Admissions Coordinator - Skilled Nursing Facility

Pay Range: $62,000 - $78,000 per year

JOB CULTURE

The Masonic Homes of California are committed to a culture of Leadership. Our culture is to provide superior service to members, residents and staff through a sound and progressive model of service and care which aligns our mission, vision and operations. We demonstrate excellence in core services and place value on high quality job performance, professional development, effective time management, budget management, workplace safety and resident/employee satisfaction. We are dedicated to disciplined innovation and continuous quality improvement -we are a learning company. We are committed to sharing our knowledge and being an organization that attracts the best and brightest talent. We are team-oriented, caring and honest.

POSITION SUMMARY

The primary purpose of this position is to provide customers (prospective residents and their families and referral sources) with facility and program specific information via community outreach and networking; facility tours; personal visits; presentations and follow-up activities. Customers served by this position include prospective residents and their families, medical professionals and referral sources, community members, and facility staff. The Admissions Coordinator also directs the admissions process and insures appropriate placement, bed management, and coordinates admissions documentation.

The Admissions Coordinator is responsible for promoting a smooth, efficient and customer focused transition from acute care or other settings to the Masonic Homes Transitions Unit through effective and efficient client care coordination using established guidelines to provide appropriate services. The Admissions Coordinator works with the Director of Nursing Services to determine the appropriate placement and eligibility for admission.

The Admissions Coordinator also implements effective sales and marketing programs for the community.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES

A.* ADMISSIONS:

• Responds to inquiries from hospital discharge planners and other referral sources related to possible admissions.
• Interact with discharge planners in an effective, efficient manner. Ask for appropriate and adequate client information. Analyze the information to determine if the facility can care for the client, basing from the facility's admissions criteria.
• Presents referral to the DON for review.
• Conduct pre-admission evaluations whenever necessary either independently or in conjunction with a designated facility representative to insure appropriate placement of the patient or resident.
• Explain facility philosophy, policies and procedures to potential and new clients and their representatives.
• Explain the facility admission agreement and all attachments to the potential and new clients and their representatives.
• Communicate admissions decision in a timely manner to referral source (usually within 15-30 minutes) in a timely manner.
• Complete admissions and pre-admissions inquiry forms accurately.
• Greet and escort the new client to the assigned nursing unit when appropriate.
• Coordinate the admission of each new resident, ensuring resident's room is ready before they arrive and communicating with all departments to prepare for the new admission.
• Coordinate admissions paperwork and obtain signatures from patients and/or responsible parties prior to admission in a manner consistent with state & federal regulations.
• Review and explain to each new resident (and/or resident's family) facility room rates, billing procedures, visitor/guest privileges, restrictions and resident care procedures.
• Alert appropriate department managers and facility team of projected admissions, bed changes, and discharges.

B.* COORDINATION AND TRANSITION OF CARE:

• When admission determinations are made, work with team on appropriate room and bed selection.
• Coordinate pre-admission conference.
• Coordinates the pre-admission process to include clinical information to identify
• care/service needs, pharmaceutical and DME requirements, and financial information.
• Assist in coordinating the admission of each new resident, ensuring resident's room is ready before they arrive and communicating with all departments to prepare for the new admission.
• Participates in internal moves/transfers and admission meeting.
• Obtains prior authorization from HMOs and other payor source as needed.
• Provide updates to HMO Case Managers on a weekly or as needed basis.
• Act as the conduit between all HMOs and the facility and provide all requested paperwork, etc.
• Work cooperatively with all facility department supervisors and administrative staff.

C.* CLIENT ADVOCACY AND EDUCATION:

• Monitors client progress and communicates information between client, referrer, family, insurance company and treatment team.
• Ensures/maintains plan consensus from client/family, healthcare team, and payor as treatment plan and transitional plan changes.
• Monitors clinical and financial indicators (i.e. readmissions) and ancillary resource use on an ongoing basis and takes action to achieve continuous improvement.

D.* MARKETING FUNCTIONS:

• Conducts outreach to referral sources, including, but not limited to: hospital case managers, home health agencies, independent and assisted living community, insurance case managers, physicians and hospice agencies, as assigned.
• Serve as a member of committees whose purpose is to enhance resident and community relations; attend census management meetings; assist in implementation of marketing plans
• Maintain a database of medical contacts and community resources along with knowledge of industry trends and legislative and regulatory issues.
• Monitor and evaluate customer satisfaction including referral sources.
• Develop and implement special events and presentations targeted at community education, establishing and maintaining status for the facility as the expert on nursing home care in the community.
• Fosters positive trust relationships with insurance representatives' referrers and physicians.
• Conduct facility tours and ensure the interior of the facility is tour-ready and presents well to visitors at all times.

OTHER RESPONSIBILITIES

• Demonstrates exceptional customer service skills to all customers.
• Follow Admission, transfer and discharge policies and procedures.
• Participates, in daily stand up meeting to update team on referrals, pending admissions, and scheduled tours.
• Maintain an accurate record of available beds and a resident waiting list.
• Monitor inquiry, admissions, and census trends.
• Maintain Referral Log and other reports as required.
• Review monthly readmission reports, quarterly and other reports as needed to assist with the identification of opportunities for improvement.
• Distributes Advance Beneficiary Notices (ABN's)
• Communicates with the Financial Coordinator as needed to ensure financial and insurance information is in order.
• Works with Interdisciplinary Team to meet and exceed conversion ratios and census goals.
• Works with the Business Office Manager to ensure prompt coordination for financial verification and ensures financial verification and forms are accurate and complete.
• Conduct Quality Assurance duties as assigned.
• Performs other duties and responsibilities in accordance with policies and procedures as directed and evaluated by the Administrator.

Requirements

• Must have at least 2 years of experience as an Admissions Coordinator in a Skilled Nursing Facility.
• Good working knowledge of Medicare, Managed Care and other 3rd party payer clinical and financial guidelines.
• Working knowledge and experience with long term care admissions and discharge procedures.
• Must be able to deal respectfully with staff, residents, visitors and other health care providers.
• Must have working knowledge of computers and automated health care information systems.
• Knowledge of CMS guidelines for post-acute services including home health and DME
• CMS Bundled Payment Care Initiative knowledge desired
• Knowledge of State and Federal laws and regulations governing Long Term Care.
• Must have excellent presentation and organizational skills.
• Knowledge of closing a sale's agreement.
• Ability to work with supervisors, co-workers and facility staff in the performance of duties.
• Knowledge of state and federal regulations governing the admission process within a nursing facility.
• Ability to read, write and speak English in a clear manner
• Ability to understand and respond appropriately to cultural diversity
• Ability to sit at a desk and utilize the computer, telephone, and other office equipment, throughout the entire work day
• Ability to travel pm to meet with discharge planners, etc.
• Must have a reliable mode of transportation and able to drive.
• Detail oriented.
• Must be able to prioritize, plan, and handle multiple tasks/demands simultaneously.
• Team player.
• Experience working with geriatric population preferred.

Benefits

At Masonic Homes, we are looking for team members who would like to combine their passion for helping people, good communication skills, decision-making skills, and great ethical standards with the opportunities to advance your career.

In return for your skills, you will be offered:

• A work environment focused on teamwork and support
• Excellent health, wage replacement and other benefits for you and your family’s well-being
• A generous contribution to a 401K plan whether or not you participate, and an additional contribution from the company when you participate in the plan
• Investment in your growth through Tuition Reimbursement