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- Tasks: Conduct face-to-face evaluations and review medical records for nursing facility admissions.
- Company: Join ForHealth Consulting at UMass Chan Medical School, a leader in healthcare services.
- Benefits: Enjoy a full-time role with opportunities for professional growth and community impact.
- Why this job: Make a difference in the lives of individuals with serious mental illness while working in a supportive environment.
- Qualifications: Masters degree in social work or related field, or RN with relevant experience required.
- Other info: Statewide travel may be needed, primarily in southeastern Massachusetts.
The predicted salary is between 36000 - 60000 £ per year.
Clinical Reviewer II – PASRR (Southeast Region in MA)
Join to apply for the Clinical Reviewer II – PASRR (Southeast Region in MA) role at ForHealth Consulting at UMass Chan Medical School
Clinical Reviewer II – PASRR (Southeast Region in MA)
5 days ago Be among the first 25 applicants
Join to apply for the Clinical Reviewer II – PASRR (Southeast Region in MA) role at ForHealth Consulting at UMass Chan Medical School
Job Summary
Under the general supervision of the Associate Director, or designee, the Clinical Reviewer II is responsible for completing Pre-Admission Screening Resident Reviews (PASRR) Level II Evaluations by conducting face to face evaluations and reviewing medical records, in accordance with relevant guidelines and regulations. This position ensures that individuals with serious mental illness (SMI), seeking admission to or currently residing in a nursing facility, receive an in-person evaluation and nursing facility placement determination.
Job Summary
Under the general supervision of the Associate Director, or designee, the Clinical Reviewer II is responsible for completing Pre-Admission Screening Resident Reviews (PASRR) Level II Evaluations by conducting face to face evaluations and reviewing medical records, in accordance with relevant guidelines and regulations. This position ensures that individuals with serious mental illness (SMI), seeking admission to or currently residing in a nursing facility, receive an in-person evaluation and nursing facility placement determination.
Major Responsibilities
- Upon suspicion of SMI conduct in-person evaluations to confirm the presence of SMI, whether a nursing facility is the most appropriate setting and whether the individual has a need for behavioral health, rehabilitative or specialized services
- Conduct completed evaluations prior to individuals nursing facility admissions; completed evaluations on individuals residing in a nursing facility when there are significant changes that signify the need for an updated evaluation;completed annual evaluations for individuals who have a previously confirmed SMI; complete abbreviated desk reviews as indicated or needed
- Complete evaluations on an individualized basis within required timeframes, and in accordance with the most current federal rules, regulations, and evaluative criteria
- Communicate all evaluation findings to applicants, residents and/or legally authorized representatives in an understandable manner and language
- Communicate determinations that identity a need for specialized services and/or behavioral health services to the facility, agency, or referrals source, within appropriate timelines and data transmission policies
- Contact providers, state agency offices, and applicants/participants to obtain information and records needed to conduct a comprehensive clinical review of the case and final determination
- Review and document all relevant information into data system applications in accordance with program guidelines and regulations
- Maintain individual records documenting all applicant/participant encounters and contacts; write clinical summaries
- Support in the preparation and responses to requests for statistics and resource/service data
- Foster and promote continuity of care and cooperative partnerships by liaising with health care providers, acute care hospitals, long term care facilities and other programs/organizations involved in the provision of services
- Participate in public relations efforts, attending conferences and meetings as needed
- Maintain positive working relationships with applicant/participants, and relevant informal supports, provider organizations, program consultants and state agencies
- Maintain the confidentiality of all business documents and correspondence per UMass Chan Medical School/ForHealth Consulting procedures and HIPAA regulations
- Participate in performance improvement initiatives and demonstrate the use of quality improvement in daily operations
- Comply with established departmental policies, procedures and objectives
- Comply with all health, safety and program regulations and requirements
Required Qualifications
- Masters Level Degree in social work; mental health counseling; a related health and human services field or equivalent.
- OR
- A Registered Nurse (RN) with a Bachelors Degree or equivalent.
- 5 years of work experience providing direct service or case management to adults with psychiatric disabilities, inclusive of 1 year of experience in a medical or clinical setting with knowledge of medical terminology. (If a Registered Nurse, must have a minimum 9 years of collective relevant education and work experience as outlined above)
- Demonstrated knowledge and experience with relevant social service/rehabilitation systems.
- Knowledge of applicable state and federal regulation.
