Admissions Specialist - Especialista de Admisiones

San Juan Capestrano•Río Piedras, PR

About The Position

Clinical professional responsible for inquiries, assessments, and admissions to the facility. This role facilitates admissions and assessment processes for incoming patients, responds to inquiries about the facility within policy timeframes, and schedules and completes pre-admission assessments. The specialist communicates recommendations to patients or their families, collaborates with other facility medical and psychiatric personnel, and coordinates admission and transfer between levels of care. They also communicate projected admissions promptly, perform insurance benefit verifications, and ensure all necessary medical admission documentation is gathered from external sources. Additionally, this role assists therapists with concurrent reviews, coordinates peer-to-peer reviews, provides ongoing assessment of patient status, and communicates treatment recommendations. A positive, empathetic, and professional attitude is essential, along with the ability to resolve complaints and prioritize patient safety. The role also involves conducting safety checks and ensuring supervision at specified intervals.

Requirements

Bachelor’s degree in Behavioral Science, Social Services Field, or may be an RN registered nurse with an Associate's degree in nursing, or a licensed practical or vocational nurse with successful completion of an LPN or LVN training program.
CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
First aid may be required based on state or facility.

Nice To Haves

Master's degree in a therapeutic field is preferred.
One or more years’ experience working with individuals in a clinical or observational capacity within the area of specialty for the facility preferred.
Licensure, as preferred for the area of clinical specialty as designated by the state in which the facility operates.

Responsibilities

Facilitate admissions and assessment processes for incoming patients.
Respond to inquiries about the facility within facility policy timeframes.
Schedule and complete pre-admission assessments and communicate recommendations to patients or their families.
Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
Coordinate admission and transfer between levels of care within the facility.
Communicate projected admissions to designated internal representatives promptly.
Perform insurance benefit verifications, disseminating the information gathered to the patient, their families, and other appropriate facility staff.
Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.
Assist individual therapists with concurrent reviews with insurance companies to secure continued treatment.
Coordinate and facilitate peer-to-peer reviews when needed and collaborate the results of reviews with the multi-disciplinary treatment team.
Provide accurate and ongoing assessment of patient status in the admissions process.
Communicate treatment recommendations to other treatment teams.
Demonstrate a positive, empathetic, and professional attitude toward customers always.
When patient needs are not met, acknowledge and work to resolve complaints.
Recognize that patient safety is a top priority.
Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service.
Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or in accordance with individualized supervision guidelines as needed.
Perform other functions and tasks as assigned.