Patient Access Representative

• Complete the financial clearance process within Patient Access Services
• Create a positive first impression of WTH’s services for patients, families, and external customers
• Explain financial responsibilities and healthcare service expectations to patients, guarantors, and family members
• Collect and document patient information
• Complete pre-registration, registration, insurance verification, benefits verification, certification, referral management, patient liability collections, and medical necessity checks
• Interview patients and guarantors for financial counseling screening
• Verify eligibility and benefit levels
• Coordinate referrals and obtain treatment authorizations
• Collaborate with medical staff, nursing, ancillary departments, insurance payers, and external sources
• Maintain daily work queues and correspondence according to department policies
• Assign correct insurance payer plans and billing addresses in the automated patient accounting system
• Verify group and ID numbers
• Inform families about financial assistance programs
• Perform financial screening and refer accounts for counseling or eligibility assessments
• Contact payers for approvals when referrals or authorizations are missing
• Advise leadership about possible postponement or deferral of unapproved elective admissions
• Maintain accurate pre-processing files
• Investigate, resolve, and document patient problems

Patient Access Representative I

Manager

• Provide, coordinate and monitor a variety of Case Management Services to a designated caseload of Mental Health consumers
• Complete comprehensive assessments of consumers’ strengths, current status and goals
• Develop action plans with consumers to obtain service goals
• Provide crisis assistance when immediate attention is warranted
• Provide daily living assistance to help consumers achieve service plan goals and live independently or in a home with others
• Provide linkage, referral, advocacy and services to help consumers access and mobilize resources
• Complete required records, forms and documentation according to agency guidelines
• Meet or exceed agency standards for productivity and timely paperwork completion
• Interact daily with clients who are mentally ill, seriously emotionally disturbed and/or chemically dependent
• Perform related responsibilities as required or directed
• Participate in QA&I, Utilization Management and other agency functions
• Adhere to Case Management Guidelines/Standards noted by TennCare Standards
• Work under the supervision of the Clinical Manager

Case Manager – Recovery

Clinician

• Provide brief crisis-oriented counseling by phone, face to face in the center, or at off-site locations
• Participate as supervisor on-call to provide 24-hour coverage
• Coordinate client services with agencies and professionals
• Screen and refer clients for the appropriate level of care
• Assist physicians and qualified staff with the first certification process for emergency admission to the Regional Mental Health Institute
• Pre-assess clients and collect information for emergency admissions
• Work a designated shift five days per week, generally eight hours per day
• Respond to fluctuating daily client volume and call back as needed
• Maintain accurate documentation of all services rendered
• Attend staff meetings and complete mandatory training
• Perform related responsibilities as required or directed

Crisis Clinician II

Nurse

• Provide nursing care, administer medications, and document care for a designated group of patients under medical provider direction
• Provide nursing care on the assigned shift using the nursing process and addressing age-specific needs
• Check schedules, organize patient flow, and accompany patients to examination and procedure rooms
• Assist patients with walking, transfers, dressing, specimen collection, exam-room preparation, and instrument setup
• Collect patient histories and perform screenings and laboratory tests ordered by the medical provider
• Assist medical providers and nursing staff with procedures and examinations
• Chart and relay instructions to patients and families
• Answer telephone calls and provide pertinent information
• Administer medications and treatments within scope of practice
• Prepare patients for tests and surgery and assist physicians with procedures
• Initiate peripheral IV access and administer IV flushes and IVPBs according to policy
• Ensure safe segregation and disposal of hazardous pharmaceutical waste
• Receive and transcribe physician, FNP, and PA orders as appropriate
• Contribute to development, implementation, and evaluation of patient care plans
• Identify, record, and report changes in patient condition or adverse reactions
• Document care in patient records
• Clean and sterilize equipment and instruments, maintain infection-control records, and restock rooms
• Follow clinic and system-wide policies and promote patient rights
• Respond to medical emergencies and initiate CPR or appropriate action
• Order patient supplies and complete referrals
• Precept new employees during orientation
• Perform related responsibilities as required or directed

LPN – Pathways

• Provide, coordinate and monitor a variety of Case Management Services to a designated caseload of Mental Health consumers
• Complete comprehensive assessments of consumers’ strengths, current status and goals
• Develop action plans with consumers to obtain service goals
• Provide crisis assistance when immediate attention is warranted
• Provide daily living assistance to help consumers achieve service plan goals and enhance independent living abilities
• Provide linkage, referral, advocacy and resource-mobilization services
• Complete required records, forms and documentation according to agency guidelines
• Meet or exceed agency productivity and timely paperwork standards
• Interact daily with clients who are mentally ill, seriously emotionally disturbed and/or chemically dependent
• Participate in QA&I, Utilization Management and other agency functions
• Adhere to Case Management Guidelines/Standards noted by TennCare Standards
• Perform related responsibilities as required or directed
• Work under the supervision of the Clinical Manager

Patient Access Representative I

Case Manager – Recovery

Crisis Clinician II

LPN – Pathways

Case Manager – Behavioral Health