Clinical Assessment Specialist

Inova Specialty Hospital

4d • Onsite

About The Position

As an integral part of our hospital business development team, the Clinical Assessment Specialist facilitates patient admissions to the rehabilitation hospital by assisting the field clinical liaisons with PAS completion and pull-through.

Requirements

• Current and valid state licensure or eligibility for state licensure as a Registered Nurse, or Respiratory Therapist

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.
• Demonstrated computer proficiency.

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.

Benefits

• Extensive orientation program to ensure a smooth transition into our setting.
• Generous PTO to maintain a healthy work-life balance
• Comprehensive medical/RX, health, vision, and dental plan offerings
• Company-matching 401(k) retirement plan, as well as life and disability protection
• Company paid parking
• Join a team of over 44,000 committed to providing exceptional patient care

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed
• Number of Employees: 501-1,000 employees