Clinical Admissions Specialist – Long Term Care

🔥 12 hours ago

❄️ Minnesota – Remote

❄️ Minnesota – Remote

💵 $29 - $46 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Sanford Health

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 1894

🛡️ Insurance

🏥 Healthcare

⚕️ Healthcare Insurance

Insurance • Healthcare • Healthcare Insurance

Sanford Health is the largest rural health system in the United States, dedicated to transforming the healthcare experience and providing access to world-class healthcare in America's heartland. Headquartered in Sioux Falls, South Dakota, Sanford Health serves over 1. 4 million patients and nearly 200,000 health plan members across 250,000 square miles. The integrated health system includes 48 medical centers, 211 clinic locations, and more than 160 senior living centers, employing 2,900 physicians and advanced practice providers. Sanford Health is committed to offering compassionate care through its Centers of Excellence, focusing on specialties such as cancer, orthopedics, women’s health, and genetics. Additionally, it provides affordable health insurance, engages in extensive clinical trials, and supports personalized genetic medicine.

📋 Description

• Identify potential admissions • Process and place new resident/client requests and track admission status • Complete authorization activities and determine accepting facilities’/agencies’ capabilities to provide the appropriate level of care • Support facilities/agencies with resident/client admission-related tasks • Collaborate with colleagues and referral sources to plan, implement, and evaluate the admissions process • Coordinate resident/client move-in processes, including admission paperwork, insurance verifications, prior authorizations, and transportation when applicable • Ensure smooth transitions from referring facilities to locations • Perform clinical evaluations of resident/client charts to determine appropriate medical services • Determine appropriate action for referring cases that do not meet facility/agency standards • Meet with discharge planners, family members, and interdisciplinary team members to promote locations and services • Comply with applicable laws, regulations, and policies/procedures • Educate healthcare team members regarding trends, external regulations, and internal policies affecting resource utilization and prior authorization • Enter data accurately into CRM and EMR systems, depending on location • Serve as a resource and point of contact for guidance, training, and questions

🎯 Requirements

• Appropriate education level required in accordance with state licensure • Bachelor’s degree from an accredited school and/or program is preferred, but not required • Prior work experience in long term care facility preferred • Currently holds an unencumbered license as a Registered Nurse (RN), Licensed Practical Nurse (LPN), Occupational Therapist (OT), Physical Therapist (PT), or Licensed Social Work (LSW) with applicable State Board in state(s) of practice and/or multi-state licensure privileges as required by position • For home-based services, may hold an unencumbered COTA or PTA license with applicable State Board in state(s) of practice and/or multi-state licensure privileges as required by position • Maintains required department-specific competencies and certifications • Basic Life Support (BLS) required • Valid driver's license may be required for travel • Strong interpersonal and listening skills • Ability to handle confidential and sensitive information • Ability to coordinate several responsibilities simultaneously • Ability to deliver high-quality customer service in a professional manner

🏖️ Benefits

• Full-time schedule • Day shifts • Scheduled 40 hours per week

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