MetroWest Medical Center is the largest community health care system between Worcester and Boston. MetroWest Medical Center is committed to providing high quality, comprehensive care, at a location close to home. The 307-bed regional healthcare system includes Framingham Union Hospital, Leonard Morse Hospital in Natick and the MetroWest Wellness Center. MetroWest Medical Center has been named to the 2019 Americaâ��s 100 Best Hospitals List by Healthgrades.
GENERAL SUMMARY: Psychiatric Referral Coordinator is responsible for answering phones in the Referral and Admissions Department, initial authorization of admitted patients, calling crisis teams for potential admissions and assisting in the processes of admitted patients to the 98 psychiatric beds. Under supervision of the Regional Manager of Behavioral Health; As indicated, Coordination of referrals to Child Development Unit, Geriatric Treatment Unit and Adult Inpatient Units of Leonard Morse Hospital and St. Vincentâ��s Hospital, Worcester and other outpatient services in the MetroWest Medical system. Will be responsible for the triage and referral of patients in the LMH/FUH ER and will coordinate the referrals of patients at St. Vincentâ��s Hospital.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
1. Answering phones for potentially referred patients; working with all the crisis teams in the State of Massachusetts
2. Working with Nursing, Doctors and Psychiatrists regarding bed availability and appropriateness of referred patients.
3. Cases referred for inpatient admissions will be coordinated with accepting service with a goal to maximize census at all times. Facilitates acceptance of patients from referring facilities and completes all required paperwork to ensure a smooth transition for the patient.
4. Will work closely with the evaluating clinician regarding documentation.
5. Is responsible for verifying and obtaining all initial insurance authorizations for patients referred to the Leonard Morse and St. Vincentâ��s Hospital inpatients units.
KNOWLEDGE, EXPERIENCE AND OTHER JOB REQUIREMENTS:
Bachelor's Degree in Psychology or related field required. Experience working in the mental health system is preferred.
1. Office environment.
2. The above statements are intended to describe the general nature and level of the work being performed by people assigned this job. They are not an exhaustive list of all duties, responsibilities, knowledge, skills and abilities associated with the job.
Job: Insurance Verifier
Primary Location: Natick, Massachusetts
Facility: MetroWest Leonard Morse Hospital
Job Type: PT2Y
Shift Type: Rotate
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