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Description
Summary & Objective
The Clinical Intake Case Manager will be responsible for front line clinical assessment with the purpose of increasing census by helping determine eligibility of patients and facilitating their placement in the appropriate level of care. Must work in accordance with all applicable laws, regulations, and Life Care standards
Essential Functions
- Must have the necessary skills to perform comprehensive nursing reviews for all incoming referrals and assesses for clinical appropriateness, regulatory compliance, and agency resources to meet the needs of the patient.
- Must establish and maintain productive working relationships with providers, referral sources, physicians, health care facilities and the community.
- Must be able to discuss cases with physicians and clarify physician orders.
- Must exhibit exceptional customer service and a positive behavior towards residents and/or patients, colleagues, physicians and community.
- Ability to education physicians, case managers, and insurance companies on facility specific programs encompassing the entire continuum of services.
- Communicates with Administrator and Interdisciplinary team on a regular basis regarding resident and/or patients.
- Responsible for coordinating all inpatient admissions.
- Manage coordination of the referral-to-admission conversion process
- Ensures referrals are entered timely, accurately, and are completed prior to patient admission
- Recognize barriers to admission respond appropriately and follow up on admissions variables.
- Coordinate all aspects of care with all referral sources to provide patients with a seamless transition to post-acute care setting and promote high quality care.
- Serves as the primary point of contact between potential participants, and their families, the Catholic Health Services team.
- Communicate all pertinent information to appropriate personnel and requesting, reviewing and uploading discharge documents in order to ensure clinicians have the current pertinent information necessary to provide excellent patient care.
- Ensures appropriate communication is maintained regarding changes to patient status in the scheduling of admissions.
- Ensuring the effective communication between Centralized Intake staff and Care Coordinators, referring physicians, board and care facilities, skilled nursing facilities, patients, families, hospice branch staff, patient care liaisons, other referral sources, and the organization.
- Keeps Central Admissions appraised of changes in provider's request, change in patient status and unusual circumstances requiring further investigation prior to acceptance for services.
- Ensures appropriate communication is maintained regarding changes to patient status in the scheduling of admissions.
- Demonstrates flexibility in scheduling and readily accepts new admissions and emergency assignments as requested,
- Adhere to departmental goals, objectives, standards of performance, and policies and procedures
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.
Other Duties
- Attend weekly/monthly meetings as required
- Promotes positive employee engagement, teamwork, and mutual respect and safety work practices.
- Maintain your required certifications and mandatory skill updates.
- Comply with all policies, local, state and federal laws and regulations.
- Perform other duties as assigned
Supervisory Responsibility
- May serve as an interim department leader depending on need
Physical Requirements
- Must be able to lift and/or move up to 50 pounds and push/pull up to 250+ pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.
Disclaimer
The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.
EEOC Statement
CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
Requirements
Knowledge & Experience Requirements
- Active RN license to practice in the state of Florida 3-5 years of experience in a Health Care Facility
- or other license such as LPN/Therapy with minimal 10+ years of experience in a Health Care Facility required
- Active Nurse Practitioner (APRN) license to practice in the state of Florida preferred
- Experience in Marketing and Admissions
- Working knowledge of the patient referral process for Rehab hospital and Skilled nursing facility
- Knowledge of Medicare, Medicaid, Managed Care, and other private insurance
- Must be able to understand and effectively navigate managed care process
- Must be able to function in a fast paced environment.
- Excellent customer service skills
- Must have excellent verbal and communication skills
- Must have a valid Florida driver's license
- Multilingual preferred
- Must have knowledge of computer office/clinical software
- Must be able to read, write and understand the English language