Licensed Intake Coordinator / Care Manager
Job description
Part Time, Days. 16 hours/week
Pay range is between $27.96-$41.88/hr, depending on years of relevant and like experience.
Boulder Community Health is a Certified Level II Trauma Center. We are honored to hold the awards of 2019 Best Medical Facility from Boulder Weekly, 2019 Best Medical Center from Yellow Scene’s, and Best Local Employer from Daily Camera. Come be part of an independent, community-focused health system; feel good knowing that your work will make a difference in people’s lives and positively contribute to the community.
POSITION SUMMARY
Provides clinical intakes for triaging adult behavioral health patients to appropriate level of care; facilitating referrals to and from the Outpatient Counseling Center and BCH Inpatient Behavioral Health, BCH Primary Care Behavioral Health, and external sources. Conducts assessments and triaging of patients using a biopsychosocial model informed by a robust knowledge of the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) and use of evidenced based screening tools. Works collaboratively with a treatment team, including psychiatrists, psychiatric nurse practitioners and therapists; providing and promoting the coordination, collaboration and continuity of care for patients throughout their treatment course at the Outpatient Counseling Center. Provides wrap-around services, e.g., referrals to homecare, prescription refills, family meetings, and wellness checks. Required to perform clinically related administrative tasks including documentation in a medical record in a timely, effective, and efficient manner. Excellent organizational skills and the ability to work and communicate well with others are critical aspects of this position.
JOB QUALIFICATIONS
Education or Formal Training
- Master’s Degree in Social Work (MSW) required.
Special Qualifications (licensure, registration, etc.)
- Licensed Clinical Social Worker (LCSW) in good standing in the State of Colorado required.
Knowledge, Skill and Ability
- Demonstrated knowledge of DSM-5.
- Ability to perform thorough biopsychosocial assessments/intakes for triaging patients to appropriate level of care, including assessing for suicide risk and substance use.
- Knowledge of and ability to use evidenced-based screening tools including PHQ-9, GAD-7, and Columbia Suicide Severity Rating Scale.
- Knowledge of community and statewide resources and the ability to provide wrap around services using those available resources.
- Knowledge of current state and federal laws relating to mental health (27-10, JCAHO and ADAD).
- Knowledge of Standards and Guidelines specific to OPBeH.
- Knowledge of Medicare regulations.
- Knowledge of reimbursement systems and network systems used in the process of Utilization Review.
- Excellent verbal and written communications ability.
- Computer literacy and ability to use word processing, and electronic medical record (Epic) for coordination of care, clinical reports, and billing.
- Demonstrated ability to interact in a confidential, respectful, and non-judgmental manner with all patients, families, hospital staff, and third-party payers.
- Ability to multitask and use effective time management.
- Maintain current knowledge of Child and Adult Protection laws.
Experience
2 years of experience in a psychiatric setting inpatient and/or outpatient.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Professional Behavior:
- Demonstrate ENCORE behavior and promote ENCORE philosophy and activities with all BHS staff.
- Support OPBeH mission and provide leadership for open, direct communication and conflict resolution.
- Conduct all patient-care activities with respect for patient’s privacy and right to confidentiality and autonomy.
- Use discretion in relaying administrative concerns, decisions or discussion with other staff.
Admission Process:
- Assist in admission and orientation of patients.
- Review initial assessment(s) and assist in completion.
- Conduct patient assessment evaluation and communication to the treatment team.
Treatment Planning:
- Provide leadership in completion of the Master Treatment Plan and ongoing treatment goals.
- Develop, coordinate and complete discharge planning.
- Facilitate patient access to needed resources and aid in the development of alternatives as necessary to meet identified needs.
- Maintain collateral contacts with family or support systems, outside agencies and professionals as necessary.
- Attend and participate in team clinical supervision, team meeting and treatment planning.
