Intake Case Manager (non-RN) - SJH Psych Acute Adult

Prime Healthcare•Leavenworth, KS

About The Position

At Saint John Hospital, our dedicated team of professionals is committed to our core values of quality, compassion, and community. As a member of Prime Healthcare, Saint John Hospital is actively seeking new members to join its award-winning team! In addition to acute care services, Saint John Hospital specializes in 24/7 emergency care, senior behavioral health, skilled nursing, ambulatory care, including outpatient surgical services, imaging services including 3D mammography, Diagnostic Imaging and Ultrasound, Rehabilitation Services including Physical, Occupational and Speech/Language Therapy and Audiology. Saint John is certified as an Advanced Disease-Specific Care for Acute Stroke Ready Hospital from The Joint Commission and the American Heart Association/American Stroke Association. Saint John is 5-star rated for Treatment of Sepsis (2018-2020) and Treatment of Heart Failure (2020) by Healthgrades. The hospital is a part of Prime Healthcare Services and affiliated with Providence Medical Center in Kansas City, Kan. To learn more, visit www.saintjohnleavenworth.com or call 913-680-6000. The Intake Case Manager (ICM) has overall responsibility to initiate triage of a patient who presents in psychiatric crisis to the Emergency Department or from outside facilities. ICM is responsible for the quality of triage and appropriate resource management for all patients who present for psychiatric assessment, triage, disposition and/or crisis management. The ICM is responsible for ensuring appropriateness of admission and/or disposition of any patient presenting with a potential psychiatric illness. The ICM provides assessment of psychiatric patients who present to the Emergency Department, BH unit or the acute care units of the hospital. The ICM is responsible for ensuring all regulatory standards related to psychiatric admission are met, coordinating with the attending psychiatrist and coordinating with community resources for appropriate disposition when the facility is unable to meet the patients care needs. The ICM is responsible for the utilization review process as it relates to triage and admission to the Behavioral Health Unit. The ICM is a patient advocate and demonstrates leadership to integrate health care providers in achieving seamless delivery of care across the continuum. The methodology is designed to facilitate and ensure the achievement of quality, clinical and cost-effectiveness, and utilization of evidence-based quality practices. The ICM ensures the comprehensive admission and concurrent review of the medical record for the medical necessity, intensity of services and severity of illness. The ICM provides oversight throughout the patient admission, across the continuum and supports other interdisciplinary team members to include the discharge planning process. Additional duties may include assisting with direct patient care such as group and recreational therapy and marketing with other facilities.

Requirements

Current and valid Kansas RN License or LBSW
At least 2 years of Psychiatric Nursing experience.
BLS upon hire and maintained current.

Nice To Haves

Greater than 2 years management experience, preferred.
Experience in psychiatric emergency and triage preferred.
Knowledge of Milliman Criteria and InterQual Criteria preferred.
Knowledge of psychiatric medical necessity, case management regulations in discharge planning.

Responsibilities

Initiate triage of a patient who presents in psychiatric crisis to the Emergency Department or from outside facilities.
Responsible for the quality of triage and appropriate resource management for all patients who present for psychiatric assessment, triage, disposition and/or crisis management.
Ensuring appropriateness of admission and/or disposition of any patient presenting with a potential psychiatric illness.
Provides assessment of psychiatric patients who present to the Emergency Department, BH unit or the acute care units of the hospital.
Ensuring all regulatory standards related to psychiatric admission are met, coordinating with the attending psychiatrist and coordinating with community resources for appropriate disposition when the facility is unable to meet the patients care needs.
Responsible for the utilization review process as it relates to triage and admission to the Behavioral Health Unit.
Patient advocate 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 to include the discharge planning process.
Assisting with direct patient care such as group and recreational therapy and marketing with other facilities.