Admissions and Social Service Coordinator
Consulate Health Care - Salisbury, MD

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At Consulate Health Care , we’ve succeeded because of our employees – a caring team of highly trained professionals who are committed to providing health services with compassion, honesty, integrity and respect.

From short-term transitional care and rehabilitation to long-term nursing and Alzheimer’s care, you help us achieve excellence by setting and exceeding high standards in healthcare. We are a proud network of people who care for our residents. At Consulate, you can build a challenging and rewarding career with competitive benefits, and a full range of opportunities for professional growth.

Job Functions
As Admissions and Social Services Coordinator, you are responsible for leading the facility’s activities in the preadmission, admission, discharge, and business development processes. May include outside contacts. This employee also provides services to respond to the emotional needs of residents and their families. No supervisory function.

Duties and Responsibilities

Conducts tours of facility for prospective residents whether walk-ins or scheduled admissions.
Receives referral and coordinates clinical assessment, screening, and ensures appropriate clinical acceptance in a timely manner.
Coordinates clinical assessment/screening and ensures appropriate clinical acceptance in a timely manner.
Assist with arrangements and confirmation of all admissions.
Negotiates and obtains prior authorization for rates and levels of care with non-contracted providers.
Obtain rates and level of care from payor on a per case basis when authorized.
Ensure level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated.
Verification of payor source, i.e., Medicare, Managed Care, Medicaid, Insurance.
For Medicaid pendings, collect copy of date-stamped application prior to admission. All deviations require prior approval of Executive Director and RVPO.
Complete face sheet, attach to clinical screen, copy and distribute to appropriate departments.
Contact the County Department of Social Service/Medicaid office to verify eligibility and determine estimate of co-pay/family participation amount when appropriate.
Tracks acute hospital admission to ensure readmission of patients.

Requirements

Education
Secondary Education Diploma or GED equivalent and previous experience in SNF preferred unless state specific guidelines require otherwise. Current state license and/or certification if required in state of practice.
Must have Bachelors Degree in Social Services.

Experience
Must posses at least one year experience in Health Care/Business Development/Insurance Familiar with Medical Terminology Demonstrated ability to assess resident needs, develop and implement a plan of care and coordinate the discharge planning process. Knowledge of accreditation standards and compliance requirements. Must possess experience with public and commercial payor sources preferred

Specific Requirements

Must possess the ability to plan and develop new programs.
Must have patience, tact, a cheerful disposition and enthusiasm as well as the willingness to handle difficult residents and staff.
Must be able to relate information concerning a resident’s condition.

Consulate Health Care Services - 22 months ago - save job
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