Clinical Assessment Specialist

Select Medical•Los Angeles, CA

4d•Onsite

About The Position

The Clinical Assessment Specialist is a critical member of the hospital business development team, helping patients get admitted to acute inpatient rehabilitation hospitals quickly so they can receive needed care and services. The role assists field clinical liaisons with patient assessment completion and pull-through and offers an opportunity to work on the business side of healthcare away from the bedside. This is a full-time, onsite position at California Rehabilitation Institute in Los Angeles, California. The schedule is Saturday through Wednesday, 8:00 a.m. to 5:00 p.m. The salary range is $90,000–$115,000, based on experience. The successful candidate must hold an active, unencumbered RN, PT, OT, or SLP license.

Requirements

Current and valid state licensure, or eligibility for state licensure, as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist.
Multi-state licensure based on the geographical territory.
Exercise sound judgment when handling confidential healthcare information.

Nice To Haves

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 rehabilitation setting or another post-acute care setting.
Demonstrated computer proficiency.

Responsibilities

Work with the Admission Department and/or acute care hospital personnel to secure insurance authorization and coordinate benefits needed for admission.
Develop professional relationships with insurance case managers as appropriate.
Assess patient eligibility for and feasibility of 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 suitability for rehabilitative services.
Prepare and complete timely, thorough preadmission assessments that meet regulatory requirements.
Document critical thinking and rationale for admission, including 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 pre-certification and remain accountable for conversion percentage and results.
Follow policies governing commercial pre-certification and authorization to minimize financial risk.
Maintain payor relationship profiles for payor case managers and medical directors.
Identify payor preferences or use best-practice coversheets and submission portfolios 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.