Intake Specialist - Brown Deer - Pool II

Job Duties and Responsibilities

• Evaluate incoming telephone inquiries to determine needs and offer a screening.
• Contact referents and/or family members to determine their perspectives of the patient's needs.
• Understand how to use Rogers Behavioral Health (RBH) contracted insurance provider listing when making decisions regarding admissions of potential patients.
• General knowledge of HIPAA and Emergency Medical Treatment and Active Labor Act (EMTALA) and how it relates to admissions.
• Knowledge of all Rogers programs and services and the ability to explain to patients/families/referents.
• Demonstrate clear, accurate and timely use of case notes.
• Interview patients and/or responsible representatives to obtain demographic and insurance information.
• Comply with needed metric collection to facilitate continuous improvement.
• Recognize cases that require involvement of Rogers outreach services or that provide an opportunity for outreach services.
• Explain insurance coverage to patients during the admission process and answer related questions.
• Involve the Manager in cases that require special attention due to the complex nature of the case.
• Ability to communicate and coordinate transfer to and from Rogers.
• Develop working relationships with physicians to ensure an open line of communication regarding patient care, utilization of insurance benefits, and criteria for authorization by third-party payers.
• Communicate with members of the multi-disciplinary team, as needed, regarding documentation and clinical criteria to assist with reimbursement and third-party reviews and treatment issues.
• Be available for on-call coverage as scheduled.
• Provide clear case summary to on-call provider to provide recommendation for level of care.
• Provide accurate and complete clinical documentation on screening to support decisions for appropriate level of care for each patient.
• Meet with patient during the admission process to educate him/her regarding the admissions process and ensure a seamless transition to the appropriate program.
• Understand admissions paperwork and the ability to explain all forms to patients/guardians.
• Obtain all signatures needed for admissions including Patient's Rights, Consent for Treatment, Consent for the Release of Information, and all other admissions forms.
• Distribute/Scan all documents required for admissions; ensuring proper labels and make sure they are accurate and saved in Cerner.
• Register patients in the Cerner system.
• Coordinate admission with patient and/or responsible representative to include admission information, directions, and information about the program they will be entering.
• Communicate with respective units regarding scheduled admissions.
• Ensure efficient scheduling to maximize bed/slot capacity.
• Provide patient families with physician's program recommendations.
• Apply good practice principles to job duties.
• Use good communication skills and tact to deal effectively with third-party carrier representatives, professional staff members, Hospital management, and employees.
• Use common sense in situations and respond appropriately in all communication modes (body language, verbal) to each patient, regardless of his/her behavior.
• Maintain a calm attitude and create a conducive atmosphere in difficult situations.
• Work cooperatively and supportively with Hospital staff.
• Remain courteous and respectful to others during work interactions and be willing to work out problems on a one-on-one basis.
• Complete assignments and documentation on time.
• Take responsibility for and manage day-to-day problems, including implementation of treatment plans and completion of all documents.
• Complete other duties as assigned by the Manager of Admission Services.
• Promote department goals and the Mission of Rogers Behavioral Health.
• Communicate goals to fellow staff members.
• Demonstrate measurable goal achievement.
• Maintain department policies and procedures.
• Include requirements and guidelines from external agencies (State of Wisconsin, Joint Commission).
• Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.
• Demonstrate acceptance and training of student interns in the department, as directed.
• Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.
• Involve self in the learning and application of standards relevant to Admission Services.
• Participate in in-services, seminars, and other meetings to increase involvement and awareness of regulations.
• Involve self in the education of other disciplines regarding Admission Services' regulations.

Schedule

Must be available 8 shifts per month (including 3 weekend/holiday shifts) + holiday rotation. Biggest need is on 2nd shift and weekends, but need to be open to other shifts as needed.

Education/Training Requirements

• High school diploma required.
• Anticipated Bachelor's Degree required with graduation within 90 days of employment, preferably in human services.
• Oconomowoc Only: Valid driver license preferred and must be granted insurable status by the Rogers insurance policy.