Job description

Essential Functions

• Initiates contact with referral source or liaison to obtain all necessary clinical information to assess for clinical appropriateness of all referrals.

• Collaborates with Clinical Leadership or building Clinical Administration for clinically complex referrals.

• Coordinates with the Business Development Team for on-site assessments when deemed necessary.

• Inputs all referrals into CRM in a timely and accurate manner.

• Completes all financial verifications to confirm health insurance benefits, coverage, and identify the primary/secondary payers in CRM.

• Identifies Medicaid Pending and Private payers and request for further documentation and review from the Medicaid team.

• Runs background checks for criminal and sex offenders to identify any possible offenders.

• Facilitates communication with referral source, Business Development Team, facility staff in a timely manner on the acceptance or denial of all referrals.

• Ensures all relevant information regarding patient admission is communicated to facility. Ex. Diagnosis, special needs, dialysis, transportation, medical equipment, etc.

• Completes Referral/Bedhold Log daily to reflect all referral activity and updates.

• Creates patient profiles in electronic medical record for new admissions and updates existing profiles for bedholds.

• Generates initial census line and payer tree for new admissions.

• Maintains professional communication with all interactions including amongst team members, facility staff, organizational leadership, referral sources, etc.

• Organizes and updates Forecast on a daily basis for external team members accessibility.

Qualifications and Experience

• Bachelor’s degree or equivalent

• At least 2 years of prior SNF experience as an RN or LPN and unencumbered State of Illinois RN or LPN license.

• High level of PC literacy preferred (Microsoft Word, Excel, Outlook)

• Preferred experience with Point Click Care

• Excellent written and verbal communication skills

• Team oriented, analytical, and ability to multi-task

• Basic knowledge of Medicare/Medicaid/Managed Care Organizations

Job Type: Full-time

Pay: From $80,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Standard shift:

• Day shift

Weekly schedule:

• Monday to Friday

Ability to commute/relocate:

• Skokie, IL 60076: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Nursing: 1 year (Preferred)

License/Certification:

• BLS Certification (Preferred)
• RN (Preferred)

Work Location: In person

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