As a Referral Intake Coordinator, you will play a pivotal role in shaping the efficiency and success of our centers by expertly managing the intake process. Your primary responsibilities will include conducting thorough clinical and financial reviews of referrals, verifying insurance benefits, and handling prior authorizations. You will make critical decisions by approving or escalating referrals based on each facility's clinical and financial capabilities. This role involves extensive collaboration with a diverse range of stakeholders, including hospital systems, case managers, and facility leadership teams.In addition to responding to inquiries from hospital discharge planners, families, and other referral sources, you will leverage our advanced e-referral systems and CRM tools to streamline the intake process. By utilizing data and analytics, you will ensure rapid responses and optimize referral management, enhancing care transitions and maintaining high standards of patient care. Your contributions will directly impact the coordination and business development outcomes across our centers, driving excellence in community service and patient care.In this role, you will ensure that potential admissions are seamlessly prepared for transition by effectively communicating admission and transitional care needs with the relevant staff members. Success in this position requires a thorough understanding of Federal and State regulations, referral processes, and reimbursement mechanisms, including Managed Care, Medicare, and Medicaid. Your ability to stay informed and navigate these areas will be crucial in facilitating smooth transitions and maintaining high standards of care.Key Responsibilities:Referral Generation & Management:Utilize established relationships with case managers to generate a consistent stream of referrals for the centers(s).Identify and build on new relationships or new positions within the hospital system to drive more referrals to the assigned center(s).Own the referral process from start to finish, ensuring that all referrals are processes efficiently and effectively.Demonstrate proficiency in the clinical review process to assess patient needs and match them to the appropriate center.Collaborative Relationship Building:Collaborate closely with the center and market clinical team to ensure a seamless pathway to admission for referred patients, emphasizing clinical excellence and patient satisfaction.Maintain effective communication with patients and their families throughout the referral and admission process through phone calls, emails and documentation in our CRM PCC system.Establish strong working relationships with key personnel within the center(s), including Directors of Nursing and the Internal Admissions team.Have a deep understanding of the capabilities and differentiators of their assigned center(s) and effectively communicate these to potential partners.Strategic Business Development:Although not responsible for new sales, strategically build alliances with the referrals received and identify partnership opportunities with the hospital system to assist with patient throughput.Identify pathways for partnership within the hospital system and facilitate or schedule meetings to explore collaboration opportunities.Why Genesis?We improve the lives we touch through the delivery of high-quality healthcare and everyday compassion! *We Care Deeply about YOU! Guided by our Core Values, Code of Conduct and Ethics program, we foster a culture of care and compassion. We focus on improving the quality of care through creativity and innovation, honesty and integrity in all we do. *We Develop YOU! We provide career ladders, education and training opportunities so you can build a long and successful career with Genesis. *We Appreciate YOU! We value your contributions to the Genesis mission and vision and instill an environment of teamwork and enjoyment in working together. We recognize and celebrate our shared successes. *We are Committed to YOU! We know you are the vital link between Genesis, our patients and residents! We inspire you to be your best self. *We Protect YOU! We take great pride in meeting or exceeding CDC and CMS standards. We've acquired and maintained a necessary supply of PPE, including N95/KN95 masks for all who provide care. We have in place multiple testing capabilities including Point-of-Care (POC) testing in every location according to CMS and local guidance.
DMACQualifications:
Minimum of two (2) years’ experience in skilled nursing, long term care, or other related environment.
Direct admission experience and referral management experience preferred.Strong understanding of the long-term care business, including census and quality mix goals and referral expectations.Ability to navigate multiple electronic healthcare referral systems.Proven track record of success in driving business growth, achieving sales targets, and leading high-performing teams.Deep understanding of healthcare regulations, reimbursement models, and industry trends impacting skilled nursing and rehabilitation facilities.Excellent communication, negotiation, and interpersonal skills, with the ability to collaborate effectively across all levels of the organization.Strong analytical skills, with the ability to interpret data, analyze trends, and develop actionable insights.Proficiency in Microsoft Office Suite and CRM software.Willingness to travel nationally as needed.Other Info
Position Type:
Full TimePay Target:
$95,000 - $110,000 / yearJob City:
MillvilleRequisition Number:
508608
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Marketing and Admissions Director - Healthcare Setting