Resident Navigator

Catholic Health Services•Miami, FL

3d•Onsite

About The Position

The Resident Navigator will assist the Centralized Admitting Department in various job functions, including obtaining required clinical documentation for patient/resident medical records, completing admission packets for all new and readmit admissions, bed management, and assisting the Business Office in accordance with established policies and procedures.

Requirements

High School diploma or general education degree (GED)
1-2 years of experience in a Health Care Facility preferred
Must have knowledge of computer office/clinical software such as Microsoft Office (Word, Excel, and Outlook).
Basic knowledge of Medicare/Medicaid, managed care and private insurance guidelines
Must be able to read, write and understand the English language

Nice To Haves

Bilingual preferred

Responsibilities

Supports and upholds the principles of the organizational Mission, Vision, and Values.
Works with resident and/or patient, and resident representative, health care proxy, health care surrogate, power of attorney, and/or court appointed Guardian to ensure efficient admission.
Admits, transfers, and discharges patients and/or residents in accordance with established policies and procedures.
Maintains daily/monthly census report as directed and reports any discrepancies to central admissions.
Attends necessary (morning) meetings to report census.
Maintains the admission package excel log for timely signatures within the 72 hours period upon admission.
Distributes all necessary data from referral sources such as hospitals, discharge planners, Case Managers, Physicians for resident/patient chart.
Creates admission face sheets and completes all admissions paperwork to initiate obtaining signatures of patients and/or residents or representative on all required forms, releases, authorizations, etc.
Assures that accurate information is obtained during the admission package process for data entry onto the face sheet.
Maintains Admissions Control Board with color-coded magnets.
Assists and facilitates medical, therapy and/or respiratory equipment as needed for a seamless admission.
Assists with bed management and transfers within the facility.
Communicates all admissions and discharges to central admissions throughout the day.
Ensures transfer/discharge data entered into clinical database is accurate.
Answers public inquiries both written and verbal regarding policy and procedure for admissions.
Prepares pre-admission packets for mailing upon request.
Conducts tours of the facility to potential patient and/or resident and/or representative to secure admission.
Maintains admission waiting list in accordance with established policies and procedures if applicable.
Maintains confidentiality of all pertinent care information for patients and/or residents in accordance with Health Insurance Portability Accountability Act (HIPAA) guidelines and established policies and procedures.
Assists the Business Office for financial responsibilities for co-payments, private pay consumers with new admissions/and readmits.
Obtains all signatures from patients and/or residents or responsible representative in a timely manner.
Requests copies of insurance cards, driver’s license, living wills and/or Advance Directives, and scans into clinical software when available.
Informs (via email) receptionist and nursing units of expected pending admissions.
Serves as the Facility Patient Ambassador with all admissions and discharges in the facility.
Exhibits excellent customer service and a positive attitude towards residents and/or patients, colleagues, physicians and community.
Maintains scanned documents such as admission packets into Electronic Chart System (ECS) and Pixcert daily.
Communicates with the Director, Central Admission and Executive Director/Administrator of any issues and department needs.
Assists the Business Office in facilitation of a new Long-Term Care (LTC) resident admission.
May serve as an interim department leader depending on need.
Provides orientation to new employees as needed.
Complies with all policies, local, state and federal laws and regulations.
Performs other duties as assigned.