DIR - Admissions and Utilization Review

Job description

ESSENTIAL DUTIES AND RESPONSIBILITIES, include, but are not limited to, the following:

• Ensures accurate information of daily census and potential admission information.
• Monitor and evaluates intake/admission information and evaluates insurance verification information.
• Acts as an administrative resource to provide in-depth training on how to handle inquiry calls and other concerns around the admission process to milieu transition for each patient.
• Attends administrative meetings to present critical information around census, waiting lists, and review potential patients and program as it pertains to the admission process.
• Daily logging of Inquiry Calls, referral requests and admissions into Midas System.
• Participates and coordinates external marketing activities as appropriate.
• Effectively communicates with KidLink Network.
• Obtains and disseminates additional clinical information related to potential patient to appropriate staff for discussion of concerns and admission approval.
• Completes admission assessment in a timely manner and makes appropriate referrals for clients that are not clinically appropriate for admission to facility.
• Actively participates in the daily functions of the Administrative Team.
• Able to adjust department budget to any needed change.

• Conducts employee reviews on time 95%. Able to write appropriate and measurable goals.
• Follows proper procedure for employee termination, both voluntary and involuntary.
• Demonstrates progressive discipline process, documentation plan for improvement, follow up.
• Works with the Program Managers to ensure proper technical operations.
• Assists in providing transportation and transition to facility.
• Communicates pertinent information to administrator and managers/directors in timely manner prior to admission.
• Documents of disposition present on each form.
• Demonstrates ability to write appropriate memos, business letters, etc. Able to communicate effectively in English through verbal and written means.
• Able to chair department meetings, develop agendas, follow through with plans.
• Respects confidentiality of patient and employee information.
• Maintains a courteous and professional manner in dealing with patients, family members, visitors, physicians and co-workers.
• Shows a positive attitude toward work schedule, assignments.
• Attends mandatory in-service education programs and shows evidence of educational growth. Stays current with PRT, CPR, and First Aid.
• Accepts assignments as commensurate with knowledge and experiences.
• Presents professional appearance in dress and grooming and wears identification badge and follows dress code.
• Handles emergencies, pressures and stressful situations in a calm and professional manner.
• Able to organize tasks, develops action plans and sets priorities.
• Conforms to facility policy regarding notification of absence or tardiness, PTO (use of sick time, vacations, and holidays), overtime.
• Demonstrates knowledge of and performs within limits of policies and procedures.
• Participates in special projects, committees, Performance Improvement Teams, etc.,
• Understands individual responsibilities for safety and infection control and carries out responsibilities as defined in policy and procedures manuals.
• Demonstrates knowledge and location of all admission records, intake folders and release of information forms.
• Demonstrates knowledge of state licensing regulations, contractual requirements, CARF standards, HIPAA policy, ordinances, laws and other regulations required of his/her position and acts consistently and in obedience to same.
• Performs other duties as assigned.
• Provide departmental trainings as needed
• Provide supervision and support to Admission Coordinator/Counselor

EDUCATION and/or EXPERIENCE:

Masters preferred with major academic studies in psychology, social work or health/counseling field; including appropriate on-the-job training and experience to met the duties and responsibilities of this position. Must have three years experience working in a clinical setting providing direct patient care and/or previous admission experience. Must have marketing and sales abilities, as well as, the ability to complete clinical assessments.

CERTIFICATES,LICENSES, REGISTRATIONS:

None required.

LANGUAGE SKILLS

Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from groups of managers, clients, customers and the general public.

TECHNICAL SKILLS

Working knowledge of personal computers, electronic data processing equipment and related spread sheet and word processing software and applications. Ability to apply common sense understanding to carry out detailed written or oral instructions. Ability to deal with problems involving a few concrete variables in standardized situations. Effective organizational and negotiating skills.

REASONING ABILITY

Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

PHYSICAL DEMAND

While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel; reach with hands and arms; and talk or hear. The employee is occasionally required to stand; walk; stoop, kneel, crouch, or crawl; and taste or smell. The employee must frequently lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception, and ability to adjust focus. Depending on the type of facility, this position may have to assist in the physical restraint of clients.

WORK ENVIRONMENT

The work environment for this position is a residential facility setting. While performing the duties of this job, the employee will be exposed to residents who may ask inappropriate personal questions, display socially unacceptable personal behaviors, use profanity and sexually explicit phrases, make insulting remarks or threats regarding appearance, age, sex, or race, and exhibit defiance, dishonesty, and assaultive or self-destructive behaviors. The employee is occasionally exposed to outside weather conditions and may be subject to occasional local travel as required by facility needs. The noise level in the work environment is usually quiet to moderate.

UHS is a registered trademark of UHS of Delaware, Inc., the management company for Universal Health Services, Inc. and a wholly-owned subsidiary of Universal Health Services, Inc. Universal Health Services, Inc. is a holding company and operates through its subsidiaries including its management company, UHS of Delaware, Inc. All healthcare and management operations are conducted by subsidiaries of Universal Health Services, Inc. To the extent any reference to "UHS or UHS facilities" on this website including any statements, articles or other publications contained herein relates to our healthcare or management operations it is referring to Universal Health Services' subsidiaries including UHS of Delaware. Further, the terms "we," "us," "our" or "the company" in such context similarly refer to the operations of Universal Health Services' subsidiaries including UHS of Delaware. Any employment referenced in this website is not with Universal Health Services, Inc. but solely with one of its subsidiaries including but not limited to UHS of Delaware, Inc. * UHS is not accepting unsolicited assistance from search firms for this employment opportunity. Please, no phone calls or emails. All resumes submitted by search firms to any employee at UHS via-email, the Internet or in any form and/or method without a valid written search agreement in place for this position will be deemed the sole property of UHS. No fee will be paid in the event the candidate is hired by UHS as a result of the referral or through other means.

EEO Statement

All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449.