Admissions Coordinator SNF

Admissions Coordinator SNF

December 30, 2020

Title: Admissions Coordinator – HC Department: Health Center
Reports to: Health Services Director Location: Skyline at First Hill
Status: Full time, Non-Exempt Effective Date: January 1, 2021

Primary Purpose:

Coordination of admissions to the Health Center at Skyline. Responsible for gathering all information necessary to evaluate potential admission of referrals from hospitals and other provider organizations to ensure the referral meets community clinical admission criteria and facilitate optimal transition of care. Serves as primary point of contact for internal transfers from Skyline independent living, assisted living and memory care into Health Center. Gathers history and physical and other clinical information as well as payer and insurance information, and obtains and documents necessary authorizations to ensure a smooth and successful admission process. Develops and maintains referral source relationships to achieve/sustain a quality and quantity of referrals to achieve established occupancy goals.

Principle Responsibilities:
ADMISSION PROCESS
• Maintain familiarity with current guidelines for Medicare, Med Advantage plans and long term care insurance.
• Coordinate with Director of Nursing, administration and billing departments to maintain written admission guidelines with clear and consistent admission criteria, policies and procedures.
• Manage admission inquiries including phone inquiries, general emails, incoming faxes to ensure prompt follow-up and avoid losing potential admissions
• Obtain information regarding prospective admissions by requesting completed applications and medical information; verifying and clarifying information; interviewing patients and family members; explaining admission criteria.
• Compare patient’s documented condition to admission criteria and provide recommendation to Director of Nursing for accepting or rejecting patients; refer patients and family to other programs and institutions when Skyline admission is not available.
• Communicate with other departments as necessary (e.g. therapy, social services) in relation to the assessment process.
• Collect and compile all information necessary to establish the prospects admission record in the Electronic Health Record, including the Common Working File and Verification of Funds.
• Enter information into Electronic Health Record and upload necessary admissions documents in an accurate and timely manner
• Counsel residents and family members with Medicare and other insurance questions when needed.
• Communicate closely with Transforming Age billing office to ensure necessary information is provided.
• Admit patients in accordance with state and federal guidelines by completing admission packet including financial responsibility forms.
• Provide optimal response time to referral sources to achieve customer satisfaction and maximize successful admissions.
• Arrange and schedule medical transportation services for new admissions when needed through the established request system.
• Establish contact with new resident upon arrival, introduce to room and call system, introduce key staff.
• Create a positive resident experience that is resident centered, from the referral through the discharge.
• Resolve patient/family concerns regarding admission process and recommend changes in service policies and procedures.

TEAM SUPPORT
• Provide support and assistance to Health Services Director, Health Center Director of Nursing, and Assisted Living Administrator as requested.
• Answer phones in a courteous and professional manner and route calls as appropriate.
• Greet visitors in a pleasant and professional manner.
• Maintain a neat and organized reception area for the Health Services Office, assist with setup for special events, etc.
REPORTING AND AUDITING
• Keep current on compliance requirements and regulatory changes.
• Maintain Admissions Binder with policies and procedures for SNF admissions process, including contact information for referral sources, payer authorizations, etc.
• Ensure access is maintained to key software subscriptions, etc. by maintaining a log, noting upcoming expirations, tracking login and administrator information.
• Prepare admissions reports by collecting, analyzing, and summarizing data and trends.
• Participate in triple-check audits to verify proper coding and billing practices.
• Perform system audits to ensure access is uninterrupted; work as needed to restore.
• Coordinate with Skyline business office, medical records and clinical personnel to ensure census and billing information is accurate, make corrections as needed.
• Assist in evaluation of insurance, managed care and HMO contracts for viability and cost/benefit analysis.
MARKETING SUPPORT
• Maintain inventory and storage of marketing collateral, restocking/reprinting/reordering as needed.
• Identify professional referral sources and key decision makers in the primary and secondary markets.
• Support the marketing of Skyline programs and facilities by providing information, responding to inquiries, conducting tours, etc.
• Build awareness with providers and discharge planners of what Skyline has to offer.
OTHER
• Protect organization reputation by keeping information confidential.
• Maintain a working relationship with all members of the management team and all levels of employees.
• Act professionally and honestly at all times in the representation of Skyline.
• Coordinate with Assisted Living/Memory Care sales and admissions staff to ensure backup.
• Maintain a strict adherence to Federal, State and local regulations.

Required Skills/Knowledge/Abilities:

Excellent interpersonal and communication skills, ability to work well with staff and external constituents.
Strong organizational skills to capture and share accurate information in a fast-paced environment.
Knowledge of or ability to quickly learn about Medicare, Med Advantage plans and long term care insurance.

Education and/or Equivalent Experience:

• Degree or certification in nursing, social work, medical records or a related human services field from an accredited college or university.
• Three years’ experience in community based programs for senior population, preferably including at least one year in a case management role. Must have knowledge of community agencies and appreciation for social/life history status of the residents.

Company Info

Company Name
Skyline at First Hill

Company URL
https://www.skylineseattle.org/

Contact Name
David Van Pay

Email
vanpay@comcast.net

Phone
(206) 407-1709

Fax
(206) 407-1713

Location

725 9th Ave
Seattle 98104