Clinical Assessment Specialist

Select Medical•Camp Hill, PA

6d•Onsite

About The Position

Select Specialty Hospital Critical Illness Recovery Hospital (LTACH) is seeking a Clinical Assessment Specialist (RN or RT) to join their hospital business development team. This role facilitates patient admissions by assisting the field clinical liaisons with PAS completion and pull-through. The Clinical Assessment Specialist works within the hospital Admissions Department to assess patients for appropriateness for specialty services and to help secure insurance authorization. This role involves developing professional relationships with insurance case managers, collaborating with field staff and referring hospital case managers, and reviewing medical records to determine suitability for rehab services. The specialist will prepare detailed preadmission assessments and ensure compliance with policies governing commercial pre-certification and authorization to minimize financial risk.

Requirements

Current and valid state licensure or eligibility for state licensure as a Registered Nurse, or Respiratory Therapist
Demonstrated computer proficiency.

Nice To Haves

Two years of related experience working in a hospital setting.
Demonstrated competency with the preadmission process, including assessments, transitions of care communication, and patient pull-through.

Responsibilities

Works within the hospital Admissions Department to assess patients for appropriateness for our specialty services and to help secure insurance authorization for referred patients.
Develops professional relationships with insurance case managers as appropriate.
Collaborates with Clinical Liaison field staff and referring hospital case managers to obtain information necessary for a thorough patient clinical assessment.
Reviews and analyzes medical records and history that are key to a determination of suitability for rehab services.
Prepares detailed preadmission assessments that meet regulatory requirements and that describe the medical necessity for our specialty hospital services.
Ensures all policies governing commercial pre-certification and authorization are followed to minimize financial risk.