Clinical Specialist

• Identify potential admissions and process and place new resident/client requests
• Track admission status
• Complete authorization activities and determine accepting facilities’/agency’s capabilities to provide the appropriate level of care
• Support facilities/agencies by completing resident/client admission-related tasks
• Collaborate with colleagues and referral sources to plan, implement, and evaluate the admissions process
• Coordinate resident/client move-in processes, including admission paperwork, insurance verifications, prior authorizations, and transportation when applicable
• Ensure smooth transitions from referring facilities to locations
• Perform clinical evaluations of resident/client charts to determine appropriate medical services
• Determine appropriate actions for referring cases that do not meet facility/agency standards
• Visit with discharge planners, family members, and interdisciplinary team members to promote locations and services
• Comply with applicable laws, regulations, and policies/procedures
• Educate healthcare team members about trends, external regulations, and internal policies affecting resource utilization and prior authorization
• Enter data accurately into Customer Referral Management (CRM) and electronic medical record (EMR), depending on location
• Serve as a resource and point of contact for guidance, training, and questions

Clinical Specialist jobs in North Dakota

Clinical Admissions Specialist, Long Term Care - LTC