Manager of Admissions Full Time REMOTE at Kindred Healthcare
United States
$74.85k - $93.56k
<p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">At <strong>ScionHealth,</strong> we empower our caregivers to do what they do best. We value every voice by caring deeply for every patient and each other. We show courage by running toward the challenge and we lean into new ideas by embracing curiosity and question asking. Together, we create our culture by living our values in our day-to-day interactions with our patients and teammates.</span></p><p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><strong>Job Summary</strong></span></p><p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Responsible for the authorizations and admissions program. The Mgr, Admissions oversees the referral, and intake processes and maintains communication with the sales and operations teams. Responsible allocating the work of the admissions and authorizations teams and ensuring the compliance and regulatory standards at each of their assigned hospitals. Works closely with the Sales team to create and maintain efficient and effective processes. Responsible for meeting and maintaining performance targets set forth by the organization.</span></p><p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><strong>Essential Functions </strong></span></p><ul><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Leads the local operations of the admissions office, including supervision of the Clinically Appropriate Management Specialists, Admissions Coordinators, and Admissions Specialists. </span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Review key performance measures in authorizations and admissions and prepare recommendations to improve overall performance.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Serve as a liaison with local sales, marketing, business office, managed care, and administration of the facilities to ensure timely processing of admissions and to ensure total customer satisfaction.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Support coordination of admissions with other departments by facilitating the collection and distribution of appropriate information</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Train and orient new admissions staff and assist with cross-training of staff for authorizations and admissions backup purposes.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Serve as a resource for staff who may experience difficulties with various referral sources or payor organizations; provide specific interventions if necessary.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Maintain state-of-the-art knowledge of areas of responsibility and follows a program of continuing education.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Ensure all concurrent denials are reviewed for appropriateness and appealed when patient meets LTAC continued stay criteria. Escalate to medical staff for Peer-to-Peer if needed.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct, its policies and procedures, the Corporate Compliance Agreement, applicable federal and state laws, and applicable professional standards.</span></li></ul><p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><strong>Knowledge/Skills/Abilities/Expectations</strong></span></p><ul><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Direct experience in third-party reimbursement and knowledge of how benefits under various insurance programs are applied in the post-acute care setting</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Strong relationship building skills and a spirit to serve and ensure effective communication and service excellence </span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Strong knowledge of regulatory standards and compliance guidelines</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Critical thinking, problem solving, and decision-making capabilities </span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Computer skills that include Microsoft Office Suite including, but not limited to: Word, Excel, PowerPoint, and Outlook</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Must read, write and speak fluent English.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Must have good and regular attendance.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Approximate percent of time required to travel: </span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Performs other related duties as assigned.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Ensure the team has safeguards in place to protect the assets of Scion Health from initial verification/authorization to continued stay eligibility and authorization protocols.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Analyze team members processes and actions to ensure that all activities are value add to the quality of patients stay and financial wellbeing of Scion Health.</span></li></ul><p><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><strong>Pay Range: $74,850 - $93,560/Year</strong></span></p><p><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><i>ScionHealth has a comprehensive benefits package for benefit-eligible employees that includes Medical, Dental, Vision, 401(k), FSA/HSA, Life Insurance, Paid Time Off, and Wellness. </i></span></p><br><br><p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><strong>Education</strong></span></p><ul><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Bachelor’s Degree Required</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Masters Degree Preferred (clinical area preferred) or equivalent experience</span></li></ul><p style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;"><strong>Experience</strong></span></p><ul><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Minimum of three (3) years of experience in case management, admissions office management or similar leadership capacity</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Proven history of effective relationship management in a matrix reporting structure is preferred.</span></li><li style="font-family:Arial;"><span style="font-family:Arial, Helvetica, sans-serif;font-size:14px;">Some travel may be required, but minimal.</span></li></ul>
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