Director of Admissions

Position: Director of Admissions-Skilled Nursing

Salary: $80k-$95k plus commission

Schedule: Days

Who we are:

Experience the future of senior living and care as soon as you step foot into our doors. The Forum at Rancho San Antonio offers upscale resort-style living in the scenic area of Cupertino, CA. Our team of dedicated professionals strives to improve the lives of seniors in our community on a daily basis. Our campus and surroundings reflect the love that our residents have for northern California. Our unique combination of an all-inclusive lifestyle, exceptional hospitality, and stunning location is unmatched. Our well-traveled and outdoorsy senior community enjoys socializing over meals, exploring nearby trails, and taking in breathtaking views. We are currently seeking an experienced Health Center Admissions Director. If you want to experience a fresh perspective on senior living, join us today

You will enjoy

• Medical, Dental, and Vision Insurance
• Bonus eligibility
• PTO and paid holidays
• 401k with company match
• Up to $40 provided on meal card for on-site market
• On-site gym
• Recognition Program
• Career Advancement Opportunities
• Referral Bonus
• An exceptional work environment that is both engaging and fun

Who you are:

• Bachelor’s degree with emphasis in marketing/sales preferred.
• Minimum five (5) years’ experience in marketing and sales and/or knowledge of senior living industry
• Management experience preferred.
• Minimum two years of admissions experience in skilled Nursing facility or long-term care environment
• Medicare and Managed Care working knowledge required
• Ability to negotiate coverage and provide timely and complete reports as required
• Familiar with local Hospitals, Case Managers, and Discharge Planners.

Job Summary:

The Admissions Director is responsible for establishing and maintaining open, effective communication between the facility and referring public, consumers, physicians, families, discharge planners, and third-party payers to meet and grow the Health Center patient census. The Health Center Admissions Director is responsible for the initial screening, admissions process, and input regarding the transfer and discharge process for all appropriate residents to and from the health center for all payer types. In addition, the Admissions Director will coordinate and monitor all aspects of each managed care and Medicare patient’s care from initial contact through the admission process. This position demonstrates flexibility and responsiveness in coordinating the payer’s needs with patient outcomes and prudent cost containment. An understanding of the competitive healthcare market, and the continuing care concept, as well as the ability to effectively evaluate treatment plans, are essential skills required. This individual must be able to communicate and influence the team’s approach as necessary. In addition, the Admissions Director must have excellent people skills in order to market the facility, maintain effective and positive working relationships with payers, discharge planners, and physicians, and develop excellent rapport with the interdisciplinary team.

Essential Job Duties

• Receives all referrals from facility, and discharge planners, directly from physicians or external case managers on all potential patients. Calculates reimbursement rates and projected costs for all Medicare and Managed Care patients.
• Informs DON and/or Unit Supervisors of the case including any major potential concerns and obtains acceptance or denial per facility policy.
• For each admission, collects all relevant clinical and medical information relating to admission as well as necessary authorizations and distributes information to the Director of Rehab, DON, Unit Supervisors, ID Team, and Nursing stations. Oversees completion of admissions agreement within the specified time frame.
• Ensures patient rooms are ready for admission. Greets new residents and families upon arrival.
• Ensures initial and ongoing fiscal appropriateness of all Managed Care/Medicare patients including authorization of all expenses and compliance with all individual payor requirements for reimbursement, including any prior skilled days used.
• For each admission/readmission, complete all pertinent admission paperwork documents
• Obtain authorizations and denials, identify changes in the level of care of services with authorizations, and communicate to the interdisciplinary team and patient/responsible party as appropriate.
• Participates in the daily interdisciplinary team meeting to review new admits, changes payor types, and changes in level of care/service.
• Requests authorizations as needed for the level of care changes, new services recommended by members of the interdisciplinary team, etc.
• Requests initial authorization for skilled patients.
• Communicate with the ID team the needs of new admissions to develop and ensure a discharge plan at the time of admission.
• Continually looks for ways to achieve the highest possible patient outcome relative to the discharge goal, while at the same time managing cost-effectiveness and cost containment as appropriate.
• In coordination with Medical Biller functions as primary contact between payor and facility and communicates all relevant information externally and internally.
• Monitor all Casa residents with amended contracts to ensure proper billing.
• Coordinates QA activities relative to managed care, case management, and admissions and as such, serves as a member of the QA committee.
• Maintains communication with the Director of Rehab to ensure appropriate approvals, payor’s discharge expectations and communication of changes in condition are in place through each case.
• Works with the Administrator to coordinate the health center marketing plan. Responsible for marketing the health center internally and throughout the community. Invites referral sources to the facility, conducts tours, and presents programs to the community to promote the facility. Strong networking with community discharge planners and UR staff.
• Responsible for daily and monthly census reports. Oversees completion of face sheets upon admission. Oversees completion of assigned portions of MDS and enters admission data into Vision.
• Coordinates with Chief Financial Officer and Administration to negotiate new managed care agreements.
• Assists with the planning and execution of The Forum's sales and occupancy levels in accordance with the marketing and sales plan.
• Develop and maintain hospital relationships to ensure a smooth transition of care from the Home or Hospital to The Forum.
• Responsible for tracking and trending hospital discharge, readmission, and post-discharge data.
• Creates new and existing relationships with professional referral sources
• Responsible for scheduling sufficient activity to generate the number of referral leads
• Participates in discussions with the Executive Director and/or Administrator, and other relevant community department managers regarding the formulation of resident care policies, contracts, pricing, etc.
• Meets census and move-in objectives as outlined in the marketing plan and budget.