Clinical Assessment Specialist

Select Specialty Hospital - Columbus Vic Village(Grant) • Columbus, OH

1d • $70,000 - $95,000 • Onsite

About The Position

The Clinical Assessment Specialist is an on-site member of the hospital business development team who facilitates patient admissions to a critical illness recovery hospital. The role supports field clinical liaisons with preadmission screening and patient pull-through, evaluates patient suitability for rehabilitation services, and coordinates insurance authorization and related admission requirements. The position is scheduled Monday through Friday, 8 AM to 5 PM, and is not available remotely.

Requirements

• Demonstrated computer proficiency.
• Sound judgment in handling the professional and confidential nature of healthcare information.

Nice To Haves

• Current and valid state licensure or eligibility for state licensure as a Registered Nurse or Respiratory Therapist.
• Two years of related experience in a clinical healthcare setting.
• Demonstrated competency with the preadmission process, including assessments, transitions-of-care communication, and patient pull-through.
• Previous experience in a hospital setting.

Responsibilities

• Work with the Admission Department and/or acute care hospital personnel to secure insurance authorization or coordinate benefits required for admission, and develop professional relationships with insurance case managers as appropriate.
• Assess patient eligibility and feasibility for rehabilitation services in consultation with field Clinical Liaisons, the Senior Clinical Liaison, or the Director of Business Development.
• Review and analyze medical records and history relevant to determining a patient's suitability for rehabilitation services.
• Prepare and complete timely, thorough preadmission assessments that meet regulatory requirements and document clinical reasoning, medical necessity, and projected rehabilitation needs.
• Participate in meetings with hospital leadership, the Director of Business Development, and clinical liaisons to share market intelligence, strategies, and results.
• Support team members in the field or admissions office as appropriate.
• Provide backup assistance with insurance authorization as needed.
• Obtain timely authorization for patients requiring precertification and be accountable for conversion percentage and results.
• Follow policies governing commercial precertification and authorization to minimize financial risk.
• Maintain payor relationship profiles for payor case managers and medical directors.
• Identify payor preferences or use the best-practice cover sheet and submission portfolio to maximize results with insurance companies.
• Develop and maintain professional credibility, mutual respect, and confidence with leadership and teammates.
• Perform other related projects and duties as assigned.

Benefits

• Extensive orientation program.
• Generous paid time off.
• Medical and prescription drug, health, vision, and dental plan offerings.
• Company-matching 401(k) retirement plan.
• Life and disability protection.
• Company-paid parking.

What This Job Offers

• Job Type: Full-time
• Education Level: No Education Listed