Psychiatric triage for all levels of care for McLean Hospital units on and off site, certain McLean affiliates, MGB facilities and capitated contracts. Provides teaching function for all evaluating clinicians regarding payers and precertification requirements, teaching/consulting role to junior psychiatric triage staff.

RESPONSIBILITIES AND STANDARDS

1. Facilitates inpatient admission for psychiatric and substance abuse referrals across four campuses 24/7/365.
Interviews the patient, family member or referring professional to obtain clinical and demographic data; following established admission procedure.

Weight: 25%
1.1 Interviews the patient, family member or referring professional to obtain clinical and demographic data; following established admission procedure

1.2 Gathers comprehensive and accurate information relevant to the need for inpatient admission according to established procedure, as demonstrated by minimal need of clinicians to recollect same data.

1.3 Review EPIC records for patients being referred within MGB, reviewing clinical, medical and ED timelines to review patients full clinical presentation

1.4 Triages urgent and emergent calls to appropriate level of care including referral of patients in crisis to emergency rooms when indicated and/or contacting 911 regarding patients at immediate risk.

1.5 Respond to preadmission inquiry promptly as indicated by lack of complaint.

1.6 Interacts with patients, family member or referring professional in a courteous and professional manner as indicted by lack of complaint.

1.7 With medically or psychiatrically complicated cases, reviews inquiry with Unit Nursing Supervisor or Doctor on Call or department manager in a timely and professional matter as indicated by lack of complaint.

2. Provides MGB wide bed search following established triage procedure.

Weight: 25%

Standards

2.1 Reviews clinical and financial information in EPIC according to established procedures in order to make referrals to participating MGB facilities, (when available and outside MGB when needed) based on clinical needs and managed care contracts.

2.2 Provide after hours bed finding for BWH, BWF, MGH

2.3 Act as a resource to MGB wide facilities regarding services and bed availability within MGB.

2.4 Provide psychiatric triage for Franciscan's Children's Hospital inpatient

2.5 Provide public relations function by handling inquiries regarding services at McLean, it's affiliates and other MGB psychiatric facilities.

3. Continually reassess census and bed availability.

Weight: 10%

3.1 Assigns patient to appropriate unit based on census, clinical presentation at preadmission, and contract requirements across four McLean campuses

3.2 Obtains census (admissions, anticipated discharges on each inpatient unit at least three times during each twenty-four hour period and as indicated.

3.3 Maintains electronic bed board in Teams to accurately reflect real time census, expected admissions and anticipated discharges

3.4 Provides units with clinical information and expected time of arrival.

3.5 Discharges patients in timely fashion in EPIC when units leave voicemails on discharge line - accurately reflect discharges on electronic bed board in Teams and reflect census change


4. Completes financial screening according to established procedure.

Weight: 10%

4.1 Verifies insurance coverage via email to PFS or via NEHEN, EPIC or via telephone.

4.2 Interprets insurance data to determine need for any special procedures and/or co-payments or deposits.

4.3 Completes eligibility determination and precertification when necessary.

4.4 Reviews financial information with Patient Financial Services or Director of Intake for approval when necessary.

5. Enters patient information into EPIC completely and accurately.

Weight: 10%

5.1 Enters accurate patient demographic information into the system.

5.2 Verifies no duplicate MRNs exist in EPIC

5.2 Enters complete referral information into system to be used for marketing purposes.

5.3 Enters accurate patient Financial Status Classification (FSC) information into EPIC

5.4 Enters accurate patient Visit Level information into EPIC.

5.5 Enters accurate ADT transactions into EPIC in a timely manner.

5.6 Prints wristbands, labels and face sheet

6. Maintains confidentiality of information of the department and contributes to the effective operation of the department.

Weight: 10%

6.1 Maintains confidentiality of departmental information according to established procedures with no reported errors.

6.2 Releases confidential information only in accordance with the Confidentiality Policy and/or the approval of the Department Head.

6.3 Assures the security of the Departmental files at the end of each workday to protect confidential information.

6.4 Assists in the training of new intake coordinators when hired in to the department.

6.5 Submits suggestions to departmental management regarding improvement of operations and efficiency.

6.6 Notifies supervisor or coworker of availability to complete other duties.

6.7 Performs other duties as assigned.

7. Completes admitting paperwork.

Weight: 5%

7.1 Collects necessary deposits from patient or guarantor.

7.2 Completes any release of information forms

7.3 Completes/sends notification of admission and other relevant paperwork as required by specific contracts.

8 Interacts with departmental hospital staff in a professional and cooperative manner.

Weight: 5%

8.1 Communicates effectively and positively with coworkers as observed by the supervisor.

8.2 Communicates effectively with Hospital staff, and departmental staff as indicated by lack of complaint.

Education: B.A., B.S., or equivalency.

License: N/A

Skills: Demonstrated strong interviewing skills, clinical knowledge of psychiatric diagnoses and treatment, data entry, excellent interpersonal communication via telephone and in person with a high degree of comfort working with a psychiatric population. Must be able to handle sensitive information with discretion and good judgment, knowledge of computer terminal, EPIC and Microsoft Teams preferred. Keyboarding. Above average job performance as indicated in evaluation.

Experience: Three to five years experience in mental health care setting .

McLean is an Affirmative Action Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.