Admissions Case Manager

TMC • Dothan, AL

5d • Onsite

About The Position

A nursing home admissions case manager guides patients and families through the transition into long-term or short-term care. They evaluate clinical needs, manage insurance authorizations, and collaborate with hospital staff. This pivotal role ensures a seamless intake process, proper financial planning, and a unified plan of care.

Requirements

• Alabama LPN license preferred
• 1–3 years of experience in long-term care, hospital discharge planning, or clinical intake.
• Strong working knowledge of Medicare/Medicaid guidelines, excellent interpersonal communication, and familiarity with Electronic Health Record (EHR) systems

Responsibilities

• Review medical records to ensure the facility can safely and effectively meet the prospective resident's clinical needs.
• Verify insurance benefits (Medicare, Medicaid, private pay), secure prior authorizations, and guide families through financial clearance and paperwork.
• Act as a liaison between hospital case managers, facility medical directors, nursing staff, and the resident's family to ensure a smooth transition.
• Conduct facility tours for potential residents and families, answering questions about facility life and care standards.
• Ensure all admission documentation, state regulations, and medical necessity criteria are met.

What This Job Offers

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