IRC Admissions Coordinator

Advocate Health and Hospitals Corporation•High Point, NC

1d•$35 - $52•Onsite

About The Position

Completes the pre-admission assessment of candidates referred by acute care case managers, therapists, physicians, or external referral sources withing twenty-four hours Monday through Friday and in accordance with Commission on Accreditation of Rehabilitation Facilities (CARF) and CMS guidelines - Assessments include a review of the medical record, family interviews, and consultation with unit leadership and the rehabilitation physician to determine appropriateness of admission Determines patient/family overall goal for rehabilitation, establishes a preliminary discharge plan and determines available insurance benefits for inpatient rehabilitation Makes recommendations for inpatient rehabilitation or other appropriate post-acute care settings and communicates recommendations to referral sources in a timely manner Ensures appropriate pre-admission documentation is complete Facilitates daily admissions meeting with unit leadership and the rehabilitation physician to discuss potential admissions to the unit and any barriers that might exist including medical, clinical, financial, or social barriers Ensures accurate collection of referral, denial, and admission's data through maintenance of an excel data file Provides for a pre-admission orientation to the unit including the provision of written materials including the Inpatient Rehabilitation Center brochure and written disclosure statement Seeks pre-authorization from insurance companies and communicates availability of rehab benefits to prospective admissions Works with financial counselors to assist our uninsured with potential access to the rehab level of care Ensures accurate collection of data related to the insurance authorization process for potential admissions through maintenance of an excel data file Collaborates with the physician and interdisciplinary team to develop and coordinate the patient plan of care, including assisting with the overall goal for the rehab. Stay Participates in Team Conferences as needed Keeps payer sources informed of patient progress and provides follow-up information for utilization review and authorization of additional rehab days as needed Works with referral sources, physicians, and the interdisciplinary team to identify opportunities to improve the efficiency/effectiveness of the admission's process, improve overall communication, and improve patient outcomes Provides accurate, thorough, and timely information regarding the clinical and financial status of new admissions to the SWCM and other interdisciplinary team members to ensure a seamless transition to the unit Provides ongoing education to referral sources and staff related to admission criteria and regulatory changes that affect the rehab level of care Performs other duties as assigned

Requirements

Bachelor's degree in Nursing, PT, OT, ST, or another related field is required.
applicable state license required.
CPR certification required.
MOAB (Management of Aggressive Behavior) certification required but can be obtained after hire.
Must possess excellent verbal and written communication skills.
Must have the ability to multitask, problem solve, and coordinate care.
Must have basic knowledge of Excel and the ability to conduct statistical analysis.

Nice To Haves

Five years' clinical experience in a hospital or rehabilitation setting preferred.
Prior case management experience preferred.
Knowledge of Inpatient Rehabilitation Facilities regulatory requirements preferred.

Responsibilities

Completes the pre-admission assessment of candidates referred by acute care case managers, therapists, physicians, or external referral sources withing twenty-four hours Monday through Friday and in accordance with Commission on Accreditation of Rehabilitation Facilities (CARF) and CMS guidelines
Determines patient/family overall goal for rehabilitation, establishes a preliminary discharge plan and determines available insurance benefits for inpatient rehabilitation
Makes recommendations for inpatient rehabilitation or other appropriate post-acute care settings and communicates recommendations to referral sources in a timely manner
Ensures appropriate pre-admission documentation is complete
Facilitates daily admissions meeting with unit leadership and the rehabilitation physician to discuss potential admissions to the unit and any barriers that might exist including medical, clinical, financial, or social barriers
Ensures accurate collection of referral, denial, and admission's data through maintenance of an excel data file
Provides for a pre-admission orientation to the unit including the provision of written materials including the Inpatient Rehabilitation Center brochure and written disclosure statement
Seeks pre-authorization from insurance companies and communicates availability of rehab benefits to prospective admissions
Works with financial counselors to assist our uninsured with potential access to the rehab level of care
Ensures accurate collection of data related to the insurance authorization process for potential admissions through maintenance of an excel data file
Collaborates with the physician and interdisciplinary team to develop and coordinate the patient plan of care, including assisting with the overall goal for the rehab stay
Participates in Team Conferences as needed
Keeps payer sources informed of patient progress and provides follow-up information for utilization review and authorization of additional rehab days as needed
Works with referral sources, physicians, and the interdisciplinary team to identify opportunities to improve the efficiency/effectiveness of the admission's process, improve overall communication, and improve patient outcomes
Provides accurate, thorough, and timely information regarding the clinical and financial status of new admissions to the SWCM and other interdisciplinary team members to ensure a seamless transition to the unit
Provides ongoing education to referral sources and staff related to admission criteria and regulatory changes that affect the rehab level of care
Performs other duties as assigned

Benefits

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:
Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Benefits and more Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program