Job Description

Central Intake Specialist
Senior Living Properties - Bedford, TX
SLP Operations, LLC operates 51 skilled nursing facilities in Texas and Oklahoma. SLP Operations, LLC is seeking a Central Intake Specialist to join its organization. At SLP Operations, LLC., we believe everyone deserves a great life, including you. Our commitment is to provide love, attention and optimal care one resident at a time. We realize consistently fulfilling this commitment depends on the success of caring professionals like you, who build their careers with us. Together, we\xe2\x80\x99re setting the standard in the delivery of rehabilitation, quality post-acute services and long-term care. Join us and discover how many lives you can change, including yours.
JOB SUMMARY: As a Centralized Intake Specialist, you will be responsible for reviewing and approving potential admissions clinically and financially. Coordinate admissions and hospital transfers to an appropriate SLP skilled rehabilitation and nursing center.

WE OFFER:

• Medical, vision and dental insurance
• Employer-paid life insurance
• Paid time off
• Paid holidays
• Flexible schedules
• Long term growth and advancement opportunities
• And more\xe2\x80\xa6.

• Be responsible for reviewing and approving potential admissions clinically and financially to our skilled rehabilitation and nursing centers.
• Apply your clinical knowledge derived from education and experience as foundation for gathering appropriate clinical data to ensure appropriate placement, transfer facilitation, communication, and accurate documentation.
• Work collaboratively with team members ensuring appropriate patient admissions and exceptional customer experience.
• Decides acceptance of patients and coordinates admission process with ADPS and center Admin, DON and BOM recognizing:
• Referral\xe2\x80\x99s clinical needs.
• Availability of necessary services, programming, and clinical competencies.
• Reviewing, confirming, and communicating patient\xe2\x80\x99s payor source to center along with supporting documentation.
• Reviewing and confirming managed care insurance to Managed Care Manager for prior auth;Work with ADPS for Family and/or responsible party confirmation of resources for Medicaid or SSI pending patients; and knowing bed availability in centers that you cover
• Efficiently and effectively, work with ADPS who manages all referrals.
• Communicate with Administrators, DON\xe2\x80\x99s, and BOM\xe2\x80\x99s regarding patient care issues, needs, and concerns and advise when appropriate.
• Work collaboratively with centers to manage all internal and external patient movements and the allocation of bed assignments.
• Communicate with Administrator and DON if placement of a specific patient will be problematic. Use problem- solving skills to determine the best course of action, which will be satisfactory to the patient, the DON, and the center.
• Make suggestions and utilize creative thinking and acquired knowledge to assess situations and improve decision-making and action.
• Coordinate transfers from the hospitals to our centers.
• Be responsible for documenting and tracking all referrals, admissions, hospital transfers and transports.
• Assist in data collection, monitoring, evaluation, and analyzing of problems for the purpose of developing and implementing protocols, policies, and procedures.
• Follow specific protocols, policies, procedures, and utilize established resources.
• Respond to all referrals with the aid of an electronic database of service profiles, approved clinical protocols and healthcare information.
• Obtains appropriate clinical documentation to support services and/or reimbursement level and financial documentation to support qualified payor source.
• Uses Referral Screening form to screen residents; ensure PASSR is completed upon admission and copy to center. Obtains accurate information from physicians, patients, and referral sources regarding the expected discharge plan.
• Responds to calls and/or inquiries regarding potential admissions and responds to these calls within 15 minutes if possible. Document approval or denial on third party referral websites \xe2\x80\x93 Allscripts, CarePort, etc.
• Communicates information to ADPS and center sales/admissions teams, Administrator or Director of Nursing and Business Office Manager, when applicable and helps coordinates patient\xe2\x80\x99s smooth transition into the center.
• Assists potential patients in selecting post-acute placement to Senior Living Properties centers.
• Develop and maintain relationships with referral sources; cooperate and collaborate with referral sources and colleagues.
• Provides VP of Sales & Marketing, COO, Regional Sales Managers, VPO\xe2\x80\x99s, Regional teams and Center teams with information and feedback from the providers in the region.
• Adheres to established HIPAA confidentiality standards of patient/resident and client location information.
• Assists with generating additional referrals from hospital social services and discharge planning departments, physicians, case managers, insurance companies and new referral sources.
• Demonstrates growth in hospital referrals, as reflected in an increase of overall occupancy and quality mix in SLP centers.
• Read and familiarize self with State and Federal Nursing Facility regulations.
• Stay current and familiarize self with current healthcare and community trends including but not limited to Alternative Payment Models and changes in accounts, competitors, or healthcare community.
• Exhibit excellent customer relationship skills including telephone and personal contact with all of the call center\xe2\x80\x99s customer groups, i.e. physicians and their office staffs, nurses, vendors and fellow employees, etc.
• Establish and maintains a high degree of awareness and knowledge of SLP\xe2\x80\x99s medical staff, services and special programs.
• Maintain composure and customer-centric communication with challenging callers.
• Participates in off hour and weekend on call duty as assigned.

• Current unencumbered RN or LVN license
• Experience in a Skilled Nursing Setting: 1 year
• Must have CCM/ MDS experience
• Strong clinical reviews skills
• Possess a current and working knowledge/understanding of MCO payor systems including- HMO, PPO, POS, EPO, Medicare, Medicaid, Worker\xe2\x80\x99s Compensation
• Ability to work with little supervision
• Strong problem solving and critical thinking skills
• Excellent communication skills to include written, verbal and the ability to read, as well as follow oral and written direction at a level necessary to accomplish the job
• Demonstration of proficiency in computer skills, Microsoft Office, and Outlook with ability to learn new applications
• Knowledge of and understanding of single case agreements and letters of agreement
• Understanding of reading and comprehending MCO contract requirements and obligations