Centralized Admissions Director

Ciena Healthcare; Southfield (MI); On-site; USD 75,000 - 110,000; Full time

Benefits offered by this job

Competitive pay

Medical, dental, vision insurance

401K with matching funds

Life Insurance

Employee discounts

Tuition Reimbursement

Student Loan Reimbursement

Job summary

Ciena Healthcare in Michigan is seeking a Centralized Admissions Director to grow the facility census by building strong relationships with hospitals, physician groups and insurers, and by steering pre-admission, admission, discharge and follow-up processes.

The role requires strategic planning, collaboration with clinical and administrative teams, and expertise in payer requirements to optimize admissions and bed utilization.

Qualifications

• High School Diploma required.
• 4-year degree preferred
• At least three (3) years experience in Health Care Sales/marketing/Insurance or commensurate education preferred.
• Experience in managed care/insurance preferred.
• Familiar with Medical Terminology.
• Ability to use technology, including AI-driven software

Responsibilities

• Develops strategies to maximize admissions of residents requiring care. Coordinates admission to the appropriate facility with daily contact to hospitals, physicians, insurers, case management companies and health care agencies.
• Receives resident referrals via fax, phone calls, or internet and follows up for timely admission decisions.
• Conducts admission screening to determine level of care, services required, equipment needs and insurance coverage.
• Partners with clinical/administrative teams to remove admission barriers and coordinates admissions with attending physician.
• Ensures level of care approval and OBRA screen when indicated; confirms financial approval with business office prior to accepting residents.
• Maintains census system daily and communicates bed availability; prepares daily/monthly reports for leadership.
• Tracks pre-admission referral activity in the CRM and follows up on referrals to ensure resolution and timely readmissions.

Job description

Facility: Ciena Healthcare

The Centralized Admissions Director is responsible for managing the facilities census by developing and maintaining positive relationships with hospitals, physician groups, community organizations and insurers that generate patient admissions. This position is also responsible for all admission department activities including the pre-admission, admission, discharge, and follow up process.

Join us with an attractive benefits offering:

• Competitive pay
• Medical, dental, and vision insurance
• 401K with matching funds
• Life Insurance
• Employee discounts
• Tuition Reimbursement
• Student Loan Reimbursement

Responsibilities:

Census Development:

• Develops strategies to maximize admissions of residents requiring care. Has daily contact with potential referral sources including hospitals, physicians, insurers, case management companies and health care agencies to coordinate admission to the appropriate facility.
• Create back up plan for 24/7 admissions coverage to ensure seamless communication and address all referrals with 15-minute expectations.

Admission Process:

• Receives resident referrals via fax, phone calls, or internet
• Aggressively follows up on referrals for timely decisions related to resident admission.
• Conducts admission screening of potential patients; determines level of care, services required, equipment needs and insurance coverage, as indicated.
• Partners with the clinical or administrative team to remove admission barriers.
• Authorize acceptance of patients and coordinate admissions with appropriate staff.
• Coordinates the assignment of attending physician.
• Ensures level of care approval obtained and OBRA screen (PASSAR, MI/MR) when indicated.
• Confirms financial approval with the business office prior to accepting residents when necessary.
• Obtains prior approval number from the payer on a per case basis when authorized.
• Provides admission information to the nursing staff prior to and at the time of admissions.

Budgets and reports

• Achieve facility census goals and annual budget projections by meeting admission goals.
• Completes timely delivery of daily census reports and monthly month-end reports to ensure clear communication regarding bed availability.
• Administrator and corporate staff to ensure data is reported correctly.
• Documents and tracks pre-admission referral activity on the CRM to ensure all referrals are addressed and followed up appropriately.
• Tracks and communicates unplanned hospital discharges with the Administrator to assist with timely readmissions without increasing hospital length of stay.
• Updates computerized census system daily; maintains an accurate record of available beds.

Education and/or Experience:

• High School Diploma required.
• 4-year degree preferred
• At least three (3) years experience in Health Care Sales/marketing/Insurance or commensurate education preferred.
• Experience in managed care/insurance preferred.
• Familiar with Medical Terminology.
• Ability to use technology, including AI-driven software