Patient Flow Coordinator - Admissions | Perdiem

Acadia Healthcare; San Juan (PR); On-site; USD 42,000 - 75,000; Full time

Job summary

Acadia Healthcare in the United States is seeking a clinical admissions professional to manage inquiries, assessments, and admissions to the facility.

You will coordinate pre-admission assessments, verify insurance benefits, and communicate treatment recommendations to patients and families, while collaborating with the medical and psychiatric teams to ensure appropriate admissions and seamless transitions between levels of care.

Qualifications

• Bachelor’s degree in Behavioral Science or related field.
• RN/LPN with equivalent educational background acceptable.
• One year clinical or observational experience preferred.

Responsibilities

• Facilitate admissions and assessments for incoming patients.
• Respond to inquiries about the facility within policy timeframes.
• Verify insurance benefits and communicate findings to patients and staff.
• Coordinate pre-admission assessments and referrals.
• Ensure medical admission documentation is complete prior to admission.
• Support treatment team with reviews and authorization processes.
• Maintain patient safety with regular checks and escalation as needed.

Skills

Customer service

Communication

Insurance verification

Safety awareness

Education

Bachelor’s degree in Behavioral Science or related field

RN/LPN consideration

Master's in therapy field preferred

Tools

EMR systems

Medical billing software

CPR training

Job description

Purpose Statement

Clinical professional responsible for inquiries, assessments, and admissions to the facility.

Purpose Statement

Clinical professional responsible for inquiries, assessments, and admissions to the facility.

Essential Functions

• Facilitate admissions and assessment processes for incoming patients.
• Respond to inquiries about the facility within facility policy timeframes.
• Schedule and complete pre-admission assessments and communicate recommendations to patients or their families.
• Collaborate with other facility medical and psychiatric personnel to ensure appropriate recommendations and admissions.
• Coordinate admission and transfer between levels of care within the facility.
• Communicate projected admissions to designated internal representatives promptly.
• Perform insurance benefit verifications, disseminating the information gathered to the patient, their families, and other appropriate facility staff.
• Ensure all medical admission documentation is gathered from external sources prior to patient admission and secure initial pre-authorization for treatment and admission.
• Assist individual therapists with concurrent reviews with insurance companies to secure continued treatment.
• Coordinate and facilitate peer-to-peer reviews when needed and collaborate the results of reviews with the multi-disciplinary treatment team.
• Provide accurate and ongoing assessment of patient status in the admissions process.
• Communicate treatment recommendations to other treatment teams.
• Demonstrate a positive, empathetic, and professional attitude toward customers always. When patient needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
• When a patient’s needs are not met, acknowledge and work to resolve complaints. Recognize that patient safety is a top priority.
• Demonstrate a sense of urgency related to the importance of patient safety and provide excellent customer service.
• Responsible for conducting safety checks and ensuring that supervision is conducted at 15-minute intervals, as noted in special precautions, or in accordance with individualized supervision guidelines as needed.

Other Functions

• Perform other functions and tasks as assigned.

Education/Experience/Skill Requirements

• Bachelor’s degree in Behavioral Science, Social Services Field, may also be an RN registered nurse, in which case, an Associate’s degree in nursing may be the minimum educational requirement or a licensed practical or vocational nurse, in which case, successful completion of an LPN or LVN training program may be the minimum requirement.
• For states in which a therapist may act in this role, a master's degree in a therapeutic field is preferred.
• One or more years’ experience working with individuals in a clinical or observational capacity within the area of specialty for the facility preferred.

Licenses/Designations/Certifications

• Licensure, as preferred for the area of clinical specialty as designated by the state in which the facility operates.
• CPR and de-escalation/restraint certification required (training available upon hire and offered by facility).
• First aid may be required based on state or facility.

Additional Regulatory Requirements

While this job description is intended to be an accurate reflection of the requirements of the job, management reserves the right to add or remove duties from particular jobs when circumstances (e.g. emergencies, changes in workload, rush jobs or technological developments) dictate.

We are committed to providing equal employment opportunities to all applicants for employment regardless of an individual’s characteristics protected by applicable state, federal and local laws.