LPHA Reviewer

UnityPoint Health
Published
January 20, 2023
Location
Hamilton Blvd, Peoria, IL
Category
Other  
Job Type
Work Setting
In-office

Description

Responsibilities

Essential functions are the duties and responsibilities that are essential to the position (not a task list). Do not include if less than 5% of work time is spent on this duty. Be specific without giving explicit instructions on how to perform the task. Do not include duties that are to be performed in the future. Duties should be action oriented and avoid vague or general statements.

Key Accountability

  • Serves as the LPHA for Integrated Assessment and Treatment Plan (IATP)
  • Ensures the IATP is compliant with regulations and best practices
  • Provides clinical feedback and guidance to clinicians to ensure medical necessity and diagnosis are supported
  • Ensures appropriate treatment recommendations
  • Ensures completion of risk assessment and appropriate safety planning steps
  • Ensures completion of all required screening and/or assessment tools and utilization of results in treatment planning
  • Completes documentation supporting all activities related to review and authorization of the IATP
  • Performs diagnostic assessments, collects diagnostic information, and determines immediate treatment plan needs with patients. Requests medical consultation, where indicated, in a diligent and timely manner.
  • Completes treatment plan in conjunction with patient, identifying goals/objectives that are connected to needs identified in the assessment.
  • Provides behavioral health therapy to individuals, families and/or groups identified as having behavioral health needs.
  • Coordinates with Emergency Response Service and other crisis service teams for clients presenting who may be a danger to self or others.
  • Maintains records in accordance with UnityPlace policies, as well as state and federal oversight agencies and accreditation agencies including Joint Commission, Medicaid, Medicaid Rehabilitation Option, Illinois Department of Public Health, and Commercial Insurances.
  • Acts as a liaison and resource between the community and patient needs; coordinates treatment goals with community agencies, primary care physicians, court system, and managed-care entities.
  • May provide supervision to UnityPlace clinicians who provide assessment and treatment. May supervise counseling or social work students assigned to department.
  • Participates in in-service and competency training of students or staff.
  • Prepares special reports as needed on activities, and work group activities.
  • Meets clinical productivity standards
  • Meets compliance standards for all documentation and clinical charts.

Basic UPH Performance Criteria

  • Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.
  • Demonstrates ability to meet business needs of department with regular, reliable attendance.
  • Employee maintains current licenses and/or certifications required for the position.
  • Practices and reflects knowledge of HIPAA, Joint Commission, OSHA and other federal/state regulatory agencies guiding healthcare.
  • Completes all annual education and competency requirements within the calendar year.
  • Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse. Brings any questions or concerns regarding compliance to the immediate attention of UnityPlace administrative staff. Takes appropriate action on concerns reported by department staff related to compliance.

Qualifications

Minimum Requirements

  • Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

  • Not required to perform the essential functions of the position.

Education:

  • Master’s degree in counseling and guidance, rehabilitation counseling, social work, psychology, pastoral counseling, family therapy, or a related field.

Experience:

Minimum of two years of experience in a behavioral health setting.

License(s)/Certification(s):

  • Current licensure in good standing to practice from the Illinois Department of Professional Regulation in one of the following Licensed Clinical Social Worker, Licensed Clinical Professional Counselor, Licensed Marriage and Family Therapist, Licensed Clinical Psychologist.

Knowledge/Skills/Abilities:

  • Demonstrates an ability to apply critical thinking and problem-solving abilities to a range of client situations; has the ability to accurately assess and diagnose; can develop treatment plans and interventions with clients; possesses interpersonal skills, professional attitude and understands the ethical standards of behavioral healthcare. Able to interpret rules and regulations. Possesses good written and oral communication skills. Ability to provide clinical guidance to others. Has the ability to plan and organize their work. Is able to recognize signs of suicidal behavior, assess for lethality, and respond in a clinically appropriate manner.
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