Clinical Admissions Specialist - Full Time Days - Home/Hospice
Join our not-for-profit organization with over 100 years of providing housing and services to seniors, committed to quality care and service in a Christian environment.
About the role
Responsible for identifying potential admissions, processing and placing 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 use of services provided. Responsible for complying with all related laws, regulations, and policy/procedure. Educates healthcare team members regarding trends, external regulations, and internal policies affecting resource utilization and prior authorization.
Depending on location, enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately. Delivers high-quality customer service in a professional manner. Handles confidential and sensitive information. Coordinates several responsibilities simultaneously and serves as a resource to all team members.
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 paperwork and insurance verifications
- Perform clinical evaluations on resident/client charts
- Determine appropriate action for cases not meeting facility/agency standards
- Visit with discharge planners, family members, and interdisciplinary team members
- Comply with all related laws, regulations, and policies/procedures
- Educate healthcare team on trends, regulations, and internal policies
- 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 necessary travel
- Basic Life Support (BLS) certification required
Pay
$29.00 - $46.50 per hour, depending on experience.
Schedule
- Full time, 40 hours per week
- Day shifts, 8 hours
- Flexible scheduling with work-life balance
- Travel within a 60-mile radius of Nisswa, MN for home health and hospice services
Benefits
- Health insurance
- Dental insurance
- Vision insurance
- Life insurance
- 401(k) retirement plan
- Work/life balance benefits
- Generous time off package
More information about Total Rewards.