Clinical professional responsible for inquiries, assessments, and admissions to the facility. This role facilitates admissions and assessment processes for incoming patients, responds to inquiries about the facility within policy timeframes, and schedules/completes pre-admission assessments. The specialist collaborates with medical and psychiatric personnel to ensure appropriate recommendations and admissions, coordinates admission and transfer between levels of care, and communicates projected admissions promptly. A key part of the role involves performing insurance benefit verifications, disseminating this information, and ensuring all medical admission documentation is gathered from external sources. The specialist also secures initial pre-authorization for treatment and admission, assists therapists with concurrent reviews, and coordinates/facilitates peer-to-peer reviews. Providing accurate and ongoing assessment of patient status, communicating treatment recommendations, and demonstrating a positive, empathetic, and professional attitude are crucial. The role also involves addressing customer complaints, prioritizing patient safety, conducting safety checks, and ensuring supervision at required intervals.
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Career Level
Mid Level