Carepointe Specialist
CurrentProvide confidential, individual telephonic screening requests for services to determine the problem, assess risk level, and prioritize the needs of the individual. Completes initial telephonic assessment for potential consumers, including call intake/logs, assessments, and appointments for potential consumers.Linkage to information on external community resources by providing referral information to callers and consumers.Facilitates admission to AltaPointe program services, ensuring appropriateness of level of care through the use of clinical criteria. Coordinates, screens, and evaluates requests for hospital services based on, but not limited to, clinical criteria, risk factors, reimbursement, medical stability, etc.Demonstrates the ability to recognize the elements of a crisis state and knows how to deescalate or resolve the situation.Reviews clinical, demographic, and payor source data, relevant hospital/medical paperwork, and EMR data to ensure accuracy, completion and communication/dissemination of all information and documents. Researches, obtains, and accurately populates EMR as related to the patient’s insurance, applicable deductibles and co pays, and guarantor rankings as needed.Adheres to professional code of ethics.