Clinical Admissions Specialist - Long Term Care

Sanford Health • Sioux City, IA

1d • Hybrid

About The Position

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. 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

• Identifying potential admissions
• Processing and placement of new resident/client requests
• Tracking admission status
• Completing activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide appropriate level or care
• Acting as a support person to facility/agency by 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
• Handling confidential and sensitive information
• 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

Benefits

• 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.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees