RESIDENT NAVIGATOR

Villa Maria Nursing Ctr & Rehab•Hialeah, 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 readmitted patients and residents, managing beds, and supporting the Business Office in accordance with established policies and procedures. The role coordinates admissions, transfers, and discharges; maintains census and admission records; gathers signatures and required documents; and communicates admission and discharge information to relevant departments. The Resident Navigator also helps facilitate equipment needs, responds to inquiries about admissions, conducts facility tours, supports financial processes for new admissions, and serves as the Facility Patient Ambassador for admissions and discharges. The position requires excellent customer service, a positive attitude, and careful handling of confidential information. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.

Requirements

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

Nice To Haves

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

Responsibilities

Uphold the principles of the organization's Mission, Vision, and Values.
Work with patients or residents and their representatives, health care proxies, surrogates, powers of attorney, or court-appointed guardians to support efficient admissions.
Admit, transfer, and discharge patients and residents in accordance with established policies and procedures.
Maintain daily and monthly census reports and report discrepancies to Central Admissions as needed.
Attend necessary morning meetings to report census information.
Maintain the admission package Excel log to track timely signatures within 72 hours of admission.
Distribute referral information from hospitals, discharge planners, case managers, and physicians for inclusion in patient or resident charts.
Create admission face sheets, complete admissions paperwork, and obtain signatures on required forms, releases, and authorizations.
Ensure accurate information is collected during the admission package process for entry onto the face sheet.
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.
Answer 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 and established policies and procedures.
Assist the Business Office with financial responsibilities for co-payments and private-pay patients or residents with new admissions or readmissions.
Obtain required signatures from patients, residents, or their 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 receptionists and nursing units by email of expected pending admissions.
Serve as the Facility Patient Ambassador for admissions and discharges.
Scan admission packets and other documents into 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 in facilitating admissions for new long-term care residents.