Clinical Nurse Specialist

1 month ago


Youngstown, Ohio, United States Generations Behavioral Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented Intake Nurse to join our team at Generations Behavioral Health. As a key member of our admissions team, you will be responsible for verifying insurance coverage, gathering and recording referral source information, and distributing it among appropriate personnel.

This is a challenging and rewarding role that requires strong communication and critical thinking skills. If you are a motivated and organized individual with a passion for delivering exceptional patient care, we encourage you to apply.

Key Responsibilities
  • Verify insurance carriers to confirm coverage and obtain authorization/pre-certification to ensure reimbursement.
  • Verify Medicare/Medicaid benefits.
  • Complete pre-admission, registrations, and clinical evaluation forms to assist in evaluating appropriateness of admission per policy.
  • Keep supervisor informed of progress/problems.
  • Coordinate admissions and notify nursing staff.
  • Communicate decisions concerning admissions to referral sources, families, both verbally and in writing.
  • Collect and distribute admission information to all clinical services and Business Office Manager.
  • Critical thinking skills, attention to detail.
  • Primary contact for referrals and physicians.
  • Prepare report daily, weekly, and monthly on all admissions, conversions, denials, and send to leadership team.
  • Possess ability to deal tactfully and courteously in any situation, communicating well, verbally and in writing.
Requirements

To perform this job successfully, an individual must be able to perform each essential function satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Ability to identify and implement components of the administrative process. Identify learning needs and teach patients and families. Ability to communicate and collaborate with a variety of teams and individuals. Working knowledge and ability to apply professional standards of practice in job situations.



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