Central Intake Coordinator SNF
- Receive and review all incoming referrals (hospital, home health, hospice, etc.) for clinical appropriateness.
- Evaluate medical records to assess medical stability, care needs, and alignment with facility capabilities.
- Communicate admission decisions promptly to referral sources and facility staff.
- Verify insurance coverage and benefits (Medicare, Medicaid, Managed Care, Private Insurance).
- Collaborate with insurance verification teams to obtain authorizations and ensure payer compliance.
- Notify billing and business office of payer sources and authorization status.
- Coordinate with Administrators, Directors of Nursing, Admissions Directors, and external Liaisons to ensure a smooth transition from referral to admission.
- Ensure all referral packets and required documentation are uploaded to the electronic medical record (e.g., PCC).
- Communicate any barriers to admission and help develop solutions to resolve them.
- Maintain accurate, organized documentation of all referrals, decisions, and communications.
- Ensure HIPAA compliance in handling patient records and communications.
- Follow state and federal guidelines for admission criteria and documentation standards.
- Provide clinical insight and guidance to the admissions team regarding complex cases.
- Serve as a central point of contact for referral partners needing clinical review.
- Participate in regular admissions and census review meetings with the interdisciplinary team.
- Experience
- Minimum 2 years of clinical experience in a post-acute care setting (SNF, LTACH, Hospital).
- Previous admissions, case management, or intake experience
- Licensed Nurse preferred
- Knowledge:
- Understanding of SNF level-of-care requirements.
- Familiarity with Medicare, Medicaid, and Managed Care guidelines.
- Proficiency in EMR systems (e.g., PointClickCare) and Microsoft Office Suite.
- Skills:
- Strong clinical assessment and decision-making skills.
- Excellent verbal and written communication.
- Ability to work independently, multitask, and meet deadlines.
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