Community Care RN, Full Time

5 days ago

Charleston, United States Summit BHC Full time
Intake RN - Full Time | Highland Hospital | Charleston, West Virginia
About the Job:
PURPOSE STATEMENT:
The Intake RN performs assessments at or outside the facility, depending on the needs of the patient or hospital. Screens and assesses admissions to evaluate clinical and medical appropriateness and communicates this information to a physician who makes the admissions and level of care decision. Works closely with business office, nursing, and clinical staff as well as external parties to ensure the timely admission of patients. Provides initial evaluation and initiate the integrated assessment, documenting patient symptoms, functioning and needs.Collaborates with other facility medical and psychiatric staff to ensure appropriate recommendations and admissions. Communicates projected admissions to designated internal representative in a timely manner.Ensures all medical admission documentation is gathered from external sources prior to patient admission and secures initial pre-authorization for treatment and admission.Reviews patient charts to determine medical necessity and staffs each referral and assessment with appropriate physician to obtain orders, recommendations, and DSM-V diagnosis, when appropriate.May administer patients' medications and follows all physician's orders in consultation with psychiatrist and in accordance with established hospital and licensing agency protocols. questions compliance and adjusts medications under psychiatrists' supervision as needed; li>Advocates for the lowest level of care consistent with the patient's needs. Coordinates admission and transfer between levels of care within the facility.Assures thorough, accurate documentation is completed for all patients on each shift and facilitates the response to requests for services, including the initial response, the assessment, and referral process, the designation of appropriate level of care, initiation/admission into services, and appropriate follow up activity.Responds to inquiries about the facility within facility policy timeframes.Performs insurance benefit verifications, disseminating the information gathered to patient, their families and other appropriate facility staff.
  • Graduation from an accredited school of nursing required. li>
  • One or more years' experience in mental health or substance use disorder admissions preferred.
  • Experience in clinical interviewing, patient assessment, referral, treatment planning, communicating with external review organizations or comparable entities.
  • Experience in the managed care pre-certification process, level of care assessments and utilization.

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