Prior Authorization Rn Jobs in Mukwonago, WI (NOW HIRING)

Granite Hills Hospital is seeking a talented and dynamic Intake Clinician or Intake RN to join our team of dedicated healthcare professionals!

Shift/s: NOCS

Join a dynamic team of leading professionals dedicated to coordination of all admission processes and serving as clinical liaison to community referral sources, physicians referrals, families, and individuals in the growing career of behavioral health at our new hospital, Granite Hills Hospital. Expand your skill set, become a professional change maker, in a fast-paced, service oriented Intake and Admissions Department.

Intake/Admissions Clinician includes: Responding to inquiry calls, referrals, and crisis behavioral health patient needs. Following processes in reviewing referrals, completing clinical and suicide assessments, working with physicians through to possible admission. The Intake/Admissions Clinician is the initial contact with potential patients and referral sources, coordinates the referral and intake process, facilitates the admission process and maintains communication with referral sources, families, patients and unit staff.  The Intake/Admissions Clinician is responsible for the verification and prior authorization of insurance benefits as needed.

Responsibilities include: Working with a team of Intake/Admission professionals to clinically assess potential patients, verifying insurance, medically triaging patients, completing assessments, entering calls and admissions into computer as well as documentation, staffing clinical with physician, and completing paperwork and process through to possible admission. Following all regulatory requirements, facility policies and procedure, as well as culture based on service excellence.

Job Requirements: Excellent communication skills, i.e., verbal and written.  Ability to prioritize; work well under periods of high stress and pressure.  Ability to multi-task and demonstrate critical thinking skills.  Demonstrates an understanding of funding entities.  Thorough knowledge of psychiatric services provided by the hospital.  Ability to work flexible hours.  Requires a basic understanding of computers; and accurate data entry skills.  Knowledge of insurance contracts and payors. Knowledge of precertification for inpatient hospitalization. Experience gathering and documenting medical and clinical information to assess and staff appropriately with physician. Ability to triage for psychiatric needs. Working knowledge of DSM-V diagnostic criteria, mental status exam, and suicidality.   Excellent customer service skills as evidenced by supportive and constructive communication with all contacts including coworkers, patients, visitors, families and referral sources. BLS certification and Crisis Prevention Institute (CPI) certification training is a requirement of this position and may be obtained during new employee orientation.

The Intake/Admissions Clinician position requires:

Education:  Master’s Degree in Counseling, Psychology, Social Work or Human Services field, or licensed RN. RN, LCSW, LPC, LMFT preferred. 

Experience:  Minimum of one to two (1-2) years of experience preferred in psychiatric health care.  Working knowledge of DSM-V diagnostic criteria, mental status exam, and clinical assessments. 

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.

Job Requirements: Excellent communication skills, i.e., verbal and written.  Ability to prioritize; work well under periods of high stress and pressure.  Ability to multi-task and demonstrate critical thinking skills.  Demonstrates an understanding of funding entities.  Thorough knowledge of psychiatric services provided by the hospital.  Ability to work flexible hours.  Requires a basic understanding of computers; and accurate data entry skills.  Knowledge of insurance contracts and payors. Knowledge of precertification for inpatient hospitalization. Experience gathering and documenting medical and clinical information to assess and staff appropriately with physician. Ability to triage for psychiatric needs. Working knowledge of DSM-V diagnostic criteria, mental status exam, and suicidality.   Excellent customer service skills as evidenced by supportive and constructive communication with all contacts including coworkers, patients, visitors, families and referral sources. BLS certification and Crisis Prevention Institute (CPI) certification training is a requirement of this position and may be obtained during new employee orientation.

The Intake/Admissions Clinician position requires:

Education:  Master’s Degree in Counseling, Psychology, Social Work or Human Services field, or licensed RN. RN, LCSW, LPC, LMFT preferred. 

Experience:  Minimum of one to two (1-2) years of experience preferred in psychiatric health care.  Working knowledge of DSM-V diagnostic criteria, mental status exam, and clinical assessments. 

One of the nation’s largest and most respected hospital companies, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Steadily growing from a startup to an esteemed Fortune 500 corporation, UHS today has annual revenue nearing $10 billion. UHS is recognized as one of the World’s Most Admired Companies by Fortune; ranked #276 on the Fortune 500, and listed #275 in Forbes inaugural ranking of America’s Top 500 Public Companies.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries.  We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.