Admissions Coordinator, Inpatient Rehab Unit

Atrium Health Wake Forest Baptist, High Point Medical Center

PRN: 1 (8hr shift), Monday-Friday, one day weekly

Day Shifts- Variable

JOB SUMMARY:  Responsible for overseeing the referral and admission process for the Inpatient Rehabilitation Center in conjunction with unit leadership and the Medical Director.

• EDUCATION/EXPERIENCE: Bachelor’s degree in Nursing, PT, OT, ST, or another related field is required. Five years’ clinical experience in a hospital or rehabilitation setting preferred. Prior case management experience preferred. Knowledge of Inpatient Rehabilitation Facilities regulatory requirements preferred.
• LICENSURE, CERTIFICATION, and/or REGISTRATION: North Carolina license required. CPR certification required. MOAB (Management of Aggressive Behavior) certification required but can be obtained after hire.

ESSENTIAL FUNCTIONS:

• Completes the pre-admission assessment of candidates referred by acute care case managers, therapists, physicians, or external referral sources withing twenty-four hours Monday through Friday and in accordance with Commission on Accreditation of Rehabilitation Facilities (CARF) and CMS guidelines - Assessments include a review of the medical record, family interviews, and consultation with unit leadership and the rehabilitation physician to determine appropriateness of admission.
• Determines patient/family overall goal for rehabilitation, establishes a preliminary discharge plan and determines available insurance benefits for inpatient rehabilitation.
• Makes recommendations for inpatient rehabilitation or other appropriate post-acute care settings and communicates recommendations to referral sources in a timely manner.
• Ensures appropriate pre-admission documentation is complete
• Facilitates daily admissions meeting with unit leadership and the rehabilitation physician to discuss potential admissions to the unit and any barriers that might exist including medical, clinical, financial, or social barriers
• Ensures accurate collection of referral, denial, and admission’s data through maintenance of an excel data file.
• Provides for a pre-admission orientation to the unit including the provision of written materials including the Inpatient Rehabilitation Center brochure and written disclosure statement.
• Seeks pre-authorization from insurance companies and communicates availability of rehab benefits to prospective admissions
• Works with financial counselors to assist our uninsured with potential access to the rehab level of care
• Ensures accurate collection of data related to the insurance authorization process for potential admissions through maintenance of an excel data file
• Collaborates with the physician and interdisciplinary team to develop and coordinate the patient plan of care, including assisting with the overall goal for the rehab. Stay
• Participates in Team Conferences as needed
• Keeps payer sources informed of patient progress and provides follow-up information for utilization review and authorization of additional rehab days as needed
• Works with referral sources, physicians, and the interdisciplinary team to identify opportunities to improve the efficiency/effectiveness of the admission’s process, improve overall communication, and improve patient outcomes
• Provides accurate, thorough, and timely information regarding the clinical and financial status of new admissions to the SWCM and other interdisciplinary team members to ensure a seamless transition to the unit
• Provides ongoing education to referral sources and staff related to admission criteria and regulatory changes that affect the rehab level of care
• Performs other duties as assigned

SKILLS/QUALIFICATIONS:

• Must possess excellent verbal and written communication skills. 
• Must have the ability to multitask, problem solve, and coordinate care.
• Must have basic knowledge of Excel and the ability to conduct statistical analysis.

WORK ENVIRONMENT:

Clean, well-lit, comfortable office setting