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About the Role

Responsible for the clinical and financial evaluation of hospital and community referrals for admission and re-admission to St. John's Home. This includes screening, insurance verification, authorization, communication with families and care partners, bed management, and oversight of admission paperwork. Works collaboratively with other departments to support residents and families, while maintaining census and payer mix.

Responsibilities

Conducts thorough and timely review of hospital and community referrals for successful admission.
Sets up appointments and provides tours for prospective applicants and 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.
Communicates with the interdisciplinary team regarding new and re-admissions.
Ensures the Business Office has accurate applicant insurance and financial information.
Monitors and updates bed hold status and social leave days for appropriate payment.
Provides a welcoming and supportive environment to prospective elders and their loved ones during the admission process.
Assists with admission paperwork as needed.
Fosters cooperative relationships with external entities.
Performs data entry for all referrals, admissions, and denials.
Occasionally moves and lifts residents.
May be exposed to infectious diseases and physical aggression.

Requirements

Minimum of three years of experience in Long Term Care (LTC) with experience in the admissions process.
Preference for at least 2 years of experience in a skilled nursing facility.
Ability to prioritize and manage multiple tasks, often with interruptions.
Familiarity with health insurances and Medicaid.
Understanding and respect for other departments and co-workers.
HIPAA compliance.

Skills

Effective communication
High-level of professionalism
Sensitivity and empathy
Adaptability to cultural differences
Confidentiality
Planning/Organization
Productivity
Quality assurance
Reliability
Positive demeanor

Location

St. John's Home

Work Type

Full-time
In-person

Experience Level

Minimum of three years of experience in LTC
Preference for at least 2 years of experience in a skilled nursing facility

Education Level

Bachelor’s Degree in Social Work or Human Services
Bachelor’s Degree in Nursing
NYS RN Licensure
Licensed Practical Nurse (LPN)

About the Company

St. John's Brand Characteristics - Embrace living by being Friendly, Respectful, Responsive, Compassionate, Innovative and Fun towards elders, families and colleagues.