Intake Case Manager - Social Work Services

Landmark Medical Center is a 214-bed acute care hospital in Woonsocket, RI, serving the communities of northern Rhode Island and southern Massachusetts since 1873. As part of Prime Healthcare, we uphold core values of quality, compassion, and community. The hospital has earned an “A” rating for patient safety from The Leapfrog Group and multiple Healthgrades awards for patient safety excellence, heart care, and orthopedics.

Responsibilities

• Initiate triage of patients presenting to the Emergency Department in psychiatric emergency crisis.
• Ensure quality emergency triage and appropriate resource management for all patients requiring emergent psychiatric assessment, triage, disposition, and/or crisis management.
• Assess psychiatric patients in the Emergency Department or any acute care unit of the hospital.
• Determine appropriateness for admission and/or disposition of patients with potential psychiatric illness.
• Ensure compliance with all regulatory standards related to psychiatric admission.
• Coordinate with attending psychiatrist for appropriate admission orders.
• Collaborate with community resources for appropriate disposition when the facility cannot meet the patient’s care needs.
• Oversee the utilization review process for triage and admission to the Behavioral Health Unit.
• Act as a patient advocate, promoting cost-containment and seamless care delivery across the continuum.
• Facilitate the achievement of quality, clinical, and cost-effectiveness through evidence-based practices.
• Conduct comprehensive admission and concurrent reviews of medical records for medical necessity, intensity of services, and severity of illness.
• Provide oversight throughout patient admission and support interdisciplinary team members in the discharge planning process.

Requirements

• Active license as a Registered Nurse, LCSW, or LICSW in Rhode Island.
• At least 5 years of psychiatric experience.
• Greater than 2 years of management experience (preferred).
• Experience in psychiatric emergency and triage (preferred).
• Knowledge of Milliman Criteria and InterQual Criteria (preferred).
• Understanding of psychiatric medical necessity and case management regulations in discharge planning.

Schedule

Part Time (less than 60 hours per shift)

Day Shift