Clinical Evaluator

14 hours ago

Bremerton, United States Astyra Corporation Full time
Job DescriptionJob Description

Note: This is position requires licensed Clinician in Washington State (LCSW, LMFT, LMHC, or Psych RN)

Who we need:

Join our team as a (PASRR) Preadmission Screening and Resident Review Clinical Evaluator and be an instrumental force in reshaping healthcare and enriching the lives of patients in our communities.

In this role, you will lead the charge by performing comprehensive, clinical assessments on individuals dealing with mental illness and intellectual disabilities. As a trusted expert, you will have the autonomy to evaluate their care needs and provide invaluable determinations and recommendations for their ongoing level of care, helping to improve patient's well-being and enhance their quality of life.

**We are seeking candidates available to travel throughout Kitsap County area**

Responsibilities:

  • Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care; determines if the medical record documentation supports the need for services.
  • Abstracts review related data/information accurately and timely on appropriate review tool by the appropriate means. Accurate and timely submission of all administrative and review-related documents to appropriate parties.
  • Performs ongoing reassessment of the review process to offer opportunities for improvement and/or change.
  • Foster positive and professional relationships and act as liaison with internal and external customers to ensure effective working relationships and team building in order to facilitate the review process.
  • Responsible for attending training and scheduled meetings and for maintenance and use of current/updated information for review.
  • Maintains medical records confidentiality at all times through proper use of computer passwords, maintenance of secured files, adherence to HIPAA policies.
  • Utilizes proper telephone etiquette and judicious use of other verbal and written communications, following Client policies, procedures, and guidelines.

The list of accountabilities is not intended to be all-inclusive and may be expanded to include other duties that management may deem necessary from time to time.

Qualifications

  • Active license in good standing in the Washington State (LCSW, LMFT, LMHC, RN)
  • Graduation from an accredited College with a relevant Degree Program.
  • At least three (3) years of mental health experience within the past five (5) years involving direct patient care presenting a mental health diagnosis is required.

Knowledge, Skills, Abilities

  • Medical record abstracting skills required.
  • Knowledge of the organization of medical records, medical terminology, and disease process required.
  • Strong clinical assessment and critical thinking skills are required.
  • Excellent verbal and written communication skills are required.
  • Ability to work in a team environment.
  • Flexibility and strong organizational skills are needed.
  • Must be proficient in Microsoft Office and internet/web navigation
#AC

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