CLINICAL MANAGER

Universal Health Services • Guaynabo, PR

163d

About The Position

The Clinical Manager of the Access Center is responsible for the depth of the clinical interventions with persons that require telephone counseling. Is responsible for crisis and emergency management and recommends the alternate care levels leading to a rehabilitation plan. Establishes direct communication with leaders and representatives of the Access Center, with persons within FHCHS, clinics, and with the divisions of the integrated system to guarantee the continuity of care. Consults with psychiatrists the more complex cases. Offers support to the clinical work of the Case Managers and to all the efforts related to complying with the clinical criteria and handling the phone calls. Responsible for providing support in the coordination and notification of appointments scheduled for our clients, in accordance with the timeframes established in the organization's policies. This role also ensures the accessibility and quality of care for our clients.

Requirements

• Master's in Social Work, Psychology, Psychological Counseling, Mental Health Counseling, or Psychiatric Nursing
• Valid and current active license for Social Work, Psychiatric Nursing, Psychological Counseling, Psychology, or Mental Health Counseling
• Professional associating membership (colegiación), as apply.
• Comply with the continuing education hours as they correspond to the specialty
• Two or more years of experience in the health field
• Fully bilingual
• Knowledge in Microsoft Office

Responsibilities

• Offers psychological counseling through the phone to the persons who are referred.
• Offers intervention for psychiatric crisis or emergency management.
• Receives the previous shift.
• Provides follow-up to all emergency calls.
• Identifies the most appropriate level of care and counsels and informs the person about the various options of service available for his or her rehabilitation.
• Refer and analyzes with the psychiatrist special situations that require medical or clinical confirmation regarding the correctness of the final decision taken.
• Consults with the psychiatrist matters related to the management of medications to make certain and validate the counseling that is going to be provided.
• Authorizes the services of an ambulance in harmony with the existing criteria guide.
• Establishes direct communication with the physicians of the physical facilities that require clarification about the clinical decision taken.
• Facilitates the access of the person to the services for his or her rehabilitation and authorizes the necessary visits for the continuation of treatment.
• Makes and logs the follow-up call for crisis or emergency cases 24 hours after the coordination of services to assure the continuity of care.
• Logs and generates the authorization of services in the PMHS application within 24 hours.
• Delivers the cases that require follow-up to the Clinical or Case Manager of the next shift following the standards and makes sure that the previous shift cases are received complete and appropriately.
• Identifies persons of early or recurrent readmission to a hospital to offer the suitable follow-up, identifies beneficiaries with high services utilizations and refer them to the Case Management Program.
• Discuss complex cases with Utilization Review and Case Management Departments.
• Keeps the specialization license and professional association membership effective, complies with the continuing education hours that corresponds to the specialization.
• Participates in the mandatory trainings, such as: the Annual Compliance Plan.
• Informs the supervisor or human resources of any sanction or revocation of your license that affects the practice of your profession.
• Responsible for meeting daily with the representatives assign to his/her shift to establish the work strategies.
• Provides leadership in clinical decisions for the public as well as the private sector.
• Offers direct support to Case Managers by sharing the pending caseload.
• Available for case analysis and for clinical decision-making.
• Supports the Access Center Case Managers in the management of logistic issues that require a more extensive intervention, such as: problems with transportation, coordination with facilities, among others.
• Complies with the standards of the Service Excellence Program.
• Complies with the established quality parameters, abandonment rate and average speed of answer, codify the first call resolution and CHRA services.

What This Job Offers

• Industry: Hospitals
• Education Level: Master's degree
• Number of Employees: 5,001-10,000 employees