Starr RegionalMedical Centeris currently seeking talent to fill the position of Intake Nurse and Utilization Specialist for ourGeroPsychDepartment.This job is permanent,full-time. Core competencies include, but are not limited to the following: * Ability to work independently in a fast-paced hospitalenvironment. * Abilityto have flexible hours to meet business (hospital and patient)needs. * Demonstratesbasic understanding of legal issues associated with assessment/admission for Voluntary vs. Involuntary status,i.e.72 Hour Hold, EMTALA and Mental Inquest Warrant processes as defined in state ofpractice. * Abilityto cultivate and maintain relationships with internal and external customers as well asmaintainspatient/family confidentiality and provides sensitive, respectful, and compassionate customer service at alltimes. * Abilityto work with adults and geriatric patients (18 and over) experiencing mental illness and acute psychiatriccrisis. * Capableof reviewing clinical documentation for emergency departments andidentifyingthe symptoms that qualifyofinpatienthospitalization. * Knowledgeof Diagnostic and Statistical Manual of Mental Disorder V (DSM V) or most currentversion. * Understanding of mental illness and stages ofdevelopment. * Abilityto present clinical findings to attending psychiatrist and chargenurse. * Abilityto coordinate the transfer of patients from otherfacilities. * Documentspayer interactions on assigned casesregardingauthorizations with managed care review agencies, in the manner required by the Lifepointfacilities. * Conducts review forappropriate utilizationof services from admission through dischargeand evaluates quality of care provided. Ensures documentation of all patient review records according to regulatory,legaland case coordination requirements and acts proactively to see that hospital resources are used appropriately. * Performsreviews for third party payors inan accurateandtimelymanner. * Communicatesdaily with physicians, hospital staff, family, community care providers, and patients tofacilitatecoordination of care. Remains current from a knowledge base perspectiveregardingreimbursement modalities, community resources, and legal issues that affect patients and providers ofcare. * Referscases where patients and/or family wouldbenefitfromadditionalresource support to the assigned clinician. Serves as a patient advocatewithpayers. Enhances a collaborative relationship to maximize the patient’s and family’s ability to make informeddecisions. * Participatesin interdisciplinary patient care rounds and/or conferences to review treatment goals,optimizeresourceutilization, andensure. * Participateswith physicians, nursing personnel, and other members of the management team in the planning of patient care services and the patient careplan. * Assistsinidentifyingopportunities for improvement,participatesin data collection and analysis, contributes to problem solving and identification of actions to be taken and effectiveness of those actions. Utilizes evidence-based tools to analyze andidentifytrends/patterns of performance through variance reporting to improve quality and satisfaction andmonitorover and under-utilization. * Provideseducation and support to Clinical Staff by attending staff meetings, small groups, and one-on-one education related to resourceutilizationand documentation. *Knowledge/Skills/Abilities/Expectations: * * Musthave good and regularattendance. * Performsother related duties asassigned. * Knowledgeof government and non-government payor practices, regulations,standardsandreimbursement. * Backgroundin and knowledge of hospital-based and/orthird partypayorutilizationmanagement and dischargeplanning. * Knowledgeof Medicare benefits and insurance processes andcontracts. * Knowledgeof accreditation standards and compliancerequirements. * Excellentinterpersonal,verbaland written skillsin order tocommunicate effectively and to obtain cooperation/collaboration with physicians,payorsand other external customers.Demonstrates good interpersonal skills when working or interacting with patients, theirfamiliesand other staffmembers. * Abilityto work under stress, often with conflicting priorities, and to respond quickly in emergencysituations. * Abilityto work independently and effectivelywithall levels of theorganization. * Abilityto work cooperatively and effectively as a teammember. * Abilitytomaintainconfidentiality of allpatientand/or employee information to assure patient and/or employee rights areprotected. * Approximatepercent of timerequiredto travel: Limited Benefits Include: * Competitive Pay * Health Benefits (Medical, Dental, Vision) for full-time employees * Competitive Paid Time Off / Extended Illness Bank package for full-time employees * 401(k) plan with company match Minimum EducationMaster’s level degree in social or human services, MSN, BSN, Associates of Nursing, or Practical License in Nursing:□ Preferred X Required Required Licenses[Tennessee, United States] Registered Nurse Current License in State of TN as a Registered Nurse or a License Practical Nurse: □ Preferred X RequiredIndependent Practice Scope License in the state of TN, LCSW, LMFT, LPC X Preferred □ Required Minimum Work ExperienceMinimum 1 year experience in Inpatient Psychiatric Facility Utilization Management and/or intake/admissions in a psychiatric setting:X Preferred □ RequiredExperience in crisis counseling and crisis evaluations:X Preferred □ Required Required SkillsCertifications:The below certifications will be required at the time of hire:X Basic Life Support (BLS) **Job:** **Nursing* **Organization:** **Starr Regional Medical Center* **Title:** * Intake Nurse and Utilization Specialist * **Location:** *Tennessee-Athens* **Requisition ID:** *7412-6736*