OTHER

FEED

UNKNOWN

Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer's needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with Arnot Health. Demonstrates the ability to accurately pre-authorize / pre-certify patients exams for all departments to ensure the smooth daily operation of the department.

MAIN FUNCTION:Works within a team environment pre-authorizing exams for various hospital services. This position will require a degree of complexity and prior anatomy education. DUTIES AND RESPONSIBILITIES:COMMUNICATION:1. Promptly answers the telephone in a professional and courteous manner.2. Demonstrates the knowledge and ability to utilize various computer networks and telephone applications to procure pre-authorizations for patients.3. Demonstrates the ability to complete pre-authorizations in a timely manner.4. Demonstrates the ability to communicate courteously and effectively with internal and external customers.5. Demonstrates an understanding of both CPT , ICD9 and medical terminology.6. Demonstrates the ability to check appointment schedules daily to ensure that all admissions and procedures have been approved (pre-authorized) by the insurance carrier.CLERICAL: 7. Demonstrates insurance knowledge.8. Demonstrates knowledge of ICD-9 coding / CPT / HCPCs to ensure Arnot Health to receive the maximum reimbursement that is allowable.9. Demonstrates knowledge of Medicare requirements for approved ICD-9 codes and to communicate to the provider when a code is not approved, and knowledge of Medicare waivers.10. Demonstrates the ability to accurately pre-authorize / pre-certify patients exams for all departments to ensure the smooth daily operation of the department..11. Has knowledge of the method of proper sequencing of exams (ie. prioritization).12. Communicates all questions to the appropriate department.13. Has ability to conference with other departments to bring about conflict resolution to pre-authorization problems.14. Demonstrates the ability to be cross-trained to other responsibilities of the department as required by the Supervisor/Director.COMPUTER:15. Demonstrates basic computer skills.16. Demonstrates the knowledge and ability to work within the Arnot Health's computer system.17. Maintains computer security.WORKING RELATIONSHIP:18. Has general knowledge of the Hospital's departments and how these departments interact with each other.19. Interacts with physician and physician's offices in a positive and courteous manner.20. Establishes and maintains collaborative working relationships with other health team members.21. May perform other duties as requested by supervisor/manager which contributes to the smooth operation of the department.QUALITY:22. Demonstrates reliability in the conscientious, complete and accurate manner in which work assignments are performed.23. Demonstrates Quality Improvement principles in daily work and participates in QI monitoring and reporting.QUANTITY:24. Demonstrates flexibility in work schedule to meet the needs of the department.25. Demonstrates the ability to perform multiple tasks as required by the position.26. Continuously utilizes time to maximize full potential, sets priorities and is uses good organizational skills.SAFETY:27. Functions within an awareness of risk management and safety issues, reports concerns appropriately.28. Maintains complete understanding of the Arnot Health's emergency codes.PROFESSIONALISM:29. Is accountable for own actions.30. Maintains professional behavior and appearance. Wears Arnot Health's ID Badge.31. Maintains and respects patients and patient confidentiality.32. Addresses internal and external customers in a pleasant and respectful manner, displaying courtesy at all times.33. Attends staff meetings.OTHER:34. Is responsible for attending all annual mandatory educational programs as required by position.35. Employee understands and demonstrates the importance of satisfying the needs of the customer/patient by interacting with him/her in a friendly and caring way, being attentive to the customer's needs, both psychologically and physically, and by taking the initiative to maintain communication with the customer in order to provide a secure and pleasant experience with Arnot Health.36. It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties that may be assigned EDUCATION:Mandatory: Clinical experience in various areas is needed/and or coding in various areas. ICD9/CPT coding certifications or prior billing experience.High School graduate or equivalent. Hospital experience preferred. EXPERIENCE:1. Good organizational, communication, and customer relations skills.2. Telephone courtesy.3. Service oriented experience preferred. CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:No CPR required. PHYSICAL DEMANDS:Light physical effort. Typical office job. EXPOSURE CATEGORY:Category III. Tasks that involve no exposure to blood, body fluids, or tissues. Category I tasks are not a condition of employment. ** A.D.A. Essential Functions Job Posted by ApplicantPro

