Job Description
Job Description
Position Summary:
Responsible for clinical and financial evaluation of hospital and community referrals for admission and re-admission to St. John's Home, including all aspects of the process: screening, insurance verification and authorization, continuous communication with families & various community care partners, bed management, and oversight of the admission paperwork. Works in collaboration with other departments to provide support to residents and families, as well as maintain census and payer mix.
Qualifications & Education Required:
- Bachelor’s Degree in Social Work or Human Services OR Bachelor’s Degree in Nursing or NYS RN Licensure OR Licensed Practical Nurse (LPN), with a minimum of three years’ experience in LTC with experience with the admissions process
- Preference for at least 2 years of experience in a skilled nursing facility with ability to prioritize and manage multiple tasks, often with interruptions, as well as familiarity with health insurances and Medicaid
Core Organizational Competencies:
- St. John’s Brand Characteristics - Embrace living by being Friendly, Respectful, Responsive, Compassionate, Innovative and Fun towards elders, families and colleagues.
- Teamwork - Actively participates. Assists team members; offers encouragement. Acknowledges/welcomes elders. Keeps team members informed. Recognizes achievements and efforts of others.
- Job Knowledge - Consistently demonstrates working knowledge of all aspects of job. Remains current on job related changes and trends.
- Planning/Organization - Demonstrates initiative; plans appropriately. Uses time, materials, resources effectively. Organizes work to ensure commitment and priorities.
- Productivity - Consistently maintains high activity and efficiently produces acceptable volume of work. Consistently meets deadlines and commitments.
- Quality - Consistently produces accurate, timely work which meets required quality standards. Pays attention to detail. Sets high standards of performance for self and actively seeks continuous improvement. Provides elder-driven care.
- Reliability - Consistently delivers on commitments. Can be counted on to accomplish tasks without follow up. Available when required by elder or team and can be counted on to help or assist when needed. Responds in a timely manner.
- Demeanor (attitude) - Embraces change with optimism. Addresses concerns appropriately. Positively communicates. Good listener. Consistently maintains a positive demeanor.
Position Competencies:
- Effective communication and high-level of professionalism, internally and externally
- Sensitivity and empathy for residents and families in emotional situations
- Adapts appropriately to cultural differences
- Confidentiality and HIPAA compliance
- Understanding and respect for other departments and co-workers
Position Responsibilities:
- Conducts thorough and timely review of hospital and community referrals, with attention to detail for a successful admission
- Sets up appointments and provides tours for perspective applicants/families
- Offers guidance regarding alternative choices or services in lower levels of care, if appropriate
- Works with health insurances, Medicare, Medicaid and families to facilitate coverage and payment
- Consistently communicates with the interdisciplinary team regarding new and re-admissions
- Ensures the Business Office has accurate information about insurance and finances for applicants, monitors and updates bed hold status and social leave days for appropriate payment
- Provides a welcoming and supportive environment to the prospective elder and their loved ones as they navigate the admission process
- Assists with admission paperwork, as needed
- Fosters cooperative relationships with external entities to maintain great working relationships
- Data entry for all referrals, admissions and denials
- This position is full-time, in-person
Physical Requirements:
- Occasional moving and lifting of residents
Exposure to Conditions:
- May be exposed to infectious diseases. May be exposed to physical aggression.