Central Admissions & Intake Director - Flexible Schedule

Alliance Health & Human Services; Southborough (MA); On-site; USD 90,000 - 100,000; Full time

Benefits offered by this job

Paid time off

Paid holidays

Medical, Dental and Vision Insurance

Matching 401K

Employee Assistance Program

Education assistance or tuition reimb"

Flexible Schedule

Job summary

Alliance Health and Human Services in Southborough, MA seeks a skilled Central Admissions Director to oversee the admissions process for skilled nursing facilities. You will manage referrals, coordinate with hospitals and insurance providers, and ensure compliant placement from referral to admission.

The role emphasizes clinical screening, insurance verification, prior authorization, and accurate end-of-day reporting, with compensation based on experience and a full-time schedule.

Qualifications

• Clinical screening of referrals and medical needs.
• Accurate insurance eligibility and benefits assessment.
• Regulatory compliance oversight during admissions.
• End-to-end admission decisions from referral to placement.

Responsibilities

• Manage and review incoming referrals across hospital platforms and communicate decisions to hospitals and leadership.
• Conduct full clinical screenings including medical history, diagnoses, treatment needs, and level of care appropriateness.
• Maintain ongoing communication with hospital case managers.
• Run full insurance eligibility for Medicare, Medicaid, Managed Care, commercial, and supplemental plans.
• Review benefits, co-pays, SNF coverage days, exclusions, and financial risk factors.
• Identify primary and secondary insurance, out-of-network implications, and authorization requirements.
• Verify all demographic and financial information prior to admission.
• Coordinate with hospital discharge teams and bed availability, isolation needs, dialysis coordination, and transportation arrangements.
• Provide daily recaps of admissions activity and track trends for reporting.

Skills

Clinical screening

Insurance verification

Regulatory compliance

Admission coordination

Data reporting

Referral evaluation

Job description

Alliance Health and Human Services in Southborough, MA seeks a skilled Central Admissions Director to oversee the admissions process for skilled nursing facilities. You will manage referrals, coordinate with hospitals and insurance providers, and ensure compliant placement from referral to admission.

The role emphasizes clinical screening, insurance verification, prior authorization, and accurate end-of-day reporting, with compensation based on experience and a full-time schedule.