We use cookies. Find out more about it here. By continuing to browse this site you are agreeing to our use of cookies.

Job posting has expired

Back to search results

Clinical Reviewer

Rogers Behavioral Health
vision insurance, tuition reimbursement, 401(k), retirement plan
United States, Wisconsin, Oconomowoc
Feb 16, 2025
Schedule: Tuesday - Saturday, 10:30 am - 7:00 pm with some flexibility on the Saturday hours.

The Clinical Reviewer receives and reviews prospective patient screening materials (to include admissions screening interview [ASI] and various internal or external records), delivers clinical/programmatic recommendations to department and division team members, collaborates with providers and performs other duties as directed by their supervisors.

Job Duties & Responsibilities

Clinical Recommendations:

  • Provide recommendations based on guidance from Medical Directors for prospective patients and their families.

  • Evaluate admission screenings and recommend appropriate programs, levels of care, and delivery modes.

  • Review admission materials, including interviews, transfer documentation, external provider records, and prior treatment summaries.

  • Demonstrate understanding of Rogers' treatment programs, inclusion/exclusion criteria, levels of care, and treatment delivery modes.

  • Communicate recommendations to team members, providers, and patients/families professionally and accurately.

Mandatory Reporting:

  • Implement knowledge of System policies and state laws for reporting suspected abuse or neglect.

  • Ensure compliance with mandatory reporting requirements across all locations.

Leadership in Clinical Processes:

  • Evaluate outcomes of departmental initiatives and refine review processes.

  • Assist with process development and participate in interdisciplinary meetings.

  • Facilitate communication and provide guidance to the team on clinical reasoning and recommendations.

Professional Communication:

  • Collaborate with departments and external agencies as needed.

  • Report and prioritize data effectively for immediate or postponed action.

  • Address and resolve problems with referents, patients, and team members calmly.

  • Maintain positive relationships with medical staff and providers for case communication.

Team Collaboration:

  • Support team development and educate Patient Access and Admissions teams.

  • Communicate respectfully and assertively with all personnel.

  • Promote a team-oriented approach to patient access and admissions.

Participation in Improvement Initiatives:

  • Engage in projects to improve skills and processes.
  • Apply Rogers Operating System (ROS) principles and participate in daily huddles.

  • Create and apply ROS projects for measurable improvements.

Regulatory Compliance:

  • Understand and apply Joint Commission and state regulations.

  • Educate self and others on compliance requirements for outpatient programs.

Safety and Emergency Protocols:

  • Maintain patient and facility safety by following System guidelines and emergency protocols.

  • Report safety concerns and incidents promptly.

Committee and Site Participation:

  • Attend site committees and actively contribute to discussions and improvement activities.

  • Demonstrate organizational skills and effective communication in meetings.

Additional Responsibilities:

  • Complete required training, orientation, and annual competencies.

  • Document accurately in patient medical records.

  • Participate in on-call rotation and assist with student/intern training if applicable.

  • Perform other duties as assigned while supporting the Mission and goals of the organization.

Additional Job Description:

Education/Training Requirements:

  • Master's Degree in Psychology, Nursing, Social Work, or related field, from an accredited school of Social Work, Professional Counseling, or Family Therapy with a minimum of two (2) years' experience in health care and at least two (2) years in a psychiatric setting, preferred.
  • Full, independent licensure as a Registered Nurse, Licensed Professional Counselor (LPC), Licensed Marriage and Family Therapist (LMFT), Licensed Clinical Social Worker (LCSW) or equivalent in state practicing, i.e., LPCC, LMHC.
  • Previous admitting triage experience required.
  • Attend all mandatory in-services and other in-services relevant to the position. Be responsible for all educational requirements and related obligations pertaining to the license of the program/unit license regulatory requirements governing the program(s).

With a career at Rogers, you can look forward to a Total Rewards package of benefits, including:

  • Health, dental, and vision insurance coverage for you and your family
  • 401(k) retirement plan
  • Employee share program
  • Life/disability insurance
  • Flex spending accounts
  • Tuition reimbursement
  • Health and wellness program
  • Employee assistance program (EAP)

Through UnitedHealthcare, UMR and HealthSCOPE Benefits creates and publishes the Machine-Readable Files on behalf of Rogers Behavioral Health. To link to the Machine-Readable Files, please visit Transparency in Coverage (uhc.com)

#alert

(web-7d594f9859-2nzb9)