Job Description

Summary Conducts initial assessment of referrals from hospitals and other sources based on clinical and financial requirements. Determines optimal placement within portfolio based on facility clinical capabilities, location, bed capacity, and payor source. Manages the transition of care to facility which includes reviewing and coordinating necessary resources for admissions. Qualifications: Education:

• Associate\xe2\x80\x99s Degree; Bachelor\xe2\x80\x99s Degree Preferred
• Minimum 2 years experience in a related field
• Strong Organizational Skills

• Valid clinical license in the state employed. LPN preferred but not required
• Valid CPR certification where required. (If applicable)
• Valid driver\xe2\x80\x99s license.

• A minimum of three years clinical experience, of which two years were in a long-term care environment.
• Experience in either an administrative or consultant role, or involvement in a survey process.
• Customer services, sales and/or marketing experience preferred.

• Ability to quickly learn new software applications and high level of comfort in leveraging technology for work
• Comfortable and accustomed to smartphone use, including but not limited to responding to and answering issues/questions from the field via text in a prompt manner
• Experience reviewing History and Physical information from Medical Charts, and fluent regarding medical terminology.
• Intermediate Level MS Office Skills
• Basic knowledge regarding Managed Care Levels of Care
• Ability to look-up and interpret insurance benefits coverage, and request authorization for SNF services.
• Strong organizational skills
• High level of customer service orientation including responsiveness and follow-through.
• Very strong oral communication skills. Ability to communicate effectively with external and internal customers. Ability to build trust and positive relationships.
• Exemplary ability to manage a heavy case load, with multiple simultaneous updates in real-time. Stays calm and focused on task while managing multiple tasks, projects, and/or assignments simultaneously.
• Ability to prioritize and think critically, and make sound judgment calls.
• Ability to evaluate all components of a SNF referral, consider financial and clinical risks, decide whether to accept or reject, and optimal placement within portfolio.
• Skilled in patient admissions assessment.
• Ability to work flexible hours.
• Ability to work independently with minimum daily direction, and to self-motivate.
• Ability to communicate effectively with patients and their families, physicians, hospital administrators, and at all levels of the organization.
• Knowledge of, or ability to learn, reimbursement programs.
• Ability to conduct oneself in a mature and professional manner.
• Meets all local health regulations, and passes post-employment physical examination, if required.
• Ability to maintain confidentiality.

• Promotes Client Facilities capabilities to referral sources and prospective residents/patients.
• Interacts with referral sources to generate a positive image and encourage word-of-mouth referral activities.
• Oversees communication with referral sources regarding referrals, and the acceptance or denial of referral. Manages the flow of information needed by the assigned facility, which includes providing facility constraints.
• Conducts initial assessment to verify and review coverage and benefits with carriers. Uses necessary tools to obtain information, which includes the electronic financial verification systems or discussion with various carriers.
• Evaluates the clinical risk from hospitals and other sources based on the clinical guidelines for the portfolio. This includes relevant clinical capabilities, location of the facility in relation to the patient needs, and bed availability. Determines optimal placement based on analyzed factors.
• Manages schedules for Transition of Care meetings at the bedside for all referrals, and notifies the Sales Team of offers tendered.
• Oversees the transition to assigned SNF including scheduling time of transition, initial medication orders for arrival, and equipment availability.
• Review and analyze census data, combined with facility layout, anticipated discharges and admissions, and define bed capacity for each facility. Adjusts the analysis throughout the day in real-time based on new data received, and provides appropriate direction of referrals.
• Assists facility team with analysis that offers creative ways to optimize the facility\xe2\x80\x99s ability to accept new patients. Notify Admissions Coordinator of any referral status changes and provide all information necessary to admit new patients

• Work efforts reflect a passion for exceeding customer expectations.
• Solicits patient/resident feedback to understand their needs and the needs of the community. Advocates for Service Excellence within the Center and influences others to take action.
• Displays responsibility by taking ownership of quality care. Shows dedication to enriching the lives of our patients and residents through empathy and compassion.
• Exhibits a commitment to results by looking for and recommending/implementing process improvements.
• Demonstrates commitment to interpersonal excellence through professional greetings, proper telephone etiquette, common courtesy, a professional attitude and appearance.
• Recognizes the benefits of team collaboration. Shows respect for fellow employees by working together to get the job done.
• Effectively addresses customer concerns and resolves conflict in a manner that is fair to all.
• Must be able to push, pull, move and/or lift a minimum of 25 pounds to a minimum height of 5 feet and be able to push, pull, move, and/or carry such weight a minimum distance of 50 feet.