RN- Nursing Home (Admissions)

SSM Health - Baraboo, WI (30+ days ago)3.8


Role Purpose:
The Admissions Nurse is responsible for inquiry, referral generation, handling and completion of the admission process and providing internal and external marketing services. The Admissions Nurse works closely with the nursing, financial and social services staff to ensure appropriate resident placement.

Role Responsibilities:
Pre-Admission Responsibilities - Receives and reviews referrals via phone, fax or in person; coordinates waiting list as needed. Completes and documents resident pre-admission assessments in ECS in conjunction with nursing, including determination of payer source, preadmission medication evaluation, confirmation of attending physician, demographic information, review of EPIC and/or phone call to hospital nurse, etc. Visit new admittance at St. Clare Hospital or home prior to transfer to the facility. Reviews problematic referrals for admission with DON/Administrator, or designee, prior to confirming any admission with the patient and/or their representative(s) or discharge planner. Reviews referrals for payment, appropriateness of care, Pasarr screen completed/or referred, room placement, identify medication/equipment costs, decision-making capacity/person or HCPOA/guardian, behavioral concerns, etc. Oversees bed assignments and completion of preliminary paperwork for entering patients (PASARR screen prior to admission and as needed. Assist in completion of POLST and HCPOA forms for residents.) Confirms that all insurance benefits coverage meet standards of admission as dictated by policy.
Admission Responsibilities - Responsible for resident admissions (up to 2 per day), including completion of patient "check-in," head-to-toe assessment, ECS charting of assessment and handoff to Charge Nurse/Nurse Supervisor, Social Worker and MDS nurses. Coordinates all resident admissions including: coordinating transportation, coordinating with discharging facility, obtaining proper admissions paperwork, communicating with resident, family, and facility staff and appropriate follow up. Works with nursing staff as needed to assist in clarifying admission orders. Identifies risk for skin breakdown and risk for falls and initiates preventative measures. Remains alert to fall risks for residents and takes action to reduce fall risk. Completes admission paperwork including closet care plan and directs other staff to appropriate needs; enters in ECS. Secures necessary DME for new admissions. Medication reconciliation of the new admissions. Obtain consents for medications, waivers and prior authorization for insurance. Financial assessment –apply for MA and introduce to Business Office. Coordinates code status and PPACO completion on day of admission. Escort resident to nurses’ station and then to resident/patient room day of admission; introduce to staff and assists families and residents in understanding policies and procedures of the facility; provides tour as time allows. Directs residents/families to nurse or social worker on unit for questions/concerns.
Clinical Responsibilities - Lends support to nursing staff on weekends when there are no admissions. On weekends with no admissions on SNF side could complete Meadow Lane re-admissions as needed.
Reporting - Completes daily census reports and sends via email (including discharges).
Paperwork completion - Signs off on LPN assessments and clinical documentation. Discuss, explain and obtain signatures on admission agreement authorizations for Medicare, review of resident rights, and other required paperwork with resident/agent. Performs and documents admission assessment, utilizing interview, observation and other available information. Completes and updates closet care plan. Assist in obtaining resident medical records and resident medical information from hospitals, doctor’s offices, etc. Document all on-going communication/contact with all parties leading up to admission in ECS. Enters face sheet information and activates record.
Reviews referral waiting list for current status and accuracy; maintains wait list of outside referrals and markets available services to prospective residents and community agencies.
Meets with interdisciplinary staff as appropriate on Friday afternoon to discuss admissions for the weekend provide necessary paperwork.
Receives cross training in the Social Services and MDS Departments to provide assistance in times of need.
Provides teaching and training to residents and families as needed.
Completes other duties as assigned.


Minimum Qualifications:
Graduate of an accredited school of nursing
Licensed Registered Nurse required
A minimum of two years of experience as a Nurse (RN) required
Head to toe assessment skills required
Excellent verbal and written communication skills required

Preferred Qualifications:
Previous experience in a similar role (hospital case manager, admissions role or nurse in a family care setting) preferred
Two years of previous experience in a Nursing Home or Long-Term Care Facility preferred
Previous experience with case management, insurance, Medicare, referrals and ECS preferred

St. Clare Meadows Care Center –

Our 102-bed St. Clare Meadows Care Center is a long-term care facility which offers 24-hour nursing, exercise therapy and inpatient as well as outpatient rehabilitation services. Nearby, Meadow Ridge Senior Living is a 20-bed assisted living facility also offering 24-hour care. In addition, for those seniors who benefit from comprehensive memory care, Meadow View Memory Care offers memory support living options and 24-hour care in partnership with the Alzheimer’s and Dementia Alliance of Wisconsin. St. Clare Meadows Care Center is part of SSM Health and affiliated with St. Clare Hospital.