Senior Admissions Nurse Liaison
2 weeks ago
From more than 600 Nursing Homes, Gouverneur ranks #7 in Newsweek's Best Nursing Homes in New York2024; and also received high-performance ratings for Long-term Care and Short-term Rehabilitation from U.S. News & World Report's Best Nursing Homes in America 2024.
At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
Under the direction of the Director of Admissions, the Sr. Admissions Nurse Liaison oversees admission clinical activities for 5 Skilled Nursing facilities. Directly responsible for oversight and management of the admissions nurse liaisons, within the framework of established policies and procedures governed by the New York State Department of Health. Provides direction and leadership to admissions department in absence of director and associate director. Provides clinical guidance to director and admitting staff in relation to patient/resident admissions, transfers, and discharges throughout the Post-Acute Care Service Line.
Duties & Responsibilities
• Oversees the admissions clinical activities of admission nurse liaison for their assigned facility in accordance with resident needs, government regulations and established policies to maintain quality care for the residents while achieving the facility's business objectives.
• Ensure admission nurse liaisons perform high-quality reviews of referrals.
• Ensures quick turnaround of referral response.
• Review and summarize denial reasons of referrals monthly.
• Monthly audit and summarize the levels of care authorized by managed plans and the levels recommended by admission nurse liaison.
• Monthly evaluate appropriateness of recommendations of level of care by admission nurse liaison for managed care referrals.
• Train and ensure clinical review competencies of admission nurse liaison.
• Is the point of contact for escalated clinical concerns involving referrals for SNF/NH admissions.
• Participates in preparation for regulatory agency audits and surveys; responds to information inquiries as required.
• Assists with developing and promoting marketing activities for including building referral source relationships to increase referral volumes.
• Assists with monitoring overall efficiencies of the Centralized Admissions Department including responding to referrals faster and more thoroughly.
• Negotiate rates with managed care companies based on medical and nursing needs.
• Participates in off-premises networking and recruitment for admission which include, but not limited to, visiting and communicating with other health care professionals.
• Maintains on-going communication and a positive rapport with all referral sources
• Communicate effectively with residents, families, and staff throughout the admissions process.
• Provides coverage with admission activities as required.
o Responds electronically to Careport referrals.
o Understands health insurance coverage for patients and the participating insurances of the health system.
o Reviews patients' medical records.
o Provide clinical assessment of appropriateness for admission to SNF/NH and LTAC as needed.
o Document decision to admit or not admit incorporating the use of industry clinical criteria.
o Enter patients/residents admitting and discharge diagnosis information timely when provided by Health Information Management coder. Validate entry through covered/non-covered MDS forms, e-mails and closed medical records.
o Ensures compliance with needed referral information from referral sources to make a timely decision regarding admission and have at-hand for in-house physician inquiry.
Minimum Qualifications
1. Licensed and currently registered to practice as a Professional Nurse in New York
State, plus (2) or (3) below.
2. A Master's Degree in Nursing Administration, Education or an equivalent field and a
minimum of six years of satisfactory nursing experience, of which four years shall
have been in a supervisory, teaching or administrative capacity; or,
3. A Baccalaureate Degree in Nursing and seven years of satisfactory nursing
experience, five years of which shall have been in a supervisory or teaching capacity;
or,
4. A satisfactory equivalent combination of education and experience. However, all
candidates must be licensed and currently registered to practice as a Professional
Nurse in New York State.
Department Preferences
• Experience working in nursing capacity in long-term care setting with experience in an Admissions capacity preferred
• Previous management experience preferred
• Requires critical thinking skills, decisive judgment and the ability to work with minimal supervision.
• Must be able to work in a fast-paced environment and take appropriate action
• Strong communication skills, both oral and written.
• Proficiency in MS Office Suite (Outlook, Word, Excel and PowerPoint)
• Ability to work in a collaborative, team-oriented environment.
• Knowledge of state and federal regulations related to nursing home admissions. Knowledge of Case Management/MDS regulations preferred.
If you wish to apply for this position, please apply online by clicking the "Apply Now" button
NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Loan Forgiveness Programs for eligible employees
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- College tuition discounts and professional development opportunities
- Multiple employee discounts programs
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