Patient Services Representative - BG- WSP

Position: Patient Services Representative - BG18 - WSP

Patient Service Representative

Full Time-Permanent

WA State Penitentiary – Walla Walla, WA

Monthly Salary Range: $4,320 to $5,756

WA State Department of Corrections is seeking a Patient Service Representative to work at the WA State Penitentiary in Walla Walla, WA.

The mission of the Health Services department is to:

• Provide medically necessary health care services to Incarcerated Individuals assigned to Washington State Penitentiary Center in the most effective way to achieve the desired clinical outcomes.
• Use efficient methods to appropriately utilize resources and the most cost-effective measures possible.
• Apply cost containment measures and best practices in all circumstances.

Under the supervision of the Health Services Secretary Supervisor, this incumbent supports that mission to assure that incarcerated individuals have access to on-site and off-site health care services as designated by practitioners, consistent with the provisions of the WA DOC Health Plan. The incumbent will work collaboratively with the clinical providers and transport team utilizing the established Care Review Committee (CRC) Process and Scheduling Process and guidelines.

The incumbent will cross train to serve as backup for all Patient Service Representatives for on-site and off-site care. Will support adherence to DOC Policy.

Application assessment will be ongoing, and the hiring authority reserves the right to offer the position at any time during the recruitment process. It is to the applicant's advantage to apply as early as possible.

This recruitment could be used to fill multiple permanent or non-permanent positions.

Appointment Scheduling following the Scheduler Training Document Process

• Process Authorized/denied CRC consults after HQ has updated.
• Call and schedule Incarcerated Individuals’ appointments with offsite providers.
• Request an appropriately licensed staff (RN, LPN, or Provider) complete and/or sign appropriate paperwork requested by provider for offsite appointment.
• Place medical holds on Incarcerated Individuals when appropriate
• Check patient's separate es and STGs to ensure patients are scheduled accordingly.
• Prepare offsite trip packets for offsite trips.
• Request consultation paperwork from offsite providers, when necessary.
• Fill out the completion section of consult, documenting receipt of offsite consultant paperwork and or consult forms printed from OMNI-HS.
• Close consult.
• Track all ER trip out orders
• Call units and appropriate custody staff when appointments are cancelled due to a variety of reasons. Reschedule cancelled appointments for the next available appointment.

Tasks for on-site scheduling include:

• Scheduling onsite medical, dental, nursing and Mental Health/Psychiatry appointments in OMNI-HS as the position requires.
• When scheduling Mental Health appointments will ensure Incarcerated Individuals are scheduled within 30 days of arrival.

Both on-site and off-site scheduling duties include the following:

• Ensure the appointments entered in OMNI-HS correspond with provider/practitioner staff schedules.
• Cancel and reschedule appointments as needed utilizing the Cancellation List provided by Headquarters.
• Coordinate with other schedulers in order to submit a daily ‘confidential’ to generate a daily call out sheet and submit it on a daily basis by 0800 deadline.
• Meet and adhere to all scheduling deadlines.
• Answer kites submitted by Incarcerated Individuals regarding scheduling.
• Answer phone calls and e-mails from staff concerning urgent issues.
• Call units and appropriate custody staff when appointments are cancelled due to a variety of reasons. Reschedule cancelled appointments for the next available appointment.
• Adhere to patient confidentiality throughout scheduling process.

Optimizes patient access to care by daily, weekly, and monthly OMNI audit reviews.

• Print Consult Request Reports and CRC Reports
• Maintain scheduler queue and appointment database
• Ensure shell appointments are scheduled by appointment Target Date established in OMNI-HS. This should be done daily.
• Following up with providers on appointments that are not resolved on or by the actual appointment date. This should be done daily.
• Investigate medical…