Resident Navigator

Catholic Health Services•Lauderdale Lakes, FL

About The Position

The Resident Navigator assists the Centralized Admitting Department with obtaining required clinical documentation for patient and resident medical records, completing admission packets for new and readmit admissions, managing beds, and supporting the Business Office in accordance with established policies and procedures. The role coordinates admissions, transfers, and discharges; supports patients, residents, and their representatives through the admission process; and helps ensure accurate and timely records, signatures, and communications. The Resident Navigator also serves as the facility’s Patient Ambassador for admissions and discharges and is expected to provide excellent customer service and maintain a positive attitude toward residents, patients, colleagues, physicians, and the community. The position requires a high school diploma or GED. One to two years of experience in a health care facility is preferred. Candidates should have knowledge of Microsoft Office and clinical or office software, basic knowledge of Medicare/Medicaid, managed care, and private insurance guidelines, and the ability to read, write, and understand English. Bilingual ability is preferred. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Requirements

High school diploma or general education degree (GED).
Knowledge of computer office and clinical software, such as Microsoft Office (Word, Excel, and Outlook).
Basic knowledge of Medicare/Medicaid, managed care, and private insurance guidelines.
Ability to read, write, and understand the English language.
Excellent customer service and a positive attitude toward residents and patients, colleagues, physicians, and the community.

Nice To Haves

One to two years of experience in a health care facility.
Bilingual ability.

Responsibilities

Support and uphold the organization’s Mission, Vision, and Values.
Coordinate efficient admissions with residents or patients and their representatives, including health care proxies, surrogates, powers of attorney, and court-appointed guardians.
Admit, transfer, and discharge patients and residents in accordance with established policies and procedures.
Maintain daily and monthly census reports, report discrepancies to Central Admissions, and attend morning meetings as needed to report census.
Maintain the admission package Excel log and track timely signatures within 72 hours of admission.
Distribute referral information from hospitals, discharge planners, case managers, physicians, and other sources for inclusion in resident or patient charts.
Prepare admission face sheets and paperwork, initiate collection of signatures on required forms and releases, and ensure accurate information is obtained for face-sheet data entry.
Maintain the Admissions Control Board using color-coded magnets.
Assist with arranging medical, therapy, and respiratory equipment as needed for admissions.
Assist with bed management and transfers within the facility.
Communicate admissions and discharges to Central Admissions throughout the day.
Ensure transfer and discharge data entered into the clinical database is accurate.
Respond to written and verbal public inquiries about admission policies and procedures, and prepare pre-admission packets for mailing upon request.
Conduct facility tours for prospective patients or residents and their representatives.
Maintain the admission waiting list in accordance with established policies and procedures, if applicable.
Protect confidential patient and resident information in accordance with HIPAA guidelines and established policies and procedures.
Assist the Business Office with financial responsibilities for co-payments and private-pay consumers associated with new admissions and readmissions.
Obtain required signatures from patients, residents, or responsible representatives in a timely manner.
Request copies of insurance cards, driver’s licenses, living wills, and advance directives, and scan them into clinical software when available.
Notify the receptionist and nursing units by email of expected pending admissions.
Serve as the Facility Patient Ambassador for admissions and discharges and provide excellent customer service with a positive attitude.
Scan and maintain admission documents, including admission packets, in the Electronic Chart System (ECS) and Pixcert daily.
Communicate issues and department needs to the Director of Central Admission and the Executive Director/Administrator.
Assist the Business Office with facilitating new Long-Term Care resident admissions.