Clinical Admissions Specialist - Home Health - FT
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 role is responsible for identifying potential admissions, coordinating the referral and admission process, and tracking the status of new patient/client referrals. The specialist assesses referral appropriateness and determines the organization's ability to meet the clinical needs of prospective residents/clients while ensuring timely and appropriate placement. This position will have occasional travel to Mayville, ND and Detroit Lakes, MN.
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.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree
