment Program)
Answer MGH/McLean Tufts line and provide triage, when indicated, or direction to other services.
Provide public relations function by handling inquiries regarding services at McLean, it’s affiliates and other Partners psychiatric facilities.
Maintain bed board for Partners facilities in order to be aware of bed availability.
Interviews the patient, family member or referring professional to obtain clinical and demographic data to determine need for evaluation and/or admission; following established admission procedure.
Gathers comprehensive and accurate information relevant to the need for evaluation and/or admission according to established procedure, as demonstrated by minimal need of clinicians to recollect same data.
Triages urgent and emergent calls to appropriate level of care including referral of patients in crisis to emergency rooms when indicated and/or contacting crisis team regarding patients at immediate risk, and when indicated contacting local police.
Respond to preadmission inquiry promptly as indicated by lack of complaint.
Interacts with patients, family member or referring professional in a courteous and professional manner as indicted by lack of complaint.
With medically or psychiatrically complicated cases, reviews inquiry with Clinical Nursing Supervisor or Doctor on Call or department manager in a timely and professional matter as indicated by lack of complaint.
Continually reassess census and bed availability.
Assigns patient to appropriate unit based on census, clinical presentation at preadmission, and contract requirements.
Obtains census (admissions, anticipated discharges on each inpatient unit at least three times during each twenty-four hour period and as indicated from McLean affiliates.
Presents units with preadmission clinical information on patients and expected time of Arrival.
Completes financial screening according to established procedure.
Verifies insurance coverage via computer or telephone.
Interprets insurance data to determine need for any special procedures and/or co-payments or deposits. Educates residents and other clinical evaluators regarding insurance and precertification requirements.
Completes eligibility determination and fulfills all pre-registration requirements for major contracts and ensures that precertifications are complete.
Reviews financial information with Patient Accounts Department or Director of Intake for approval when necessary.
Communicates financial information to family member and/or referring agent as indicated by lack of complaint.
Enters patient information and ADT transactions into the IDX system completely and accurately.
Enters accurate patient demographic information into the system.
Enters complete referral information into system to be used for marketing purposes and reports.
Enters accurate patient Financial Status Classification (FSC) information into the system.
Enters accurate patient Visit Level information into the system.
Enters accurate ADT transactions into the system in a timely manner, used for hospital census.
Makes embossed card.
Updates system to reflect latest census worksheets, preparing and distributing them when necessary.
Completes admitting paperwork.
Gathers information from patient and/or family to complete demographic and insurance section of medical record.
Obtains appropriate signatures from patient or guarantor for Assignment of Benefits form when Patient Account staff is unavailable.
Obtains signatures from patient or guardian for necessary releases of information.
Collects necessary deposits from patient or guarantor.
Completes and sends PCP notification forms, notification of admission and other paperwork as required by specific contracts and regulatory agencies.
Interacts with departmental hospital staffs in a professional and cooperative manner.
Communicates effectively and positively with coworkers as observed by the supervisor.
Communicates effectively with Hospital staff, and departmental staff as indicated by lack of complaint.
Triage outside calls to appropriate hospital personnel as a customer service to outside referrers, consumers, etc.
Maintains confidentiality of information of the department and contributes to the effective operation of the department.
Maintains confidentiality of departmental information according to established procedures with no reported errors.
Releases confidential information only in accordance with the Confidentiality Policy and/or the approval of the Department Head
Assures the security of the Departmental files at the end of each workday to protect confidential information.
Submits suggestions to departmental management regarding improvement of operations and efficiency.
Notifies supervisor or coworker of availability to complete other duties.
Performs other duties as assigned.