Clinical Admissions Specialist - Home Health

Sanford Health•Fargo, ND

5d•$29 - $47•Onsite

About The Position

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Salary Range: $29 - $46.50 Union Position: No Department Details Cohesive home health department looking to expand the role of on-site clinical admission specialist, promoting home health services through education and referral recruitment. Must have RN, LPN, OT, or PT license Summary Responsible for identifying potential admissions, the processing and placement of new resident/client requests and tracking admission status. Completes activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide appropriate level or care. Job Description Acts as a support person to facility/agency by completing resident/client admission related tasks. Collaborates with colleagues and referral sources to plan, implement, and evaluate the admissions process. Coordinates resident/client move-in process, including the handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable. Ensures smooth transition from referring facility to location. Performs clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency. Ability to determine appropriate action for referring cases that do not meet facility/agency standards. Visits with discharge planners, family members and members of the interdisciplinary team to promote the location and the use of services provided. Responsible for complying with all related laws, regulations, and policy/procedure. Educate members of healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization. Depending on location, enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately. Ability to deliver high quality customer service in a professional manner. Strong interpersonal and listening skills. Ability to handle confidential and sensitive information. Must be able to coordinate several different responsibilities at once. Considered a resource to all team members and acts as 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

Acts as a support person to facility/agency by completing resident/client admission related tasks.
Collaborates with colleagues and referral sources to plan, implement, and evaluate the admissions process.
Coordinates resident/client move-in process, including the handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable.
Ensures smooth transition from referring facility to location.
Performs clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency.
Ability to determine appropriate action for referring cases that do not meet facility/agency standards.
Visits with discharge planners, family members and members of the interdisciplinary team to promote the location and the use of services provided.
Responsible for complying with all related laws, regulations, and policy/procedure.
Educate members of healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization.
Depending on location, enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately.
Ability to deliver high quality customer service in a professional manner.
Strong interpersonal and listening skills.
Ability to handle confidential and sensitive information.
Must be able to coordinate several different responsibilities at once.
Considered a resource to all team members and acts as point of contact for guidance, training, and assisting with questions.