Assessment and Referral Nurse
The Bridgeway
08.2023 - Current
- Behavioral Health
- Manage and Monitor Referral Management Portals
- Utilize facility admissions/exclusionary criteria to process incoming types of referrals
- Respond to inquiries about the facility within facility policy timeframes.
- Document calls inside of MS4 and follow-up as needed
- Pre-Admit the patients in billing system
- Coordinate with House Supervisor and Unit RN for bed availability.
- Facilitate intake, admissions, and utilization review process for incoming patients.
- Perform insurance benefit verifications, disseminating the information to appropriate internal staff.
- Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations for referrals.
- Coordinate admission and transfer between levels of care within the facility.
- Communicate projected admissions to designated appropriate unit representative in a timely manner.
- Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.
- Upon patient arrival to facility, perform Behavioral Health Assessment, obtain consent from patient or guardian, reconcile all patient medications and obtain orders from Physician for admission, ancillary and medication.
- Perform full Nursing Assessment and Skin Assessment on all new patients.
- Assisted healthcare providers in navigating referral processes and documentation requirements.
- Monitored referral trends to identify areas for process improvement and efficiency.
- Recorded incoming patients' vital signs and current medication details in electronic charts.
- Evaluated patient histories, complaints, and current symptoms.
- Followed all personal and health data procedures to effectively comply with HIPAA laws and prevent information breaches.
- Ensured adherence to regulatory guidelines by maintaining thorough knowledge of policies and procedures related to referral .
- Maintained accurate documentation in electronic health records to support referral processes.
