PRN Central Intake & Case Management Coordinator

LionStone HealthcareMayfield Heights, OH
$25 - $32Onsite

About The Position

The primary purpose of the Central Intake & Case Management Coordinator position is to facilitate the intake, referral, and admission process for assigned skilled nursing facilities while serving as a liaison between referral sources, hospitals, managed care organizations, residents, families, and facility teams.

Requirements

  • Associate's Degree required
  • Understanding of Medicare, Medicaid and Managed Care processes.
  • Strong organizational, communication and problem-solving skills.

Nice To Haves

  • Bachelor's Degree preferred.
  • Healthcare admissions, case management, discharge planning or long-term care experience preferred.

Responsibilities

  • Receive, review, and process referrals.
  • Monitor referral activity for assigned facilities.
  • Maintain referral tracking systems and databases.
  • Ensure timely response to referral opportunities.
  • Coordinate all aspects of intake from referral through admission.
  • Review clinical, financial, and insurance information.
  • Verify referral documentation requirements.
  • Support timely admission decisions.
  • Review referrals for appropriate level of care.
  • Collaborate with facility clinical teams regarding admission suitability.
  • Support continuity of care throughout transitions.
  • Support transition-of-care initiatives.
  • Communicate with families and responsible parties.
  • Support readmission reduction initiatives.
  • Assist facilities in achieving census goals.
  • Monitor admission activity and conversion rates.
  • Verify payer source information.
  • Coordinate authorization requirements and approvals.
  • Provide exceptional customer service.
  • Maintain positive relationships with hospitals and community partners.
  • Collaborate with admissions, clinical, business office and operations personnel.
  • Promote teamwork and collaboration.
  • Maintain referral tracking reports and admission metrics.
  • Monitor referral conversion rates and outcomes.
  • Ensure compliance with federal, state and company policies.
  • Comply with HIPAA requirements.
  • Protect resident confidentiality and privacy.
  • Respect resident rights, dignity and personal choice.
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