- Ability to work weekends/holidays as needed/if indicated.
- Ability to travel statewide.
- Proficient in the use of Microsoft Applications, including Word, Outlook and database.
Preferred Qualifications
- Masters Level Degree – Massachusetts licensed Psychologist
- OR
- Masters Level Degree – Licensed Social Worker; Licensed Mental Health Counselor
- OR
- Masters Level Degree – Certified Rehabilitation Counselor or other licensed professional.
- Experience with disabled or long-term care populations
- Experience in community mental health and behavioral health services and one of the following areas: Long-Term Care, Home Care, Rehab, and/or Disabilities
- Ability to understand and utilize resources for problem solving, in order to deal with problems involving multiple variables, effectively prioritizing and executing tasks in a high-pressure environment.
This position potentially requires statewide travel with a concentration in the southeastern part of Massachusetts.
The University of Massachusetts Chan Medical School welcomes all qualified applicants and complies with all state and federal anti-discrimination laws.
Seniority level
-
Seniority level
Not Applicable
Employment type
-
Employment type
Full-time
Job function
-
Job function
Research, Analyst, and Information Technology
-
Industries
Research Services
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Pre-Admission Screening & Resident Reviewer (Southeast Region in MA) employer: ForHealth Consulting at UMass Chan Medical School
Contact Detail:
ForHealth Consulting at UMass Chan Medical School Recruiting Team
StudySmarter Expert Advice 🤫
We think this is how you could land Pre-Admission Screening & Resident Reviewer (Southeast Region in MA)
✨Tip Number 1
Familiarise yourself with the specific regulations and guidelines related to Pre-Admission Screening Resident Reviews (PASRR). Understanding these will not only help you in interviews but also demonstrate your commitment to the role.
✨Tip Number 2
Network with professionals in the mental health and long-term care sectors. Attend relevant conferences or workshops in the Southeast Region of MA to make connections that could lead to valuable insights or referrals.
✨Tip Number 3
Prepare for potential interview questions by practising how you would conduct face-to-face evaluations and communicate findings. Role-playing these scenarios can boost your confidence and showcase your skills effectively.
✨Tip Number 4
Stay updated on current trends and challenges in mental health services, especially those affecting individuals with serious mental illness. This knowledge can set you apart as a candidate who is informed and proactive.
We think you need these skills to ace Pre-Admission Screening & Resident Reviewer (Southeast Region in MA)
Some tips for your application 🫡
Understand the Role: Before applying, make sure to thoroughly read the job description for the Clinical Reviewer II position. Understand the responsibilities and required qualifications, as this will help you tailor your application.
Highlight Relevant Experience: In your CV and cover letter, emphasise your experience in providing direct service or case management to adults with psychiatric disabilities. Mention any specific roles that align with the responsibilities of conducting evaluations and working within healthcare settings.
Showcase Your Skills: Demonstrate your proficiency in Microsoft Applications and your ability to communicate effectively. Include examples of how you've used these skills in previous roles, especially in high-pressure environments.
Craft a Strong Cover Letter: Write a compelling cover letter that not only outlines your qualifications but also expresses your passion for working with individuals with serious mental illness. Make sure to address how your background aligns with the mission of ForHealth Consulting at UMass Chan Medical School.
How to prepare for a job interview at ForHealth Consulting at UMass Chan Medical School
✨Understand the Role Thoroughly
Before your interview, make sure you have a solid understanding of the Clinical Reviewer II role and its responsibilities. Familiarise yourself with the Pre-Admission Screening Resident Reviews (PASRR) process and relevant guidelines. This will help you answer questions confidently and demonstrate your knowledge.
✨Prepare for Scenario-Based Questions
Expect to be asked about specific scenarios related to mental health evaluations and case management. Prepare examples from your past experience where you successfully handled similar situations. This will showcase your problem-solving skills and ability to work under pressure.
✨Highlight Your Communication Skills
As a Clinical Reviewer, effective communication is key. Be ready to discuss how you would communicate findings to applicants and other stakeholders. Use examples that illustrate your ability to convey complex information in an understandable manner.
✨Showcase Your Teamwork and Collaboration
This role involves liaising with various healthcare providers and agencies. Be prepared to talk about your experience working in teams and how you foster positive relationships with colleagues and external partners. Highlight any initiatives you've been part of that improved continuity of care.
