Clinical Admissions Specialist - Full Time Days - Home/Hospice

Facility: GSS MN Nisswa | Location: Nisswa, MN | Full time, 40 hours per week

About the role

Join our team as a Clinical Admissions Specialist! Responsible for identifying potential admissions, processing and placement of new resident/client requests, and tracking admission status. Completes activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide appropriate level of care. Acts as a support person to facility/agency by completing resident/client admission-related tasks. Collaborates with colleagues and referral sources to plan, implement, and evaluate the admissions process.

Coordinates resident/client move-in process, including handling admission paperwork, insurance verifications and prior authorizations, and transportation if applicable. Ensures smooth transition from referring facility to location. Performs clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency. Determines appropriate action for referring cases that do not meet facility/agency standards.

Visits with discharge planners, family members, and members of the interdisciplinary team to promote the location and the use of services provided. Responsible for complying with all related laws, regulations, and policy/procedure. Educates members of the healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization.

Depending on location, enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately. Ability to deliver high-quality customer service in a professional manner. Strong interpersonal and listening skills. Ability to handle confidential and sensitive information. Must coordinate several responsibilities at once. Considered a resource to all team members and acts as point of contact for guidance, training, and assisting with questions.

Responsibilities

• Identify potential admissions and process new resident/client requests
• Track admission status and complete authorization activities
• Determine accepting facilities’/agency’s capabilities to provide appropriate level of care
• Coordinate resident/client move-in process, including admission paperwork, insurance verifications, and transportation
• Perform clinical evaluations on resident/client charts
• Determine appropriate action for cases that do not meet facility/agency standards
• Visit with discharge planners, family members, and interdisciplinary team members to promote services
• Comply with all related laws, regulations, and policies/procedures
• Educate healthcare team on trends, regulations, and policies affecting resource utilization
• Enter data into CRM and EMR accurately
• Deliver high-quality customer service and handle confidential information
• Act as a resource and point of contact for team members

Requirements

• Appropriate education level required in accordance with state licensure
• Bachelor’s degree from an accredited school and/or program preferred, but not required
• Prior work experience in a long-term care facility preferred
• Currently holds an unencumbered license in one of the following:
  • Registered Nurse (RN)
  • Licensed Practical Nurse (LPN)
  • Occupational Therapist (OT)
  • Physical Therapist (PT)
  • Licensed Social Worker (LSW)
• If working in home-based services, can also hold an unencumbered license as:
  • Certified Occupational Therapy Assistant (COTA)
  • Physical Therapist Assistant (PTA)
• Obtains and maintains required department-specific competencies and certifications
• Valid driver’s license may be required due to travel within a 60-mile radius of Nisswa, MN
• Basic Life Support (BLS) certification required

Pay

$29.00 - $46.50 per hour, depending on experience. Flexible scheduling with work-life balance.

Schedule

Full time, day shifts, 40 hours per week. Travel within a 60-mile radius of Nisswa, MN.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) retirement plan
• Work/life balance benefits
• Generous time off package