Clinical Admissions Representative/Full time/40 hours

Gaylord Specialty Healthcare is a health system dedicated exclusively to medical rehabilitation.  We provide inpatient and outpatient care for people at every point in their journey from illness or injury to the most advanced state of recovery they can achieve.  Our Mission:  To enhance health, maximize function and transform lives.  Our values: Integrity, Compassion, Accountability, Respect and Excellence.  These values guide us in providing quality patient care and transforming the lives of our patients.                                                                                                                                         

SUMMARY:  Coordinates all aspects of the admissions process, working with the Regional Healthcare Managers to ensure timely and clinically/financially appropriate inpatient admissions. Works with various departments in the hospital to prepare for patient admission.           

 ESSENTIAL DUTIES AND RESPONSIBILITIES   Include the following.  

Coordinates completion of all tasks related to inpatient admission

Reviews the clinical information of referral with the RHCM to determine the following:

•  Level of care/type of insurance authorization
•  Patient meets clinical criteria for admission
•  Proper bed placement based on diagnosis and medical needs
•  Ordering of appropriate supplies

Coordinate admission arrival with RHCM

Acts as conduit for information between Regional Healthcare Managers and internal clinical  staff

Uploads clinical information into Expanse for hospital-wide communication.

Interacts with patient/families to provide information regarding admission

Obtains Financial Authorization

Obtains benefit information on referrals from the Admissions Intake Rep

Obtains financial authorization on clinically accepted referrals   

Reviews all financial information in computer for accuracy

Contacts insurance case managers to discuss clinical issues impacting financial clearance if able

Financial Stewardship of Gaylord Hospital

Monitoring for qualifying stay, interrupted stay, and coordination of benefits

Communicate out of pocket expenses to RHCM/patient/family

Identify possible non-formulary medications- clarify if there are alternatives

Question planned non-urgent out-trips with acute care hospitals.

Actively participates in Admissions Department operations

Documents all data points in Expanse for department trending purposes   including but not limited to acute care admissions date, referral date, appropriate program,             reason for visit

Attends and participates in Admissions staff meetings

Assists in orientation and training of new Admissions staff members

Complies with all Admissions policies and procedures

Acquires and maintains skills and knowledge regarding Admissions through participation in relevant educational programs

Serves on hospital-wide committees and projects

Maintains professional, clear, and timely communication with internal and and external stakeholders.

 Exhibits I.T.I.S.I.C.A.R.E values

Innovation: Embracing creativity and new ideas to improve processes and outcomes.

Teamwork: Collaborating effectively with others to achieve shared goals and objectives.

Inclusion: Fostering an environment where everyone feels valued and supported.

Safety: Prioritizing the well-being and security of patients, individuals and communities.

Integrity: Acting with honesty and transparency in all interactions and decisions.

Compassion: Showing empathy and kindness towards others, especially in challenging situations.

Accountability: Taking responsibility for actions and outcomes, ensuring reliability and trust.

Respect: Treating others with dignity and consideration, valuing their perspectives and contributions.

 Excellence: Striving for the highest quality in performance and achievements.

QUALIFICATIONS:      

• Associates degree required, Bachelor’s degree (BA) from four year college or university preferred; or one to two years related experience and/or training; or equivalent combination of education and experience.  Five or more years experience in the rehabilitation field
• LPN, RN, BSN, PT/PTA, OT/COTA, Respiratory Therapist                  
• Understanding of medical criteria for admission screening, use of computers, financial resources and payment issues. 

 HOURS:

Full time/40 hours

 

We Are An Equal Opportunity Employer