RN Clinical Admissions Specialist - Hospice - FT

Sanford Health•Mandan, ND

7d•$29 - $47•Hybrid

About The Position

Responsible for identifying potential admissions, the processing and placement of new resident/client requests and tracking admission status. Completes activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide appropriate level or care. Acts as a support person to facility/agency by completing resident/client admission related tasks. Collaborates with colleagues and referral sources to plan, implement, and evaluate the admissions process. Coordinates resident/client move-in process, including the handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable. Ensures smooth transition from referring facility to location. Performs clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency. Ability to determine appropriate action for referring cases that do not meet facility/agency standards. Visits with discharge planners, family members and members of the interdisciplinary team to promote the location and the use of services provided. Responsible for complying with all related laws, regulations, and policy/procedure. Educate members of healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization. Depending on location, enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately. Ability to deliver high quality customer service in a professional manner. Strong interpersonal and listening skills. Ability to handle confidential and sensitive information. Must be able to coordinate several different responsibilities at once. Considered a resource to all team members and acts as point of contact for guidance, training, and assisting with questions.

Requirements

Currently holds an unencumbered license in one of the following: Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational Therapist (OT) or Physical Therapist (PT), Licensed Social Work (LSW) with applicable State Board in state(s) of practice and/or possess multi-state licensure privileges as required by position.
If working in home-based services, can also hold an unencumbered license: Certified occupational Therapy Assistant (COTA) and Physical Therapist Assistant (PTA) with applicable State Board in state(s) of practice and/or possess multi-state licensure privileges as required by position.
Obtains and subsequently maintains required department specific competencies and certifications.
Basic Life Support (BLS) required.
Valid driver's license may be required.

Nice To Haves

Bachelor’s degree from an accredited school and/or program is preferred, but not required.
Prior work experience in long term care facility preferred.

Responsibilities

Serve as a vital link between the hospital, home health, and hospice teams, ensuring seamless transitions of care for patients.
Spend approximately 80% of your time in the hospital setting, with 20% dedicated to rounding in clinics, skilled nursing facilities, and within the community.
Build strong, lasting relationships with patients and their families during important healthcare transitions.
Play a key role in bridging communication and collaboration between hospital staff, home health providers, and hospice services to ensure continuity of care.
Identify potential admissions, process and place new resident/client requests, and track admission status.
Complete activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide appropriate level of care.
Coordinate resident/client move-in process, including handling admission paperwork, insurance verifications, prior authorizations, and transportation.
Perform clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency.
Determine appropriate action for referring cases that do not meet facility/agency standards.
Visit with discharge planners, family members, and members of the interdisciplinary team to promote the location and use of services.
Comply with all related laws, regulations, and policy/procedure.
Educate members of the healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization.
Enter data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately.
Deliver high-quality customer service in a professional manner.
Handle confidential and sensitive information.
Coordinate several different responsibilities at once.
Act as a resource to all team members and serve as a point of contact for guidance, training, and assisting with questions.