A And R Jobs in Michigan (NOW HIRING)

ESSENTIAL FUNCTIONS:

• Facilitates admissions and assessment processes for incoming 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.
• Communicates treatment recommendations to and coordinate with other treatment teams.
• May administer patients' medications and follows all physician's orders in consultation with psychiatrist and in accordance with established hospital and licensing agency protocols. Educates patients on side effects, and through discussions determines the effectiveness of education; questions compliance and adjusts medications under psychiatrists' supervision as needed; monitors lab results to validate medication compliance.
• May maintain accountability of administration, recording, control and security of medications, including narcotics. Assures completion of Adverse Drug Reaction forms as necessary. Maintains knowledge of the most common medications used for psychiatric patients.
• 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.
• Assists individual therapists with concurrent reviews with insurance companies to secure continued treatment.
• Provides accurate and ongoing assessment of patient status in the admissions process.

• Monitors patient acuity, census, staffing needs, and makes arrangements for coverage in the absence of the Director, following established guidelines.
• Coordinates and facilitates peer to peer reviews when needed and collaborates the results of reviews with multi-disciplinary treatment team.

ADDITIONAL RESPONSIBILITIES:

• Complies with organizational policies, procedures, performance improvement initiatives and maintains regulatory and industry standards.
• Maintains regular and reliable attendance.
• Accepts responsibility for professional growth and development of self and attends all mandatory facility in-services and staff development activities as scheduled.
• Maintains professionalism and confidentiality of facility employees and patients.
• Performs other duties as assigned.

CULTURAL EXPECTATIONS:

• Honesty: Works with integrity and fairness.
• Competence: Strives to be the best and hold selves accountable.
• Perseverance: Meets challenges with the resolve to succeed.
• Passion: Cares about what we do, each other and who we serve.
• Respect: Honors the human dignity of everyone we work with.
• Teamwork: Succeeds, and have fun, by pulling together.

EDUCATION/EXPERIENCE/SKILL REQUIREMENTS:

• Graduation from an accredited school of nursing required. BSN preferred.
• 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.
• Outstanding interpersonal and interviewing and assessment skills. Skill in telephone etiquette and paging procedures.

LICENSES/DESIGNATIONS/CERTIFICATIONS:

• Valid current RN license from the state or from a compact state, where applicable.
• CPR and de-escalation and restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility requirements.

SUPERVISORY REQUIREMENTS:

This position is an Individual Contributor.