Intake Referral Manager

Position Summary: 

Responsible for pre-admission process fromreferral sources and performing necessary functions to direct potentialadmission to appropriate HCF Care Community.

Essential Functions:

• Because HCF exists to care for our residents,regular attendance and punctuality are essential to provide quality care andservice
• Leadership: Ability to take action and achieve results through others
• Commitment to HCF Family of Companies Vision, Values, and Purpose
• Must be able to complete performancerequirements independently while using good judgment as well as have theability to harmoniously work with others
• Must be able to read, write and understand theEnglish language

Position Responsibilities:

• Must follow HCF Policies and Procedures
• Manages all inquiry calls from hospital oronline hospital referral site, reviews inquiry for potential admission andconsulting Clinical Referral Manager as needed for assessment
• Verifies Medicare benefits online; verifiesinsurance benefits, including MA and private insurance, and verifies payorstatus
• Has the authority to determine approval ordenial of inquiries for admission into HCF Care Communities
• Completes all communication with hospitaldischarge planners/case managers regarding acceptance or denial of admissions
• Coordinates admission time of each resident withspecific care community and arranges transportation for admissions if necessary
• Checks bed availability in each care communityassigned
• Assists families in scheduling tours, times forsign-in admissions, etc. by coordinating with each care community
• Coordination of referrals to Care Communitiesincludes gathering needed information, data entry into computer system (PointClick Care) and the coordination of doctors' orders
• Accessing specific payor source websites to viewand accept open referrals through the specific payor
• Completes any required documentation
• Must be able to work independently andself-direct daily schedule and utilize independent judgement related to theadmissions approval process for assigned facilities.
• Perform other duties as assigned

Knowledge, Skills andAbilities: 

High School diploma required. Medical related Associate's Degree required;LPN preferred. Must be proficient inMicrosoft Office programs (e.g. Word, Excel, and PowerPoint).