Clinician, Central Access Team
Company: ECHN
Location: New Britain
Posted on: January 25, 2023
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Job Description:
POSITION SUMMARY:
This position is responsible for maximizing access to inpatient
behavioral health care and patient movement for the Department of
Behavioral Health. Admissions for our Inpatient Behavioral Health
beds require the ability to form relationships with area hospitals,
emergency rooms, nursing homes and providers, timely and efficient
responses to requests for beds, coordination with medical staff,
and the ability to present cases concisely while covering important
clinical detail. - This position works in collaboration with
Director of CAT, Nurse Managers, Crisis Services, and Utilization
Review. Responsible for patient movement across the system. Assists
with verification of benefits, and prior authorization for services
to ensure payment with perspective insurance companies. - Develops
a working knowledge of the various payers' admission criteria to
ensure that the requirements for pre-certification are met. - Works
with prospective patients, families, and referring professionals. -
Works to maximize access to services across the inpatient BH
service line. - Provides extraordinary customer experience,
understands needs of callers and breadth of service in our system
of care. Has a high level of understanding of available resources
within the Behavioral Health continuum of care locally, regionally,
and statewide.
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EDUCATION/CERTIFICATION:
Master's Degree and licensed/certified in a Behavioral Health field
is required.
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EXPERIENCE:
Minimum of ten (10) years of experience in the Behavioral Health
field with Utilization Review required.
Must have experience in caring for those with mental health,
substance use, and co-occurring disorders.
Requires experience with benefit verification, eligibility,
pre-authorizations, and admission criteria.
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COMPETENCIES:
Must have excellent verbal and written communication skills to
effectively communicate with and be responsive to medical staff,
referral sources, patients, family, and a multitude of other
customers who interface with areas of responsibility.
Requires experience working with and understanding hospital-based
inpatient behavioral health care.
Must have experience working with managed care and understanding of
prior authorizations and utilization review.
Must be familiar with requirements to meet hospital level of care,
including basic symptomology, required labs, importance of
obtaining medication reconciliations, and accepting appropriate
insurance plans.
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ESSENTIAL DUTIES and RESPONSIBILITIES:
Disclaimer: Job descriptions are not intended, nor should they be
construed to be, exhaustive lists of all responsibilities, skills,
efforts or working conditions associated with the job. - They are
intended to be accurate reflections of the principal duties and
responsibilities of this position. - These responsibilities and
competencies listed below may change from time to time.
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Keywords: ECHN, New Britain , Clinician, Central Access Team, Other , New Britain, Connecticut
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