RN Clinical Admissions Specialist - Hospice

Sanford Health•Mandan, ND

2d•Hybrid

About The Position

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. This role serves as a vital link between the hospital, home health, and hospice teams, ensuring seamless transitions of care for patients. The position involves approximately 80% of time in the hospital setting and 20% dedicated to rounding in clinics, skilled nursing facilities, and within the community. It is a highly autonomous role with the ability to make a meaningful impact on patient outcomes, offering flexible scheduling that supports work-life balance. The specialist will build strong relationships with patients and their families during important healthcare transitions and play a key role in bridging communication and collaboration between hospital staff, home health providers, and hospice services to ensure continuity of care. The summary of the role is responsible for identifying potential admissions, processing and placement of new resident/client requests, and tracking admission status. This includes completing activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide the appropriate level of care.

Requirements

Appropriate education level required in accordance with state licensure.
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.

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.
Some travel is necessary so a valid drivers license may be required.

Responsibilities

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.