Clinical Admissions Specialist - Long Term Care
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Work Shift: Day (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $29.00 - $46.50 Union Position: No Department Details - Must reside in IA or NE (or a surrounding state) - RN, LPN, PT, OT or SW licensure preferred - On-call every 4th-5th weekend/holiday (8am-12pm) - Some travel may be required (25%)
Summary
Responsible for identifying potential admissions, the 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 or care.
Job Description
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 the handling of 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. Ability to determine 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. Educate members of 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 be able to coordinate several different responsibilities at once. Considered a resource to all team members and acts as point of contact for guidance, training, and assisting with questions.
Qualifications
Appropriate education level required in accordance with state licensure. Bachelor’s degree from an accredited school and/or program is preferred, but not required. Prior work experience in 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) or Physical Therapist (PT), Licensed Social Work (LSW) with applicable State Board in state(s) of practice and/or possess multi-state licensure privileges as required by position. If working in home-based services, can also hold an unencumbered license: Certified occupational Therapy Assistant (COTA) and Physical Therapist Assistant (PTA) with applicable State Board in state(s) of practice and/or possess multi-state licensure privileges as required by position. Obtains and subsequently maintains required department specific competencies and certifications. Some travel is necessary so a valid drivers license may be required. Basic Life Support (BLS) required. Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to [email protected]. Apply To This Job