Access Care Coordinator- Evanston.

ROCKY MOUNTAIN CARE GROUP • Green River, WY

1d • $20 - $0 • Onsite

About The Position

Completes day-to-day tasks regarding admission, discharge, and/or transfer of residents in accordance with local, state and federal standards and regulations, as well as established policies and procedures. Participates in an open and collaborative relationship between continuum partners (i.e. home health, hospice, SNF, ALF, etc.) working toward shared goals for occupancy census and collections. Performs duties daily as delegated by the Regional Development Director to facilitate the conversion of referrals to admission status. Knows at all times, the status of each referral. Communicates with external team members regarding referral status and any additional information needed to assist with the admission decision. Communicates daily with central intake, business office, administrator/directors to complete financial evaluations for potential referrals and payment options. Knows, at all times, which payment entities require prior authorization for payment and works with the appropriate department and individuals to ensue authorization is obtained. Maintains working knowledge of payors such as other insurances, Medicare A, Medicaid, Private, Veteran’s Administration contracts, and hospital contracts, etc. Assists with processing referrals timely on a daily basis as assigned. Ensures residents are admitted, transferred and discharged from the facility software accurately on a daily basis. Records resident pay status changes on the facility’s internal daily census communication tool. Records resident pay status accurately in the resident’s record at time of admission. Behaves in a manner aligned with facility goals for occupancy and customer service. Meets with potential residents/representatives daily and provides information about the facility. Provides tours of the facility daily, and as requested by potential residents/representatives. Works in a helpful and pleasant manner, daily using the telephone to communicate with families, residents, hospitals, insurance companies, etc. related to processing referrals. Works numerous times a day using a computer, electronic medical record, spreadsheets, and other tools related to processing referrals. Completes admission paperwork and files according to facility policy. Informs the Admissions Director of obstacles or barriers to admitting residents. Maintains daily referral tracking information as assigned by the Admissions Director. Communicates with interdisciplinary team members timely regarding room assignments for pending admissions. Demonstrates interpersonal relationship skills by developing and maintaining trust with coworkers. Completes the daily census. Participates in facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee. Collaborates with members of the interdisciplinary team, family members, hospitals and community, etc. in a manner that resolves issues and improves the admissions process. Promotes teamwork, mutual respect, and effective communication. Participates in the facility’s plan of correction response to an inspection survey and implements any follow-up as designated by the Admissions Director. Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness. Treats all residents with dignity and respect. Promotes and protects all residents’ rights. Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines. Follows appropriate safety and hygiene measures at all times to protect residents and themselves. Maintains confidentiality of protected health information, including verbal, written, and electronic communications. Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer. Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator. Protects residents from abuse, and cooperates with all investigations. Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy. Participates in all life safety and emergency drills and trainings where applicable. Fulfills responsibilities as assigned during implementation or activation of the emergency plan. Reports work-related injuries and illnesses immediately to supervisor. As a condition of employment, completes all assigned training and skills competency. Follows established infection control policies and procedures.

Requirements

• Must have, as a minimum, one (1) year of experience with demonstrated success in a position in a skilled nursing facility, assisted living facility or in another related health care facility.
• Understanding of customer service principles.
• Ability to read, write, speak and understand the English language.
• Must be a supportive team member, contribute to and be an example of team work.
• Ability to make independent decisions when circumstances warrant such action.
• Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Must have patience, tact, and willingness to deal with difficult residents, family and staff.
• Must be able to relay information concerning a resident’s condition.
• Must not pose a threat to the health and safety of other individuals in the workplace.
• Meets general health requirements according to company policy, including medical and physical exams and checking immunity status to various infectious diseases.
• Agreement to abide by all standards, policies, and procedures of the facility, including the facility’s compliance and ethics program, is a condition of employment.

Nice To Haves

• Knowledgeable of insurance coverage and authorization process pertaining to long-term care is helpful.

Responsibilities

• Completes day-to-day tasks regarding admission, discharge, and/or transfer of residents.
• Participates in an open and collaborative relationship between continuum partners.
• Performs duties daily as delegated by the Regional Development Director to facilitate the conversion of referrals to admission status.
• Communicates with external team members regarding referral status.
• Communicates daily with central intake, business office, administrator/directors to complete financial evaluations.
• Ensures authorization is obtained for payment entities requiring prior authorization.
• Maintains working knowledge of various payors.
• Assists with processing referrals timely.
• Ensures residents are admitted, transferred and discharged from the facility software accurately.
• Records resident pay status changes on the facility’s internal daily census communication tool.
• Records resident pay status accurately in the resident’s record at time of admission.
• Meets with potential residents/representatives daily and provides information about the facility.
• Provides tours of the facility daily, and as requested.
• Uses the telephone to communicate with families, residents, hospitals, insurance companies, etc. related to processing referrals.
• Uses a computer, electronic medical record, spreadsheets, and other tools related to processing referrals.
• Completes admission paperwork and files according to facility policy.
• Informs the Admissions Director of obstacles or barriers to admitting residents.
• Maintains daily referral tracking information as assigned by the Admissions Director.
• Communicates with interdisciplinary team members timely regarding room assignments for pending admissions.
• Demonstrates interpersonal relationship skills by developing and maintaining trust with coworkers.
• Completes the daily census.
• Participates in facility assessment activities as needed.
• Collaborates with members of the interdisciplinary team, family members, hospitals and community, etc. in a manner that resolves issues and improves the admissions process.
• Promotes teamwork, mutual respect, and effective communication.
• Participates in the facility’s plan of correction response to an inspection survey and implements any follow-up as designated by the Admissions Director.
• Promotes safe work practices, safety rules, and accident prevention procedures.
• Treats all residents with dignity and respect.
• Promotes and protects all residents’ rights.
• Establishes a culture of compliance by adhering to all facility policies and procedures.
• Complies with standards of business conduct, and state/federal regulations and guidelines.
• Follows appropriate safety and hygiene measures at all times.
• Maintains confidentiality of protected health information.
• Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel.
• Reports any retaliation or discrimination to HR or compliance officer.
• Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator.
• Protects residents from abuse, and cooperates with all investigations.
• Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
• Participates in all life safety and emergency drills and trainings where applicable.
• Fulfills responsibilities as assigned during implementation or activation of the emergency plan.
• Reports work-related injuries and illnesses immediately to supervisor.
• Completes all assigned training and skills competency.
• Follows established infection control policies and procedures.

Benefits

• Reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed