Clinical Admissions Specialist - Home Health
About The Position
Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. This position is responsible for identifying potential admissions, coordinating the referral and admission process, and tracking the status of new patient/client referrals. It assesses referral appropriateness, and determines the organization's ability to meet the clinical needs of prospective residents/clients while ensuring timely and appropriate placement. The role acts as a support person to facility/agency by completing resident/client admission related tasks. It collaborates with colleagues and referral sources to plan, implement, and evaluate the admissions process. It coordinates the resident/client move-in process, including the handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable, ensuring a smooth transition from referring facility to location. The position performs clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency and can determine appropriate action for referring cases that do not meet facility/agency standards. It visits with discharge planners, family members and members of the interdisciplinary team to promote the location and the use of services provided. The role is responsible for complying with all related laws, regulations, and policy/procedure and educates members of the healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization. Depending on location, it enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately. The role requires the ability to deliver high quality customer service in a professional manner, strong interpersonal and listening skills, and the ability to handle confidential and sensitive information. The Clinical Admissions Specialist must be able to coordinate several different responsibilities at once and is considered a resource to all team members, acting as a point of contact for guidance, training, and assisting with questions.
Requirements
- Appropriate education level required in accordance with state licensure
- Currently holds an unencumbered license in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational Therapist (OT) or Physical Therapist (PT), Licensed Social Work (LSW) with applicable State Board in state(s) of practice and/or possess multi-state licensure privileges as required by position.
- If working in home-based services, can also hold an unencumbered license: Certified occupational Therapy Assistant (COTA) and Physical Therapist Assistant (PTA) with applicable State Board in state(s) of practice and/or possess multi-state licensure privileges as required by position.
- Obtains and subsequently maintains required department specific competencies and certifications.
- Some travel is necessary so a valid drivers license may be required.
- Basic Life Support (BLS) required.
Nice To Haves
- Bachelor’s degree from an accredited school and/or program is preferred, but not required.
- Prior work experience in long term care facility preferred.
Responsibilities
- Identifying potential admissions
- Coordinating the referral and admission process
- Tracking the status of new patient/client referrals
- Assessing referral appropriateness
- Determining the organization's ability to meet the clinical needs of prospective residents/clients
- Ensuring timely and appropriate placement
- Completing resident/client admission related tasks
- Collaborating with colleagues and referral sources to plan, implement, and evaluate the admissions process
- Coordinating resident/client move-in process, including the handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable
- Ensuring smooth transition from referring facility to location
- Performing clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency
- Determining appropriate action for referring cases that do not meet facility/agency standards
- Visiting with discharge planners, family members and members of the interdisciplinary team to promote the location and the use of services provided
- Complying with all related laws, regulations, and policy/procedure
- Educating members of healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization
- Entering data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately
- Delivering high quality customer service in a professional manner
- Coordinating several different responsibilities at once
- Acting as a resource to all team members and as a point of contact for guidance, training, and assisting with questions
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