Arnot Health System

Pre Authorization Representative - Case Mgmt

Billing

Case Management

Communication Skills

Computer Maintenance

Computer Security

Computer Skills

Computer Systems

Conflict Resolution

Current Procedural Terminology (CPT)

Customer Relations

Emergency Care

Establish Priorities

Healthcare Common Procedure Coding System (HCPCS)

Healthcare Reimbursement

High School Diploma

Hospital

ICD-9

Insurance

Medical Office

Medical Terminology

Medicare

Multitasking

Organizational Skills

Patient Confidentiality

Quality Management

Risk Management

Team Player

Time Management

Talent Acquisition

ADAPTED_NOW

YEAR

In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level. As ADON, you’ll partner closely with our Director of Nursing and Administrator to drive quality initiatives, support staff development, and uphold regulatory excellence - all within a community known for teamwork, respect, and clinical pride.

<h4>Salary</h4>$74,100 / year - $103,500/ Year<h4>Overview</h4>Assistant Director of Nursing (RN)Lead with purpose. Support with compassion. Grow with Elderwood.Elderwood at Waverly is seeking a dedicated and dynamic Assistant Director of Nursing (ADON – RN) to join our leadership team. This is an opportunity to make a meaningful impact by guiding nursing excellence, supporting a talented team, and ensuring the highest quality of care for our residents.As ADON, you’ll partner closely with our Director of Nursing and Administrator to drive quality initiatives, support staff development, and uphold regulatory excellence - all within a community known for teamwork, respect, and clinical pride.<h4>Why Elderwood:</h4><ul><li>Reputation for Excellence: A trusted name in long-term care and rehabilitation, known for compassionate care and clinical integrity.</li><li>Collaborative Leadership: Work alongside an experienced Administrator and DON who value mentorship and open communication.</li><li>Growth & Support: Enjoy a strong network of clinical leaders across the Elderwood family, with access to training, development, and advancement opportunities.</li><li>Mission-Driven Culture: Every day, you’ll see the impact of your leadership in residents’ lives and staff success stories.</li></ul><h4>What You’ll Do:</h4><ul><li>Partner with the Director of Nursing to oversee daily nursing operations and ensure exceptional resident outcomes.</li><li>Supervise and develop nursing staff - fostering engagement, accountability, and professional growth.</li><li>Serve as Infection Control Preventionist, leading compliance and safety initiatives.</li><li>Participate in audits, quality improvement, and interdisciplinary care planning.</li><li>Step in as Director of Nursing when needed to ensure continuity of leadership and care.</li><li>Support staffing, onboarding, and training - helping maintain 24-hour nursing coverage and high-quality service.</li></ul><h4>Join a Team That Feels Like Family</h4>At Elderwood, we know that strong leadership builds strong teams - and strong teams create better outcomes. If you’re a nurse leader who thrives on mentorship, collaboration, and meaningful work, we’d love to meet you. Apply today and take the next step in your leadership journey with Elderwood. Elderwood at Waverly is located at: 37 N Chemung St, Waverly, NY 14892<h4>Responsibilities</h4>Assistant Director of Nursing (RN) - ResponsibilitiesClinical Leadership & Operations<ul><li>Support the Director of Nursing in overseeing daily clinical operations</li><li>Assume leadership responsibilities in the absence of the DON</li><li>Ensure 24/7 nursing coverage and appropriate staffing levels</li><li>Conduct regular rounds to monitor care delivery, staff performance, and overall unit operations</li><li>Maintain a safe, clean, and resident-centered environment</li></ul><h4>Staff Leadership & Development</h4><ul><li>Recruit, interview, hire, train, and supervise nursing staff (RNs, LPNs, CNAs)</li><li>Assist with scheduling, performance management, and staff development</li><li>Address employee concerns and support a positive, accountable team culture</li><li>Provide coaching, counseling, and performance feedback as needed</li><li>Ensure compliance with CNA training and supervision