Mclaren Health Care Lake Orion , MI 48359
Posted 2 weeks ago
Position Summary:
As directed by the Executive Director, the Admissions/Discharge Coordinator manages patients through the continuum of care, promoting the delivery of quality, cost-effective health services based on medical necessity and contractual benefits. Emphasis on utilization review, documentation and transition planning. Works in coordination with care team members to develop programs and protocols to enhance the cost and quality of care delivery.
Primary Responsibilities:
Screens referrals within 4 hours of referral being made. Conducts a medical record review and interviews referral/responsible party to determine medical necessity, appropriate source of payment and overall appropriateness of admission within one working day following the initial screen. Confirms admission criteria guidelines. Provides clinical review to managed care agencies to obtain authorization/certification for services being provided, based on available insurance benefits. Approves/denies admission no later than 24 hours of initial referral/screen.
Responsible for obtaining a primary and secondary payer source prior to admission.
Responsible for obtaining a signed admission contract with patient/responsible party prior to admission.
Responsible to obtain any/all copies of insurance cards, advanced directives.
Identifies high-risk patients based on diagnosis, age and combination of medical and social features.
Perform other related duties as assigned and directed.
Qualifications:
Preferred:
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Qualifications:
Preferred:
Equal Opportunity Employer of Minorities/Females/Disabled/Veterans
Additional Information
Schedule: Part-time
Requisition ID: 24002620
Daily Work Times: 9:00 am-5:30 pm
Hours Per Pay Period: 48
On Call: No
Weekends: No
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
Mclaren Health Care