Central Admissions Specialist

Central Admissions Specialist

Weslaco Nursing and Rehabilitation Center - Weslaco, TX 78596

Overview

Position Type: Full Time Job Shift: 8am - 5pm Category: Health Care

Description

The Central Admissions Specialist supports the admissions department's activities in the pre-admission, admission, discharge, and follow up processes.

Essential Functions:

Receives prospective resident referrals and reviews financially and clinically with supporting tools. i.e. clinical and financial grid from assigned accounts

Tracks pre-admission referral activity daily/weekly

Coordinates the assignment of attending physician

Confirms level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated

Confirms financial approval and acquires necessary documentation

Obtains prior approval number from payer on a per case basis when authorized

Communicates potential risks to Administrator and Director of Nursing

Confirms specialized equipment is ordered as indicated (review contract content for need to obtain prior approval from authorized payer)

Complete demographic information in AHT or PCC, scan, email or fax to appropriate facility and department.

Receives necessary financial information from discharging source prior to patient arriving, distribute to case management, social services, and business office

Tracks acute hospital admissions to follow up and facilitate readmission of residents

Coordinates weekend/holiday admissions

Facilitates receipt of all necessary documentation from referring institution

Reviews computerized census system daily

Maintains waiting list and inquiry list

Coordinates room assignment designation

Access continuing education opportunities appropriate to responsibilities

Promotes optimal communication among program staff members, facility staff, referrals sources, physicians and residents

Appropriately accesses the resources of the company's regional offices for consultation and program development support

Seeks out external resources through conferences, workshops, etc. as necessary. Routinely shares personal knowledge with staff, other managers and facility personnel

Participates in sales events and meetings as needed in medical community or in the non-medical community.

Demonstrates flexibility in adjusting to change, patient needs, and customer expectations; meets company standards relating to deadlines and attendance

Establishes and maintains exemplary standards for department appearance and staff presentment; ensures compliance with company and facility policies and procedures

Adheres to all safety and risk management protocols and programs

Participates in direct and indirect patient care activities as warranted

Participates in quality improvement activities, which reduce cost and increase efficiency through improved systems and processes

Exhibits courtesy, compassion and respect to residents, families, visitors, physicians, administrators and coworkers

Are required to exercise discretion and independent judgement

Performs other duties or functions as directed

Qualifications

EDUCATION AND EXPERIENCE:

High school diploma

At least one year experience in Health Care Sales/Marketing/Insurance or commensurate education preferred

Familiar with medical terminology

SKILLS:

A Central Admissions Specialist should have some knowledge, skills and abilities in order to do his or her job properly. Among them, we indicated the following as requirements:

Communication: talking with healthcare workers, doctors, nurses, families, and patients daily, must be friendly and able to listen to needs and concerns

Empathy: working with people who may be injured, infirmed, or confused and their families, understanding needs and concerns is crucial

Detail orientated: working with medical records and must organize and process this information for use in the facility and with referring facilities

TECHNICAL SKILLS:

Using computers to input data and may need to use coding and classification software and electronic health record systems