Clinical Assessment Specialist

Responsibilities

• Works within the hospital Admissions Department to assess patients for appropriateness for our specialty services and to help secure insurance authorization for referred patients.
• Develops professional relationships with insurance case managers as appropriate.
• Collaborates with Clinical Liaison field staff and referring hospital case managers to obtain information necessary for a thorough patient clinical assessment.
• Reviews and analyzes medical records and history that are key to a determination of suitability for rehab services.
• Prepares detailed preadmission assessments that meet regulatory requirements and that describe the medical necessity for our specialty hospital services.
• Ensures all policies governing commercial pre-certification and authorization are followed to minimize financial risk.

Requirements

• Current and valid state licensure or eligibility for state licensure as a Registered Nurse, or Respiratory Therapist.
• Two years of related experience working in a hospital setting.
• Demonstrated competency with the preadmission process, including assessments, transitions of care communication, and patient pull-through.
• Demonstrated computer proficiency.

Pay

Annual salary ranges from $ 75,000 to $105,000, depending on relevant work experience.

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