Job Description

Responsibilities

The Intake Case Manager (ICM) has overall responsibility to initiate triage of a patient who presents to the Emergency Department in psychiatric emergency crisis. ICM 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. The ICM is responsible for ensuring appropriate for 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 and/or in any acute care unit of the hospital. The ICM is responsible for 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\xe2\x80\x99s 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, promoting cost-containment and demonstrates leadership to integrate health care providers in achieving seamless delivery of care across the continuum. The methodology is designed to facilitate 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 and the discharge planning process.

Qualifications

EDUCATION, EXPERIENCE, TRAINING

1. Maintains an active license as a Registered Nurse, LCSW, or LICSW in Rhode Island.
2. At least 5 years of Psychiatric experience.
3. Behavioral Violence Prevention (BVP) within 6 months of hire and maintained per policy and procedure.
4. Must have greater than 2 years management experience, preferred.
5. Experience in psychiatric emergency and triage preferred.
6. Knowledge of Milliman Criteria and InterQual Criteria preferred.
7. Knowledge of psychiatric medical necessity, case management regulations in discharge planning.

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