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Required Skills

Direct Clinical Services

1. Develop initial comprehensive assessment data including clients presenting problems, mental status, relevant psychiatric, medical and developmental histories to make decisions regarding diagnosis (per DSM-V), treatment objectives and ongoing treatment plans and/or to provide information and make appropriate referrals to other treatment resources in the community.
2. Provide 25 hours of billable services per week to clients.
3. Implement crisis or pre-crisis intervention procedures with potentially suicidal, homicidal, or severely disabled clients. Where appropriate referrals will be made to consulting psychiatrists or inpatient psychiatric facilities to prevent further destabilization.
4. Interview collateral contacts, previous and current treatment professionals, and significant others, to further establish a database for assessment and ongoing treatment plan as needed.
5. Clarify priority problems, goals for change, and session limits according to agency policy to assist clients in developing appropriate expectations for treatment in relationship to the agency. Use a variety of psychotherapeutic treatment approaches and interventions to change targeted behaviors and stabilize adaptive behaviors with individuals, couples and families.
6. Manage the termination process and discharge planning to enhance clients’ abilities to retain treatment changes and/or use other available support services.
7. May organize, plan and participate in therapy groups for clients and/or their families, as assigned.

Client Information System

1. Establish appropriate professional files, including: comprehensive assessments, progress notes, treatment objectives and plans, previous treatment records, clients’ consent to current treatment and for exchange of information.
2. Complete required administrative forms. Collect necessary information for billing and fee collection.
3. Provide necessary client information to other agencies or health care providers to coordinate services to identified clients.
4. May prepare necessary documents/reports for DCFS as needed.

Training Activities/Professional Growth

1. Supervisor and employee mutually identify professional goals that will enhance job related skills.
2. Participate in ongoing agency meetings, committees and special projects to enhance professional expertise.
3. Complete mandatory education requirements by specified deadlines.
4. Participate in required staff meetings and in-services to keep abreast of agency policy and administrative procedures, meet requirements for continuing education, and upgrade professional knowledge.

Consultation/Networking

1. Engage in appropriate team work functions (such as mutual support, clarification of office responsibilities and procedures) according to best professional judgment and agency policy to provide a professional working environment and effective service delivery.
2. Develop cooperative relationships outside the agency with family, physicians, public officials or interested agencies to provide for the development of mental health services in the community.

Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.
• COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.
• QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.
• EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

1. Job Relationships

Demonstrate through initiative and apparent effort involvement in clinical supervision.

• Communicate directly with supervisor for clarification of administrative policy, program evaluation to promote a professional working environment and effective service delivery system.
• Adhere to MHS/MBH Behavioral Standards

Other Job Responsibilities

• Ability to accommodate evening/weekend hours.
• Perform other duties as required by agency needs.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

1. Embodies the Memorial Health System Performance Excellence Standards of Safety, Quality, Integrity and Stewardship that support our mission, vision and values:

• SAFETY: Prevent Harm – I will put safety first in everything I do.  I will speak up, without fear, on matters of patient and colleague safety.  I will take action to create an environment of zero harm.

• QUALITY: Improve Outcomes –  I will continually advance my knowledge and skills.  I will seek out continuous improvement opportunities.  I will deliver evidence-based care that leads to excellence in outcomes.

• INTEGRITY: Show respect and Compassion  – I will respect others and show compassion.  I will behave honesty and ethically.  I will be accountable for my attitude, actions and health.

• STEWARDSHIP: Reduce Waste – I will use resources wisely and maintain financial stability.  I will work together to coordinate care and services across the health system.  I will promote healthier communities.

1. Participates as a neutral party while facilitating and interpreting medical encounters, discussions, announcements, conversations, meetings, events, and other situations as needed throughout the health system in a professional, focused manner.

1. Accurately interprets patients’ words and speech.

1. Accurately site translates written documents from English to another language.

1. Ensures patients’ questions and concerns regarding the information are appropriately addressed.

1. Demonstrates the knowledge and skills necessary to provide interpreting services appropriate to all age groups.

1. Works in teams with other interpreters to interpret difficult or lengthy situations or events.

1. Maintains accurate and timely documentation.

1. Acts as a cultural mediator when necessary to enhance communication between providers, patients, and families.

1. Demonstrates knowledge of and adheres to The National Council on Interpreting in Health Care (NCIHC) National Standards of Practice for Interpreters in Health Care, The International Medical Interpreter Association (IMIA) Code of Ethics, and Registry of Interpreters for the Deaf (RID) Code of Professional Conduct.

1. Other duties as assigned.

Required Skills

1. Assesses patient’s health status through interview, observation and physical assessment skills.

1. Develops an individualized plan of care with specific goals and target date in collaboration with the patient, family, provider and other members of the health care as appropriate.

1. Implements appropriate interventions identified in the plan of care to move the patient toward established goals or outcomes.

