Top 1 Risk management specialist Jobs in Mcallen Tx

Central Admissions Specialist
Weslaco Nursing and Rehabilitation Center —Weslaco, TX
- Full-time
- High school diploma or GED
- Data entry
- 1 year
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12d

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Central Admissions Specialist
Weslaco Nursing and Rehabilitation Center —Weslaco, TX
Receives necessary financial information from discharging source prior to patient arriving, distribute to case management, social services, and business office.
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Central Admissions Specialist

Weslaco Nursing and Rehabilitation Center -
Weslaco, TX

Quick Apply

Job Details

Full-time
12 days ago

Qualifications

Customer communication
Records management
Patient interaction
Managing patient records

Full Job Description

Overview

The Central Admissions Specialist supports the admissions department’s activities in the pre-admission, admission, discharge, and follow up processes.

Essential Functions:

Receives prospective resident referrals and reviews financially and clinically with supporting tools. i.e. clinical and financial grid from assigned accounts
Tracks pre-admission referral activity daily/weekly
Coordinates the assignment of attending physician
Confirms level of care approval obtained and or OBRA screen (PASSAR, MIMR) when indicated
Confirms financial approval and acquires necessary documentation
Obtains prior approval number from payer on a per case basis when authorized
Communicates potential risks to Administrator and Director of Nursing
Confirms specialized equipment is ordered as indicated (review contract content for need to obtain prior approval from authorized payer)
Complete demographic information in AHT or PCC, scan, email or fax to appropriate facility and department.
Receives necessary financial information from discharging source prior to patient arriving, distribute to case management, social services, and business office
Tracks acute hospital admissions to follow up and facilitate readmission of residents
Coordinates weekend/holiday admissions
Facilitates receipt of all necessary documentation from referring institution
Reviews computerized census system daily
Maintains waiting list and inquiry list
Coordinates room assignment designation
Access continuing education opportunities appropriate to responsibilities
Promotes optimal communication among program staff members, facility staff, referrals sources, physicians and residents
Appropriately accesses the resources of the company’s regional offices for consultation and program development support
Seeks out external resources through conferences, workshops, etc. as necessary. Routinely shares personal knowledge with staff, other managers and facility personnel
Participates in sales events and meetings as needed in medical community or in the non-medical community.
Demonstrates flexibility in adjusting to change, patient needs, and customer expectations; meets company standards relating to deadlines and attendance
Establishes and maintains exemplary standards for department appearance and staff presentment; ensures compliance with company and facility policies and procedures
Adheres to all safety and risk management protocols and programs
Participates in direct and indirect patient care activities as warranted
Participates in quality improvement activities, which reduce cost and increase efficiency through improved systems and processes
Exhibits courtesy, compassion and respect to residents, families, visitors, physicians, administrators and coworkers
Are required to exercise discretion and independent judgement

Performs other duties or functions as directed

EDUCATION AND EXPERIENCE:

High school diploma
At least one year experience in Health Care Sales/Marketing/Insurance or commensurate education preferred
Familiar with medical terminology

SKILLS:

A Central Admissions Specialist should have some knowledge, skills and abilities in order to do his or her job properly. Among them, we indicated the following as requirements:

Communication: talking with healthcare workers, doctors, nurses, families, and patients daily, must be friendly and able to listen to needs and concerns
Empathy: working with people who may be injured, infirmed, or confused and their families, understanding needs and concerns is crucial
Detail orientated: working with medical records and must organize and process this information for use in the facility and with referring facilities

TECHNICAL SKILLS:

Using computers to input data and may need to use coding and classification software and electronic health record systems

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risk management specialist jobs in mcallen tx

Central Admissions Specialist

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