Clinical Admissions Specialist

 Posted 22 days ago
     
2-5 years experience
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AI Summary

Conduct pre-admission clinical assessments using ASAM and DSM-5 criteria to determine appropriate levels of care for patients. Coordinate admissions and transfers between facilities while managing precertification requests with funding sources.

Description

ATTENTION! $5,000 SIGN-ON BONUS!


Gateway Rehab is searching for a home-based Clinical Specialist who is responsible for pre-admission level of care assessment and case management of patients. This position is remote, but the ideal candidate must live in the Pittsburgh, PA region. This position receives infrequent supervision and instruction. Available shifts are 5 days 8 hours OR 4 days 10 hours with some evenings and weekends.


Responsibilities

  • Acts as an initial point of contact to potential patients and referral sources. 
  • Offers support to family members, potential patients and referral sources. 
  • Completes clinical assessments to help determine level of care based on ASAM criteria. 
  • Uses motivational interviewing skills to further complete evaluation. 
  • Consults with management as needed to determine medical and/or psychiatric appropriateness. 
  • Uses DSM-5 guidelines for diagnostic criteria. 
  • Coordinates admissions to inpatient treatment between various locations by communicating with multiple departments. 
  • Coordinates transfers from satellite sites and/or other facilities (such as hospitals, jails, and other D&A providers). 
  • Schedules outpatient evaluations as needed. 
  • Completes initial inpatient precertification requests with funding sources and ensures all needed documentation is complete. 
  • Completes peer to peer reviews as needed.
  • Acts as a liaison with UR staff and enters authorization information into patient database. 
  • Acts as a resource to staff regarding county funded, managed care, and commercial insurance procedures.
  • Responds to and provides case management services to referral sources. 

Knowledge, Skills, and Abilities

  • Computer proficiency with working knowledge of Word, Excel, and use of e-mail.
  • Excellent verbal and written communication skills and organizational skills.
  • Familiarity with drug and alcohol/mental health treatment and/or managed care processes required.
  • General understanding of ASAM criteria.  
  • Ability to multi-task 
  • Excellent time management skills.  



Requirements

  • Bachelor’s Degree. 
  • Experience conducting assessments and evaluations.

Preferred Requirements

  • Master’s Degree and/or Registered Nurse with current PA licensure

Additional Requirements:


  • Pass PA Criminal Background Check.
  • Obtain Child Abuse and FBI Fingerprinting Clearances. 
  • Pass Drug Screen. 
  • TB Test.

Work Conditions

  • Evenings and weekends as needed
  • Home-based
  • Minimal physical demands
  • Significant mental demands include those associated with working with patients with addictive disorders and managing multiple tasks.

Gateway Rehab is an Equal Opportunity Employer committed to diversity, equity, inclusion, and belonging. We value diverse voices and lived experiences that strengthen our mission and impact. 

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