Intake Case Manager - Social Work Services

Prime Healthcare • Woonsocket, RI

1d • Onsite

About The Position

At Landmark Medical Center, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Landmark Medical Center is actively seeking new members to join its award-winning team! Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI. The hospital has been “A”rated for patient safety by The Leapfrog Group and has received numerous Healthgrades awards for patient safety excellence, heart care, and orthopedics. Originally known as the "Woonsocket Hospital," Landmark Medical Center has been serving the communities of northern Rhode Island and southern Massachusetts since 1873. Learn more at www.landmarkmedical.org .

Requirements

• Maintains an active license as a Registered Nurse, LCSW, or LICSW in Rhode Island.
• At least 5 years of Psychiatric experience.
• Must have greater than 2 years management experience.
• Experience in psychiatric emergency and triage.
• Knowledge of Milliman Criteria and InterQual Criteria.
• Knowledge of psychiatric medical necessity, case management regulations in discharge planning.

Nice To Haves

• management experience, preferred.
• Experience in psychiatric emergency and triage preferred.
• Knowledge of Milliman Criteria and InterQual Criteria preferred.

Responsibilities

• Initiate triage of a patient who presents to the Emergency Department in psychiatric emergency crisis.
• Responsible for the quality of emergency triage and appropriate resource management for all patients who present for emergent psychiatric assessment, triage, disposition and/or crisis management.
• Ensuring appropriate for admission and/or disposition of any patient presenting with a potential psychiatric illness.
• Provides assessment of psychiatric patients who present to the Emergency Department and/or in any acute care unit of the hospital.
• Ensuring all regulatory standards related to psychiatric admission are met, coordination with attending psychiatrist for appropriate admission orders, coordinates with community resources for appropriate disposition when the facility is unable to meet the patient’s care needs.
• Responsible for the utilization review process as it relates to triage and admission to the Behavioral Health Unit.
• Acts as a patient advocate, promoting cost-containment and demonstrates leadership to integrate health care providers in achieving seamless delivery of care across the continuum.
• Ensures the comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of services and severity of illness.
• Provides oversight throughout the patient admission, across the continuum and supports other interdisciplinary team members and the discharge planning process.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: No Education Listed