Clinical Reviewer DMH PASSR Position

4 days ago


Shrewsbury, Missouri, United States UMass Med School Full time
Job Summary

The Clinical Reviewer DMH PASSR position is a key role within our organization, responsible for conducting Pre-Admission Screening Resident Reviews (PASSR) Level II Evaluations. This involves conducting face-to-face evaluations and reviewing medical records, in accordance with relevant guidelines and regulations.

Key Responsibilities
  1. Conduct in-person evaluations to confirm the presence of mental illness, determine the most appropriate setting, and identify the need for specialized services.
  2. Complete evaluations prior to individuals' nursing facility admissions and when there are significant changes that signify the need for an updated evaluation.
  3. Communicate evaluation findings to applicants, residents, and/or guardians in an understandable manner and language.
  4. Identify and communicate determinations that indicate a need for specialized services to the facility, agency, or referral source, within appropriate timelines and data transmission policies.
  5. Review and document all relevant information into data system applications in accordance with program guidelines and regulations.
  6. Maintain individual records documenting all applicant/participant encounters and contacts, write clinical summaries, and prepare and respond to requests for statistics and resource/service data.
  7. Foster and promote continuity of care and cooperative partnerships by liaising with healthcare providers, acute care hospitals, long-term care facilities, and other programs/organizations involved in the provision of services.
  8. Participate in public relations efforts, attending conferences and meetings as needed.
  9. Maintain positive working relationships with applicant/participants, and relevant informal supports, provider organizations, program consultants, and state agencies.
  10. Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School/ForHealth Consulting procedures and HIPAA regulations.
  11. Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations.
Requirements
  • Master's degree in social work, mental health counseling, or a related health and human services field, or equivalent.
  • 5 years of work experience providing direct service or case management to adults with psychiatric disabilities, inclusive of 1 year of experience in a medical or clinical setting with knowledge of medical terminology.
  • Demonstrated knowledge and experience with relevant social service/rehabilitation systems.
  • Knowledge of applicable state and federal regulations.
  • Ability to travel statewide.
  • Proficient in the use of Microsoft Applications, including Word, Outlook, and database.


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