Census Development and Compliance Specialist

6 days ago

Augusta, Maine, United States MedHires Full time
Job Summary

We are seeking a highly skilled and experienced professional to join our team as a Director of Admissions and Census Development at MedHires. As a key member of our leadership team, you will be responsible for developing and implementing strategies to achieve census goals while maintaining compliance with current state and federal laws and regulations.

Key Responsibilities
  • Plan, develop, organize, implement, evaluate, and direct the overall operation of the Admissions department, as well as its programs and activities.
  • Evaluate and adjust admission practices as needed based on reaching desired occupancy.
  • Ensure there is an open and collaborative relationship between the business office and the admissions office, both working toward shared facility goals for occupancy and collections.
  • Develop and implement an external and internal census sales strategy with each admissions team member to build and maintain strong relationships with referral partners/sources.
  • Develop facility collaterals in conjunction with the Administrator and provide information to referral partners when necessary to clearly communicate the services and offerings of the facility.
  • Identify opportunities with new referral partners/sources and develop sales strategies to build relationships and communicate the facility's services and offerings.
  • Develop and implement a sales and admissions process that leads to the conversion of referrals to admission status.
  • Establish the geographic territories for each external admissions sales team representative with scheduled outreach to potential referral partners/sources.
  • Maintain a listing of referral partners/sources, locations, and assignments with each external admissions sales team liaison.
  • Monitor and evaluate the implementation of the census sales strategy with each admissions team member.
  • Maintain an accurate record of available beds at all times in the facility through the use of the facility's daily census report, communication boards, room assignment listing, or other means as designated by the Administrator.
  • Ensure referrals are recorded and processed timely for a decision with appropriate follow-up communication to the referring entity for a decision.
  • Ensure referrals are processed to include a financial evaluation of the potential resident's payment options.
  • Know, at all times, which payment entities require prior authorization for payment and ensure prior authorization is obtained when required.
  • Maintain working knowledge of the facility's practices related to all pay status types.
  • Understand and analyze facility fiscal health through monthly meetings with the Administrator and Business Office Manager related to net revenues and outstanding A/R.
  • Ensure all mental health screenings are completed prior to admission as required by federal and state regulations.
  • Ensure ongoing compliance with mental health screening requirements and reporting.
  • Ensure the admissions staff is informed of Medicaid eligibility criteria as it relates to informing the potential resident/representative of the basic information he/she will be asked to share when meeting with the facility's Medicaid Coordinator.
  • Ensure referrals are processed timely and accurately on a daily basis.
  • Know at all times, the status of each referral.
  • Make the decision on each referral to admit or not admit.
  • Consult with Director of Nursing, Administrator or other department heads as indicated based on the nature of the referral and established guidelines in the facility regarding clinical capabilities of the facility as reflected in the most recent Facility Assessment.
  • Ensure residents are admitted, transferred, and discharged from the facility software accurately on a daily basis.
  • Ensure resident pay status changes are accurately recorded on the facility's internal daily census communication tool.
  • Ensure resident pay status is accurately recorded in the resident's record at time of admission.
  • Ensure the admissions staff's behavior is aligned with facility goals for occupancy and customer service.
  • Ensure admission paperwork is completed and filed according to facility policy.
  • Inform the Administrator of obstacles or barriers to admitting residents and provide solutions to such obstacles and barriers.
  • Ensure pertinent information is maintained daily such as referral tracking logs, anticipated discharges, potential admissions, hospital discharges, and available beds listing.
  • Ensure the admissions team communicates with interdisciplinary team members timely regarding room assignments for pending admissions.
  • Demonstrate interpersonal relationship skills by developing and maintaining trust with personnel in his/her department and by communicating clear expectations to staff.
  • Speak effectively in private and public situations and may be called upon to deliver information about the facility to various media outlets.
  • Interpret and communicate policies and procedures for admissions staff and monitor staff practices and implementation.
  • Ensure the daily, weekly, and monthly census reports are completed accurately.
  • Perform daily, weekly, and monthly census analysis reports for use by the Administrator in the facility financial planning process.
  • Report at least weekly and monthly on the status of census goals to the leadership team and governing body when indicated.
  • Evaluate work performance of all admissions department personnel in conjunction with Human Resources and implement discipline according to facility policy.
  • Participate in facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee.
  • Collaborate with members of the interdisciplinary team, physicians, consultants, and community agencies to identify and resolve issues that improve the admissions process.
  • Lead in partnership with Human Resources the recruitment, hiring, and termination of admissions personnel.
  • Promote teamwork, mutual respect, and effective communication.
  • Successfully execute census development strategies and plans.
  • Participate in the facility's plan of correction response to an inspection survey and implement any follow-up as designated by the Administrator or Director of Nursing.
  • Promote safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness.
Requirements
  • A Bachelor's Degree from an accredited college or university is preferred.
  • Must have, as a minimum, three (3) years of experience with demonstrated success in census development and occupancy management in a nursing home, or other related health care facility.
  • Knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines pertaining to long-term care.

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