Admissions Specialist Acute

Red River Hospital•Wichita Falls, TX

10d

About The Position

The Admissions Specialist is a clinical professional responsible for inquiries, assessments, and admissions to the facility. The role facilitates admission and assessment processes, responds to inquiries, conducts pre-admission assessments, and communicates recommendations to patients and families. It coordinates admissions and transfers across levels of care, collaborates with medical and psychiatric personnel and treatment teams, and handles insurance-related processes, including benefit verification, pre-authorization, continued-stay reviews, and peer-to-peer reviews. The position also supports patient safety, conducts required safety checks and supervision, and provides professional, empathetic customer service.

Requirements

Bachelor’s degree in Behavioral Science or a Social Services field; alternatively, an RN may meet the minimum educational requirement with an associate’s degree in nursing, or an LPN/LVN may meet it by successfully completing an LPN/LVN training program.
Licensure as preferred for the area of clinical specialty, as designated by the state in which the facility operates.
CPR and de-escalation/restraint certification required; training is available upon hire and offered by the facility.

Nice To Haves

For states in which a therapist may act in this role, a master's degree in a therapeutic field is preferred.
One or more years of experience working with individuals in a clinical or observational capacity within the facility’s area of specialty is preferred.
First aid may be required based on the state or facility.

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 facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
Coordinate admissions and transfers between levels of care within the facility.
Promptly communicate projected admissions to designated internal representatives.
Verify insurance benefits and share gathered information with patients, families, and appropriate facility staff.
Gather medical admission documentation from external sources before 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 communicate review results to the multidisciplinary treatment team.
Provide accurate and ongoing assessment of patient status during the admissions process.
Communicate treatment recommendations to other treatment teams.
Maintain a positive, empathetic, and professional attitude toward customers, acknowledge unmet patient needs, and work to resolve complaints.
Prioritize patient safety and provide excellent customer service with a sense of urgency.
Conduct safety checks and ensure supervision at 15-minute intervals, as noted in special precautions, or according to individualized supervision guidelines.
Perform other functions and tasks as assigned.