Job Description

Works with the referral source to obtain all necessary clinical information and to assess clinical appropriateness of all referrals.

Coordinates with the Director of Business Development or Clinical Liaison for on site assessment when deemed necessary.

Completes all necessary financial verifications in order to verify all existing health insurance benefits and confirm the primary and secondary payer sources.

Understands the Managed Care policy and authorization requirements. Works with Managed Care Coordinator to process admissions with any payers requiring prior authorization.

Runs criminal and sex offender background checks to identify any potential offenders.

Demonstrates efficiency and effectiveness while reviewing referrals.

Communicates with facility staff and assigned physicians regarding patient admissions and ensures all relevant information has been shared including diagnosis, special needs, medical equipment, etc.

Ensures that all referrals/inquiries for admission and readmission receive a response within 15 minutes. This includes referrals through all avenues including, but not limited to: eFax, phone, in person, etc.

Communicates with referral sources and/or Business Development Team members in a timely manner on the acceptance or denial of all referrals.

Creates profiles for new admissions and updates existing profiles upon re-admissions within electronic health record system (Point Click Care).

Completes the Referral Tracking Log on a daily basis to reflect all referral activity and updates.

Ensures effective, efficient and professional communication occurs with all interactions.

Follow established communication expectations with team members, facility staff, and organizational leadership and referral sources.

MINIMUM QUALIFICATIONS

Education: High School diploma or equivalent

**Previous experience in skilled nursing facility admissions.**