Clinical Admissions Specialist - Long Term Care

Sanford Health•Remote MN, MN

3d•$29 - $47

About The Position

The Clinical Admissions Specialist is responsible for identifying potential admissions, processing and placing new resident or client requests, and tracking admission status. The role completes authorization activities and determines whether accepting facilities or agencies can provide the appropriate level of care. The specialist supports facility or agency admissions by coordinating with colleagues and referral sources, organizing resident or client move-ins, handling admission paperwork, insurance verification and prior authorizations, and arranging transportation when applicable. The position helps ensure smooth transitions from referring facilities, reviews clinical records to determine whether appropriate medical services are available, and determines the appropriate action for referrals that do not meet facility or agency standards. The specialist also meets with discharge planners, families, and interdisciplinary team members to promote the location and its services. The role complies with applicable laws, regulations, and policies; educates healthcare team members about resource utilization trends and relevant regulations and policies; and may accurately enter information into Customer Referral Management and electronic medical record systems. It requires professional customer service, strong interpersonal and listening skills, discretion with confidential information, and the ability to coordinate multiple responsibilities. The specialist serves as a resource and point of contact for team members, offering guidance, training, and assistance.

Requirements

Education level appropriate to state licensure requirements.
Hold an unencumbered license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational Therapist (OT), Physical Therapist (PT), or Licensed Social Worker (LSW), as applicable to the state or states of practice and position requirements.
For home-based services, an unencumbered Certified Occupational Therapy Assistant (COTA) or Physical Therapist Assistant (PTA) license may also qualify, subject to applicable state and multi-state licensure requirements.
Obtain and maintain required department-specific competencies and certifications.
Basic Life Support (BLS) certification is required.
A valid driver's license may be required because some travel is necessary.
Strong interpersonal and listening skills.
Ability to handle confidential and sensitive information.
Ability to coordinate several responsibilities at once.

Nice To Haves

Bachelor’s degree from an accredited school and/or program.
Prior work experience in a long-term care facility.

Responsibilities

Identify potential admissions, process and place new resident or client requests, and track admission status.
Complete authorization activities and determine whether accepting facilities or agencies can provide the appropriate level of care.
Support facilities or agencies by completing resident or client admission-related tasks.
Collaborate with colleagues and referral sources to plan, implement, and evaluate the admissions process.
Coordinate resident or client move-ins, including admission paperwork, insurance verifications, prior authorizations, and transportation when applicable.
Help ensure a smooth transition from the referring facility to the receiving location.
Evaluate resident or client charts to determine whether the accepting facility or agency offers appropriate medical services.
Determine appropriate action for referrals that do not meet facility or agency standards.
Meet with discharge planners, family members, and interdisciplinary team members to promote the location and its services.
Comply with applicable laws, regulations, and policies and procedures.
Educate healthcare team members about trends, external regulations, and internal policies affecting resource utilization and prior authorization.
Enter information accurately into Customer Referral Management and the electronic medical record, depending on location.
Provide high-quality customer service and handle confidential and sensitive information appropriately.
Coordinate multiple responsibilities and serve as a resource and point of contact for team guidance, training, and questions.