1. Systematically evaluates and documents patient’s progress to expected outcomes / goals on an ongoing basis throughout the shift and modifies plan of care based on patient’s responses to expected outcomes.

1. Completes documentation in the patient medical record accurately and in a timely manner

1. Demonstrated technical knowledge and skill to safely utilize patient care equipment.

1. Prioritizes work based on changes in the patient condition, changes in assignments and unanticipated interruptions.

1. Collaborates with the health care team to organize tasks and activities from the patient’s admission through discharge. Delegates tasks and activities to other members in the health care team using appropriate

1. Performs all nursing care activities using techniques to promote safety, reduce risks, and follows policies and procedures.

1. Acts as an advocate for the patient with families, physicians and other healthcare team members.

1. Adapts teaching strategies passed on the patient’s response, readiness to learn and level of comprehension.

1. Implements cultural, age-specific gender and developmental factors into patient/family education about health concerns, disease specific conditions, self-care and long-term management of chronic conditions.

1. Promptly follow up on patient’s/ family requests/concerns

1. Provides care to all age groups as defined by nursing standards on each unit. Uses age appropriate communication techniques. 

1. Perform tactics to support great patient experience and lead others to support initiatives in patient experience.

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Professionally and courteously, interact with the general public, physicians and hospital personnel.
• Receive Physician orders for patient testing and ensures orders comply with Medicare’s Local Coverage (LCD) and National Coverage Decision’s (NCD).
• Obtain patient clinical and demographic data to appropriately provide the medical service identified by the practitioner and to provide the service at the time that best meets the patient schedule.
• Keeps unit stocked in necessary supplies and keeps work area neat and organized.
• Plays a vital role in representing JMH in a positive, compassionate manner with professional communication, mannerism, and appearance.
• Assist patients/visitors throughout the enterprise, providing telephone support, one-on-one assistance and way finding.
• Maintains a cooperative and productive working relationship with all co-workers, physicians, management, and external customers to coordinate for optimum patient flow and throughput.
• Actively supports patient/family centered care by actions and attitude that demonstrates service excellence.
• Identifies customer service concerns and resolves and/or initiates service recovery.
• Accountable for coordinating patient scheduled services, insurance authorization, benefits verifications and to ensure accurate demographic/financial data is properly obtained, entered, and documented into required system(s). Initiates the Patient Revenue Cycle by proper identification, verification and entry of insurance and authorization information.
• Notifies and explains financial obligation to the patient/guarantor in a compassionate manner.
• Provides resources for financial assistance.
• Stays abreast of insurance and billing codes updates.
•  Issues and explains insurance waivers, as necessary.
• Demonstrate a good understanding of the elements involved with the various procedures/exams and provide appropriate instructions to patients for specific testing ordered.

Required Skills

1. Interprets plans, establishes, and exercises proper treatment programs in accordance with the physician’s referral, periodically, reviewing the patient’s program and response and making recommendations to the physician relative to the need of continuing or discontinuing the physical therapy treatment

1. Assists the physician in evaluating disability, injury, or disease process of individual patients and in evaluating the patient’s level of function

1. Contacts the physician directly for patient reports and care as needed

1. Observes, records, and reports to the physician the patient’s reaction to the therapy program or any changes in the patient’s condition

1. Submits to the physician appropriate written reports to the patient’s progress at the designated intervals using appropriate and designated forms

1. Assists in determining the needs of the patient and in developing the total plan of care

1. Treats patients and their families with respect and dignity

1. Identifies and addresses psychosocial, cultural, ethnic and religious/spiritual needs of patients and their families/care givers

1. The clinician will need to demonstrate the knowledge and skills necessary to provide care appropriate to ages specific to the patient population for the clinician. This could include the following groups:  infants (0-12months), children (1 year – 12 years), adolescents (13 years -18 years), adult (18 years-65 years), older adults (65 years +). 

1. Instructs, teaches and supervises patients regarding occupational therapy procedures as related to the patient’s therapy programs

1. Formulates a teaching plan based upon identified learning needs and evaluates effectiveness of learning, family and care givers are included in teaching as appropriate

1. May supervise occupational therapist assistants, rehabilitation aides, volunteers, or students in regards to patient care techniques and needs

1. Enhance professional development through participation in continuing education programs and in-service meetings

1. Attend and participates in meetings as required

1. Adheres to all applicable federal, state, local, and company maintained standards of care and ethics and policies concerned with the practice of occupational therapy and among other things, personnel qualifications

1. Meets productivity and utilization expectations as established by the facility

1. Completes timely clinical documentation to include functional goal-setting, progress and therapeutic approach as well as administrative/billing documentation timely and accurately

1. Assists in maintaining department policies, procedures, objectives, quality assurance, safety, environmental, and infection control programs

1. Assist in care and maintenance of department equipment and supplies

1. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

11/18

Required Skills

1. Professionally and courteously interacts with the patients, general public, physicians, hospital personnel, and outside entities. Uphold PAH’s behavioral standards.
2. Obtains and promotes appropriate clinical documentation through interaction with physicians, nursing staff and other patient caregivers to ensure documentation of the complexity and level of service rendered to the patient is complete and accurate.
3. Collaborates with health care team to identify working DRG’s
4. Generates concurrent queries that are within corporate standards

