Priscilla Smith Julien

The clinical assessor - Adult assesses adults with emotional and behavioral health issues, including severe and persistent mental illness. the clinical assessor provides comprehensive behavioral health assessments for adults by completing a comprehensive bio-psychosocial in conjunction with the other assessment tools in order to assess treatment and other needs determine appropriate levels of care and diagnosis to establish medical necessity. this includes diagnosing and assessing needs related to social determinants of health, crisis intervention, treatment planning and any needed referrals. the clinical assessor will operate in an open access environment under a certified community behavioral health CCBHC model. the clinical assessor ensures assessment are delivered using issues regarding how trauma impacts individual and family functioning, and that plans and interventions use trauma resolution skills. ensures that services are tailored to the unique culture of the client.

• Conducted comprehensive assessments to evaluate client needs and treatment options.
• Developed individualized care plans in collaboration with interdisciplinary teams.
• Utilized evidence-based practices to ensure quality service delivery and compliance with regulations.

• Provide individual and family therapy to a diverse population including children, adolescents, adults, and families.
• Conduct therapy sessions primarily in-person working in paired schools as well as in the community providing some telehealth options meeting the flexibility and convenience of my clients.
• Clinical documentation using ECR electronic health record program.

• Coordinate admissions-in-person clinical screenings and assessment procedures associated with the admission of patients to the outpatient behavioral health and substance abuse programs.
• Complete insurance or third-party payer verification review of care assessment and complete pre-certification of care.
• Complete documentation of activities consistent with best practices.
• Perform direct counseling in crisis management and other duties as assigned.
• Ensure the thorough completion of consent and release of information consistent with federal, state, MLH, and department requirements.
• Clearly communicate assessment and clinical information to internal departments.
• Maintain excellent working relationships with referral sources, patients, families, and other service providers.

• Responsible for the overall coordination of the clinical screening and assessment procedures associated with the admission of patients to the inpatient and outpatient behavioral health services of Main Line Health System, including the Employee Assistance Program.
• Provide telephone coverage during intake center hours.
• Collects demographic, insurance, referral, and clinical data for each patient/client as required by each program screen information for appropriateness for admissions.
• Schedules patients for evaluation/admission and communicate all of the intake information to the receiving/admitting unit/program.
• Coordinate the insurance certification and pre-certification process for prospective patients/clients.
• Back-up Neuromodulation Coordinator assists in consults, scheduling, readmission, and testing ECT procedures in the absence of the coordinator.

• Facilitates the daily operation of the office.
• Answer phones, exchange information, and take messages, routes calls.
• Direct callers and visitors to the appropriate person and/or relays messages.
• Assists alert with general social work resources as needed.
• Immediately informs staff of unusual or complicated situations.
• Responsible for processing timely appeals to Third Party Payers and the maintenance of accurate records of same.
• This includes appeal process with Executive Health Resources - physician advisor group.
• Time, Data Entry of appeal information system application coordinator, Physician Advisor review and outcomes.
• Track and maintain RAC appeals in MedAssets.
• Request charts from Medical Records via MRO.

• Support the Director, Asst. Director, and Coordinator of Quality/Risk Management Department which consists of typing correspondence, assessments, monitoring forms, policies, plans, fact sheets, confidential peer review minutes, etc.
• Distributed mail for Q/RM, Infection Control, and Patient Relations.
• Maintain department manuals.
• Processed filed incident reports using forms.
• Handled new and filing of property damage reports.
• Processed insurance vehicles included filing of claims.
• Tracked and updated hospital emergency and non-emergency vehicle registrations.
• Coordinated with various departments throughout hospital in the update of the Joint Commission Periodic Performance Review.
• Tracked and approved department timesheets using Kronos.
• Maintained inventory of supplies for departments.
• Supported Director of Infection Control including typing of minutes, monitors, updating infection control manual and plans.
• Assisted with retrieving and producing bioterrorism, operating room data, statistical reports and other data collection/analysis.
• Scheduled appointments, in-service presentations, and other meetings as well as booked locations.
• Received telephone calls in absence of Director.