Chart Review:
- Review patient charts to:
- Update treatment plans
- Assure services are consistent with JCAHO, ADAD and 27-10 Regulations
- Follow OPBeH Standards and Guidelines
- Review chart for drug screen results
Care Management:
- Facilitate referrals to and from Outpatient Behavioral Health Counseling Center, Inpatient Behavioral Health, Primary Care Behavioral Health, and external sources and specialty providers.
- Provide wrap-around services including, but not limited to, referrals to homecare, prescription refills, family meetings, and wellness checks.
- Meet with patients to assess and evaluate status and discuss measurable treatment goals.
- Actively involve the patient, family and support system in planning and implementation of care.
- Maintain communication with patient’s referring therapist, psychiatrist and/or primary care physician.
- Reports all symptoms related by the patient or observed to the patient’s psychiatrist or psychiatric nurse practitioner.
- Thoroughly, effectively and accurately documents all patient clinical information in the medical record.
- Develops, maintains, and terminates therapeutic relationships with patients/families/significant others while maintaining appropriate boundaries.
- Function as an advocate for the patient and/or family/significant others as appropriate to the role.
- Set effective limits as appropriate with program philosophy and treatment plan.
- Communicates the discharge plan to the patient, the patient’s support system and the appropriate outpatient providers.
- Notify outside agencies as mandated by law, i.e., Adult Protection, Child Protection etc.
Utilization Management:
- Performs pre-certification and concurrent review of patients with payers in a timely manner to ensure adequate reimbursement.
- Provides regular communication to managed care/insurance provider regarding goals, progress in treatment, attendance and discharge plan.
- Initial review completed within 24 hours of admission, or the next available working day. Patients screened for appropriateness of admission and level of care.
- Identification of cases that do not meet criteria for continued hospitalization. Develop an alternative plan with the attending physician to explore discharge planning options and alternatives to hospitalization. Document all findings in the record. Communicate the decisions and plan to all appropriate parties. Communication of the discharge plan to the managed care/insurance companies.
- Communication of the discharge plan to the managed care/insurance company.
- Communicate the authorization number to the admissions office per policy.
- May need to verify and update the insurance benefit listed.
- Refers identified problems to QA, Risk Management or Medical Staff QA.
Discharge:
- Facilitate discharge planning immediately by working with the patient’s family, significant supporters, outside providers and community resources.
- Evaluate the need for post hospital services and determine the appropriate discharge plan for all cases.
- Educate the patient/family as to the options/choices for the patient upon discharge. Communicate the recommendations of the treatment team.
- Complete pre-authorization for post-discharge care when needed.
- Collaborate with all providers regarding the discharge plan, i.e. Turning Point, Recovery Program, Mapleton Counseling Center, outside therapists, outside psychiatrists, Wardenburg Clinic, the PCP etc.
- Whenever possible obtain specific appointments with all providers following up with the patient after discharge.
WORKING ENVIRONMENT/PHYSICAL ACTIVITIES
- Functional physical demands include manual dexterity and fine motor skills. The following senses will be needed for essential duties of the job: speech, vision, hearing, smell & touch.
- Work in artificial light and sits for substantial periods of time.
About Boulder Community Health and Boulder, Colorado
Uncompromising medical excellence delivered with respect and compassion. Since 1922, Boulder Community Health has built a strong reputation on these values. As community-owned and operated not-for-profit hospital and clinic locations, we remain dedicated to the evolving needs of our citizens and providing access to high-quality care. Nestled in the foothills of the Rocky Mountains, the Boulder lifestyle is conductive to enjoying the outdoors and brings a fresh perspective to healthcare practice. Surround yourself by natural beauty and an active, life-embracing community. Enjoy state-of-the-art facilities and equipment along with competitive compensation and benefits, including health/dental/life, tuition reimbursement, on-site fitness center, Employee Wellness, Employee Activities & Discounts, and many more!
Location: Boulder Community Health · BHS Counseling Center
Schedule: Part-time, Days - other, M-F 8-5
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