Participates in analysis and trending of statistical data for specified patient populations to identify opportunities for improvement

1. Protects the confidentiality of the patient information at all times
2. Develops a relationship with professional affiliations and others to maintain professional growth and development
3. Keep detailed and concise records
4. Demonstrates expertise in the application of Interqual and/ or Milliman criteria
5. Reviews of clinical data for ED admits, making level of care recommendations to the ED physician and obtaining any additional clinical information that may assist in level of care determination
6. Manages all direct admits, clarifying level of care orders and performing InterQual and/or Milliman screening as appropriate. Acquires additional information if necessary to assist in level of care determination.
7. Reviews all request for changes in status for admission from outpatient surgery or other areas.
8. Insures operative procedure performed is the operative procedure prior authorized with the third party payor and communicates any variance
9. Monitors use of healthcare resources. Communicates with physicians to assure patient receives diagnostic/ evaluations in the proper setting (i.e. inpatient vs outpatient)
10. Maintains current knowledge of payor rules and regulations, especially CMS (Medicare)
11. Serves as an expert resource to physicians and healthcare staff in the application of InterQual/ and or Milliman criteria
12. Conducts observation reviews daily
13. Conducts initial admission reviews at the time of presentation, or within 24 hours, if patient presents during uncovered hours
14. Conducts concurrent review per department policy and as a private payor dictates
15. Follows department policy regarding escalation of utilization issues to the Physician Advisor or his/her designee.
16. Communicates length of stay (LOS) or coverage concerns for Utilization Review agencies to the patient care team and Provider.
17. Participates in Care Conferences as needed.
18. Reviews all denial received for potential appeals, initiates telephonic or written appeal, logs information, and completes documentations follow up for appeal outcome.
19. Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description.

Required Skills

• Follows nursing process of assessment, planning, intervention and evaluation, incorporating physical as well as psycho-social needs of designated patient populations in person, and over the telephone. Practices within professional scope and current standards of care. Applies the Minimum Necessary Standard when accessing protected health information.
• Documents according to professional scope and current standard of care ensuring that entries are complete. Reviews quality audits and makes improvements accordingly.
• Assists in various aspects of patient flow process including, but not limited to securing/stocking necessary supplies, preparing exam room and patient for examination, assisting the provider with the exam or procedure, providing treatments and medications as ordered by the provider and cleaning/disinfecting exam/treatment area after use.
• Assists with various aspects of diagnostic testing including obtaining and/or preparing specimens, labeling/recording, and communicating results. Performs miscellaneous CLIA-waived testing. May perform EKG’s/rhythm strips, spirometry, pulse oximetry, nebulizers, as well as other testing outlined by the provider.
• Assists clinic in meeting financial goals related to revenue and expense. Obtains appropriate insurance referrals and pre-certifications. Finds most cost effective means when securing/stocking necessary supplies.
• Responsible for working with team to improve processes and implement quality plans, and provide a high level of patient satisfaction.
• Demonstrates support for and participates in accomplishing team goals and objectives.
• Performs other related work as required or requested.

Required Skills

• Assesses patients’ nutritional status according to established standards.

• Obtains necessary information from the medical record to determine patient’s nutritional status

• Develops and documents nutritional care plans for patients of any age including neonate, child, adolescent, geriatric and terminally ill patients

• Develops and documents nutritional care plans based on the cultural orientation of the patient.

• Embodies the Memorial Health System Performance Excellence Standards of Safety, Courtesy, Quality, and Efficiency that support our mission, vision and values:

• • • SAFETY: Prevent Harm – I put safety first in everything I do.  I take action to ensure the safety of others.

• • • COURTESY: Serve Others – I treat others with dignity and respect.  I project a professional image and positive attitude.

• • • QUALITY: Improve Outcomes – I continually advance my knowledge, skills and performance.  I work with others to achieve superior results.

• • • EFFICIENCY: Reduce Waste – I use time and resources wisely.  I prevent defects and delays.

• Evaluates the results of nutritional intervention on the patient’s nutritional status to determine the need to revise the nutritional plan of care.

• Improves patient’s nutritional status by consulting with physician on appropriate nutritional interventions.

• Assists in developing and implementing patient nutrition care programs and ensures consistency of programs.

• Interacts professionally with patient/family. Provides nutritional teaching and counseling to patient/family in making desired changes in eating habits.

• Provide nutritional assessment and follow-up for nutritional support patients

• Screen inpatients not identified at risk when hospitalized for more than 7 days

• Collect performance improvement data.

• Provide training for diet office staff.

• Serve as preceptor for dietetics students

• Performs other related work as required or requested.

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job.  Incumbents may be requested to perform tasks other than those specifically presented in this description