Internal Admissions

Purpose:

The Internal Admissions Coordinator represents the facility with the area hospitals and other medical professionals. A member of the marketing team and an important part of the overall team approach in the facility.

Qualifications:

• Must possess the ability to communicate effectively, orally and in writing.

• Must possess the ability to deal tactfully with personnel, residents, visitors and the general public.

• Must have knowledge of medical terminology.

• Must have knowledge of Medicare, Medicaid and other insurances.

• Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing admission practices.

• Software knowledge - Outlook, Excel, Word

• Must understand and be up to date with the Federal and State regulations for SNF’s related to admissions.

• Ability to work flexible hours and weekends as needed

• Ability to read and write in English

• Must be at least 18 years of age.

Essential Job Functions: Responsibilities include but are not limited to the following:

• Assessment of all referrals- communicate with appropriate staff

• Communicate with case manager/online systems regarding pending referrals

• Maintain all appropriate documentation on all accepted residents, to include 3008, PASRR, FL2, UAI

• Provide Business Office Manager with all financial documentation prior to admit.

• Utilize IRM in tracking all referrals and potential admissions

• Initiate the Admission Notification form to be distributed upon actual admission

• Initiate the Discharge Notification form to be distributed upon actual discharge

• Verify all Insurances on all potential admissions

• Obtain authorization and levels on all applicable admissions

• Completion of Admission Inquiry Tool

• Complete admission paperwork within 48 hours of admission

• Coordinate with family and physician on the necessary information required to admit resident.

• Communicate with external facilities and hospitals on bed availability.

• Be available to give tours and information regarding the facility to prospective resident and/or family member.

• Maintain the Daily Census tracking records

• Represent the facility in community events

• Coordinate with Director of Community Relations to help with obtaining required medical documentation prior to admits such as:

o Hospital face Sheet/or Face Sheet form discharging facility

o History and physical

o 3008(FL)

o PASSAR

o Recent nurse’s notes

o Chest X-Ray results

o Recent Lab work results

o FL2(NC)

o UAI(VA)

• Coordinate with Director of Community Relations to help with obtaining required financial documentation prior to admits such as:

o Insurance verification- Primary and Secondary

o Insurance authorization

o Contact information (address and phone number)

• Maintain resident confidentiality and privacy. Treat residents with kindness, dignity and respect, know and comply with Resident Rights and report complaints and concerns to the appropriate department.

• Knowledge of healthcare regulatory standards is preferred.

• Have a general understanding of Advance Directives.

• All other duties as assigned.

Residents Rights Function:

Maintain resident/patient confidentiality and privacy; treat residents/patients with kindness, dignity and respect; know and comply with the Resident’s Rights rules and comply with HIPAA regulations.

Physical and Sensory Job Requirements:

• Minimal physical requirements typically associated with an office/clerical position. The person in this position needs to occasionally move about the office to access file cabinets, office machinery and the like

• Employee may be required to lift and or move boxes, packages, etc., weighing approximately 25 pounds

• While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle or feel objects, tools or controls; reach with hands and arms; climb stairs, balance, stoop or kneel; talk or hear; taste or smell. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

Education and Experience:

• Must have a Bachelor’s Degree or equivalent experience in related field

• 3- 5 years’ experience in Long Term Care, which can include an SNF, ALF, Hospital or similar healthcare organization and in a similar titled position

• Knowledge of healthcare Federal and State regulatory standards.