Central Intake Nurse Specialist

3 days ago


Albuquerque, New Mexico, United States OPCO Skilled Management Full time
Job Summary

The Central Intake Nurse Specialist will be responsible for obtaining initial and ongoing referral documentation from physicians, insurers, and providers to determine the appropriateness of services and/or facility placement. The role will coordinate the development of patient care plans that specify the frequency and duration of the services provided and initiates care with service providers.

Key Responsibilities:

• Consolidates the inbound referral processes, records, and reports data related to admissions, discharges, and admission inquires to senior and facility management.

• Provides a single point of contact to verify insurance coverage, assess care needs, determine availability at facilities that are a good fit, and quickly respond to referrals from hospitals in a more succinct, organized fashion.

• Receives, updates, and engages with referrals, ensuring that the organization is able to provide the appropriate level of care, while also soliciting additional information to ensure the transition of care is as smooth as possible.

• Assists both patients and families by determining the services and support that are best suited for each patient, what support services are available in their community, and which service will best meet their needs.

• Collects data to facilitate the admissions process; ensures admission forms are properly signed and filled.

• Eliminates challenges by defining a singular access-point for patients, their families, and the organization; initiates control over acceptance criteria to ensure a more cohesive follow-up procedure.

• Reviews, audits, and supports the marketing information system by ensuring all data elements are available so that reports can be generated; responsible for the integrity of the data which is inputted into the MIS (CRM, IRM, PCC).

• May temporarily receive changes or additional job responsibilities and may temporarily assume a position in case of an unplanned vacancy, when qualified.

Equal Employment Opportunity

OPCO Skilled Management provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.

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