Job Duties and Responsibilities:

• Evaluate incoming telephone inquiries to determine needs and offer a screening.
• Contact referents and/or family members to determine their perspectives of the patient’s needs.
• Understand how to use Rogers Behavioral Health (RBH)contracted insurance provider listing when making decisions regarding admissions of potential patient.
• General knowledge of HIPAA and Emergency Medical Treatment and Active Labor Act (EMTALA) and how it related to admissions.
• Knowledge of all Rogers programs and services and the ability to explain to patients/families/referents.
• Demonstrate clear, accurate and timely use of case notes.
• Interview patients and/or responsible representatives to obtain demographic and insurance information.
• Comply with needed metric collection to facilitate continuous improvement.
• Recognize cases that require involvement of Rogers outreach services or that provide an opportunity for outreach services. Cases referred by a Rogers’ physician for outpatient treatment should be given to outreach for referrals.
• Explain insurance coverage to patients during the admission process and answer related questions.
• Involve the Manager in cases that require special attention due to the complex nature of the case.
• Ability to communicate and coordinate transfer to and from Rogers.
• Develop working relationships with physicians to ensure an open line of communication regarding patients care utilization of insurance benefits and criteria for authorization by third-party payers.
• Communicate with members of the multi-disciplinary team, as needed, regarding documentation and clinical criteria to assist with reimbursement and third-party reviews and treatment issues.
• Be available for on-call coverage as scheduled.
   

Reviewer/Screener:

• Provide clear case summary to on-call provider to provide recommendation for level of care.

Screener:

• Provide accurate and complete clinical documentation on screening to support decisions for appropriate level of care for each patient.

Registration/Program Coordinator:

• Meet with patient during the admission process to educate him/her regarding the admissions process and ensure a seamless transition to the appropriate program.
• Understanding of admissions paperwork and the ability to explain all forms to patients/guardians. Obtain all signatures needed for admissions including:
  • Patient’s Rights
  • Consent for Treatment
  • Consent for the Release of Information
  • All other admissions forms

• Distribute/Scan all documents required for admissions; ensuring proper labels and make sure they are accurate and saved in Cerner.
  • Register patients in the Cerner system.

Bed/Schedule/Program Coordinator:

• Coordinate admission with patient and/or responsible representative to include admission information, directions, and information about the program they will be entering.
• Communicate with respective units regarding scheduled admissions.
• Ensure efficient scheduling to maximize bed/slot capacity.
• Provide patient families with physician’s program recommendations.

Apply good practice principles to job duties.

• Use good communication skills and tact to deal effectively with third-party carrier representatives, professional staff members, Hospital management, and employees.
• Use common sense in situations and respond appropriately in all communication modes (body language, verbal) to each patient, regardless of his/her behavior.
• Maintain a calm attitude and create a conducive atmosphere in difficult situations.
• Work cooperatively and supportively with Hospital staff.
• Remain courteous and respectful to others during work interactions and be willing to work out problems on a one-on-one basis.
• Complete assignments and documentation on time.
• Take responsibility for and manage day-to-day problems, including implementation of treatment plans and completion of all documents.

Complete other duties as assigned by the Manager of Admission Services.

Promote department goals and the Mission of Rogers Behavioral Health.

• Communicate goals to fellow staff members.
• Demonstrate measurable goal achievement.
• Maintain department policies and procedures.
• Include requirements and guidelines from external agencies (State of Wisconsin, Joint Commission).
• Educate new staff regarding regulations or requirements of those functions that relate to their areas or departments, as directed.
• Demonstrate acceptance and training of student interns in the department, as directed.

Demonstrate understanding of Joint Commission and other regulatory agency compliance regulations.

• Involve self in the learning and application of standards relevant to Admission Services.
• Participate in in-services, seminars, and other meetings to increase involvement and awareness of regulations.
• Involve self in the education of other disciplines regarding Admission Services’ regulations.

Schedule: Must be available 8 shifts per month (including 3 weekend/holiday shifts) + holiday rotation. Biggest need is on 2nd shift and weekends, but need to be open to other shifts as needed.

Education/Training Requirements:

• High school diploma required. Anticipated Bachelor’s Degree required with graduation within 90 days of employment, preferably in human services
• Oconomowoc Only: Valid driver license preferred and must be granted insurable status by the Rogers insurance policy.

The System also includes Rogers Behavioral Health Foundation, which supports patient care, programs, and research; and Rogers InHealth, an initiative that works to eliminate the stigma of mental health challenges.

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

• Health, dental, and vision insurance coverage for you and your family 
• 401(k) retirement plan 
• Employee share program 
• Life/disability insurance 
• Flex spending accounts  
• Tuition reimbursement 
• Health and wellness program
• Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)