Coordinator Admissions

Karmanos Cancer Institute; Michigan; On-site; USD 40,000 - 55,000; Full time

Job summary

Karmanos Cancer Institute is seeking an Admissions/Discharge Coordinator to manage patient admissions and enhance care delivery quality. The role requires a High School diploma, clerical experience, and offers full-time hours with related responsibilities in patient utilization review and insurance documentation.

Qualifications

• Two years clerical experience in hospital, long-term care, medical field setting.

Responsibilities

• Screens referrals and conducts medical record reviews to determine admission appropriateness.
• Responsible for obtaining payer sources and signed admissions contracts.
• Identifies high-risk patients based on various features.

Education

High School Diploma/GED

Job description

McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.

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:

• High School Diploma/GED
• Two years clerical experience in hospital, long term care, medical field setting

Preferred:

• Admissions Experience in Long Term care

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

Qualifications:

• High School Diploma/GED
• Two years clerical experience in hospital, long term care, medical field setting

Preferred:

• Admissions Experience in Long Term care

Additional Information

• Schedule: Full-time
• Requisition ID: 25003585
• Daily Work Times: 9:00am - 5:30pm
• On Call: Yes

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.

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McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employmentwithout 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 classificationprotected by law.