requirements</li></ul><h4>Staffing & Workforce Planning</h4><ul><li>Partner with the DON to assess staffing needs and workforce planning</li><li>Assist in developing schedules and assigning staff to ensure optimal coverage</li><li>Support ongoing evaluation of staffing models and team effectiveness</li></ul><h4>Resident Care & Clinical Oversight</h4><ul><li>Oversee admissions, readmissions, and discharge planning in collaboration with interdisciplinary teams</li><li>Assess resident conditions and ensure care plans are implemented effectively</li><li>Monitor medication administration and treatment delivery for accuracy and compliance</li><li>Provide direct nursing care as needed</li><li>Ensure timely identification and reporting of changes in resident condition</li></ul><h4>Medicare & Regulatory Compliance</h4><ul><li>Oversee eligibility and documentation for Medicare Skilled Services</li><li>Ensure physician certifications and required documentation are obtained</li><li>Monitor resident eligibility and coordinate timely notifications of status changes</li><li>Support survey readiness and adherence to all federal, state, and company regulations</li></ul><h4>Interdisciplinary Coordination</h4><ul><li>Collaborate with Social Services, Therapy (PT/OT/ST), and other departments to support resident outcomes</li><li>Coordinate therapeutic services and monitor resident progress</li><li>Ensure seamless communication across clinical teams</li></ul><h4>Administrative & Operational Support</h4><ul><li>Complete required documentation, reports, and audits accurately and timely</li><li>Support implementation of policies, procedures, and quality initiatives</li><li>Assist in maintaining compliance with all organizational standards and expectations</li></ul><h4>From</h4><h4>Up to</h4><h4>Qualifications</h4>Assistant Director of Nursing (RN) Position:<ul><li>Must possess, as a minimum, a degree in Nursing from an accredited school.</li><li>Must possess a current, unencumbered, active license to practice as in state.</li><li>Baccalaureate degree preferred.</li><li>Working knowledge of the needs of geriatric complex care requiring long term care, the principles of management, supervision, organizational behavior and structure, and communication systems.</li><li>A physical examination and/or evidence from a physician indicating free of communicable disease to be available upon employment.</li><li>Must be in good physical and mental health.</li><li>Ability to work independently or part of a group.</li><li>Effectively communicate with others.</li><li>If expected to drive company vehicle- must have valid driver's license with good driving record and be at least 21 years of age. (In order to comply with company Driving Standards P&P).</li><li>Must have, as a minimum, 2 years of experience as a supervisor in a hospital, long-term care facility, or other related health care facility.</li><li>Previous long-term care experience is desirable.</li><li>Computer knowledge preferred.</li><li>This position requires regular interaction with residents, coworkers, visitors, and/or supervisors. In order to ensure a safe work environment for residents, coworkers, visitors, and/or supervisors of the Company, and to permit unfettered communication between the employee and those residents, coworkers, visitors, and supervisors, this position requires that the employee be able to read, write, speak, and understand the English language at an intermediate or more advanced level.</li></ul><h4>EOE Statement</h4>WE ARE AN EQUAL OPPORTUNITY EMPLOYER. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.

Elderwood offers a variety of specialty programs and services, established to meet a wide range of needs. Our expert physicians and supportive staff members administer the highest level of care in all areas. Care plans are tailored to an individual’s specific needs and treatment is supported through integration of the latest technological advancements.

Admissions Jobs in Waverly, MD

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Admissions Jobs in Waverly, MD

Pre Authorization Representative - Case Mgmt Arnot Health System

ADON - Assistant Director of Nursing SNF Elderwood

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