Clinical Admissions Specialist, Long Term Care (LTC)

10000 Sanford; Mandan (ND); On-site; USD 57,000 - 92,000; Full time

Job summary

Sanford Health in the heartland of America seeks an admissions coordinator to identify potential admissions, process requests, and track status. You will collaborate with facilities, referral sources, plan move-in, handle paperwork, insurance verifications, and prior authorizations, and arrange transportation as needed.

The role requires strong customer service, confidentiality, and ability to juggle multiple responsibilities.

Qualifications

• Education per state licensure requirements.
• Bachelor’s degree preferred but not required.
• Experience in long term care facility is a plus.
• Currently licensed in North Dakota as LBSW/LMSW/LCSW.

Responsibilities

• Identify potential admissions and process new requests.
• Coordinate move-in, admission paperwork, and transportation as applicable.
• Perform insurance verifications and prior authorizations.
• Enter data into CRM and EMR accurately where required.
• Collaborate with discharge planners and referral sources.
• Educate healthcare team on policies affecting utilization and authorization.
• Maintain confidentiality and provide high quality customer service.

Skills

Interpersonal skills

Customer service

Communication

Attention to detail

Confidentiality

CRM data entry

Team collaboration

Education

Bachelor's degree

LBSW/LMSW/LCSW license

Tools

CRM software

EMR system

Job description

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $27.50 - 44.00 Union Position: No Department Details Flexibility No on call, weekends, holidays M-F Autonomy Great Team dynamic!

Summary

Responsible for identifying potential admissions, the processing and placement of new resident/client requests and tracking admission status. Completes activities related to authorization and determination of accepting facilities’/agency’s capabilities to provide appropriate level or care.

Job Description

Acts as a support person to facility/agency by completing resident/client admission related tasks. Collaborates with colleagues and referral sources to plan, implement, and evaluate the admissions process. Coordinates resident/client move-in process, including the handling of admission paperwork, insurance verifications and prior authorizations, and transportation, if applicable. Ensures smooth transition from referring facility to location. Performs clinical evaluations on resident/client charts to determine appropriate medical services are offered at accepting facility/agency. Ability to determine appropriate action for referring cases that do not meet facility/agency standards. Visits with discharge planners, family members and members of the interdisciplinary team to promote the location and the use of services provided. Responsible for complying with all related laws, regulations, and policy/procedure. Educate members of healthcare team regarding trends, external regulations, and internal policies that affect resource utilization and potentially, prior authorization. Depending on location, enters data into Customer Referral Management (CRM) and the electronic medical record (EMR) accurately. Ability to deliver high quality customer service in a professional manner. Strong interpersonal and listening skills. Ability to handle confidential and sensitive information. Must be able to coordinate several different responsibilities at once. Considered a resource to all team members and acts as point of contact for guidance, training, and assisting with questions.

Qualifications

• Appropriate education level required in accordance with state licensure.
• Bachelor’s degree from an accredited school and/or program is preferred, but not required.
• Prior work experience in long term care facility preferred.
• Currently holds an unencumbered license: In North Dakota: Licensed Baccalaureate Social Worker (LBSW) Licensed Master Social Worker (LMSW) Licensed Clinical Social Worker (LCSW).

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-949-5678 or send an email to [e-mail].

The Sanford organization owns and manages multiple distinct brands, including Sanford Health, Marshfield Clinic, and Good Samaritan, as well as Lewis Drug, Sanford Health Equip, Solutions by Sanford, Great Shots, and Blue Rock Bar & Grill. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at sanfordhealth.org or Sanford Health News. Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of Sanford Health, an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com.