Admissions Specialist- Specialty Job at Acadia Healthcare

Admissions Services Specialist

Acadia Healthcare is seeking remote Admissions Services Specialists to support o...

Location

United States , Franklin

Salary:

Not provided

Acadia Healthcare

Expiration Date

Until further notice

Requirements

Bachelor's or Master's degree in Behavioral Science, Social Work, Sociology, Nursing, or a related field
in some states, RN, LVN/LPN
Knowledge of admission/referral processes, techniques, and tools
Familiarity with behavioral health issues and services
Solid understanding of financial principles and insurance reimbursement practices
Knowledge and proficiency with Salesforce.com (or other CRM application), Concur, and MS Office application
Licensure, as required for the area of clinical specialty, i.e., RN license, CAC or other clinical counseling or therapy license, as designated by the state in which the facility operates

Job Responsibility

Manage Referral Management Portals
Monitor all faxed referrals
Monitor all webforms and call center handoffs/rollover referrals
Utilize facility admissions/exclusionary criteria to process incoming types of referrals
Respond to inquiries about the facility within facility policy timeframes
Document calls inside of Salesforce and follow-up as needed
Complete Prior Authorization
Pre-Admit the patients in billing system
Coordinate with local admissions department regarding bed availability
Facilitate intake, admissions, and utilization review process for incoming patients

Fulltime

Registration & Eligibility Specialist

UNM Hospital is the largest community mental health provider in the state of New...

Location

United States , Albuquerque

Salary:

16.59 - 22.95 USD / Hour

UNM Hospitals

Expiration Date

Until further notice

Requirements

High School or GED Equivalent
2 years directly related experience
Bilingual English/Keres, Tewa, Tiwa, Towa, Zuni, or Navajo
Not Applicable/Not Required

Job Responsibility

Perform pre-registration and registration functions for Ambulatory/Outpatient Operations area assigned
verify insurance coverage eligibility and benefits
verify required referrals and/or prior authorization are in place prior to visit
contact patients for outdated or missing demographics
professional and efficient phone call handling via telephone ACD system in a call center setting
perform as first contact for Persons in Custody of Law Enforcement Agency (PICLEA) as they arrive for care
screen patients for coverage and assist them in navigating their financial options including UNMH or other UNM Health Systems financial assistance, NM Medicaid, or other State and Federal Programs
perform intake applications for State of NM Medicaid
Ensure adherence to Hospitals and departmental policies and procedures
Assist patients in locating departments

What we offer

Full health/dental/vision with no deductible for full-time employees
Retirement with up to 6% match
PTO and 9 paid holidays
Amazing shift differentials including up to 26% for weekend nights
Sign-on bonuses and relocation assistance

Fulltime

Acute Medicine Consultant

An exciting opportunity has arisen for a Consultant Physician in Acute Medicine ...

Location

United Kingdom

Salary:

109725.00 - 145478.00 GBP / Year

Remedium Partners

Expiration Date

Until further notice

Requirements

Full GMC Registration with a licence to practise
MRCP or equivalent qualification
Entry on the GMC Specialist Register for Acute Medicine or General Internal Medicine (GIM) OR within 6 months of CCT at the interview date
Minimum 1 year NHS experience
Strong clinical competence in Acute and General Internal Medicine
Experience managing acute medical admissions and emergencies
Ability to work effectively within multidisciplinary teams
Excellent communication and leadership skills

Job Responsibility

Provide consultant-led care within the Acute Assessment Unit (AAU) and Medical Assessment Unit (MAU)
Conduct: Daily patient reviews
Acute medical assessments
Ambulatory care reviews
Consultant ward rounds
Support patient flow and admission avoidance pathways
Work collaboratively with Emergency Department teams to improve acute patient management
Provide telephone advice to General Practitioners regarding acute patient management
Participate in multidisciplinary team meetings and board rounds
Contribute to the development of Same Day Emergency Care and ambulatory pathways

Fulltime

Utilization Management Nurse Specialist RN II

The Utilization Management Nurse Specialist RN II facilitates, coordinates, and ...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 5 years of varied RN clinical experience in an acute hospital setting
At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting
Registered Nurse (RN) - Active, current and unrestricted California License
Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint
Provision of excellent customer service
Excellent time management and priority-setting skills
Maintains strict member confidentiality and complies with all HIPAA requirements
Strong verbal and written communication skills

Job Responsibility

Facilitates, coordinates, and approves medically necessary referrals that meet established criteria
Assures timely and accurate determination and notification of referrals and reconsiderations based on the referral determination status
Generates approval, modification and denial communications, to include member and provider notification of referral determination
Actively monitors for admissions in any inpatient setting
Performs telephonic and/or onsite admission and concurrent review, and collaborates with onsite staff, physicians, providers, member/family interaction to develop and implement a successful discharge plan
Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service and retrospective claims medical review
Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers
Acts as a department resource for medical service requests /referral management and processes
Receives incoming calls from providers, professionally handles complex calls, researches to identify timely and accurate resolution steps
Follows up with caller to provide response or resolution steps

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Utilization Management Nurse Specialist RN II

The Utilization Management Nurse Specialist RN II facilitates, coordinates, and ...

Location

United States , Los Angeles

Salary:

88854.00 - 142166.00 USD / Year

L.A. Care Health Plan

Expiration Date

Until further notice

Requirements

Associate's Degree in Nursing
At least 5 years of varied RN clinical experience in an acute hospital setting
At least 2 years of Utilization Management/Case Management experience in a hospital or HMO setting
Must be computer literate, with expertise in Outlook, Word, Excel, PowerPoint
Excellent time management and priority-setting skills
Strong verbal and written communication skills
Registered Nurse (RN) - Active, current and unrestricted California License

Job Responsibility

Facilitates, coordinates, and approves medically necessary referrals that meet established criteria
Assures timely and accurate determination and notification of referrals and reconsiderations
Generates approval, modification and denial communications
Actively monitors for admissions in any inpatient setting
Performs telephonic and/or onsite admission and concurrent review
Collaborates with onsite staff, physicians, providers, member/family to develop and implement a successful discharge plan
Works with the UM Manager and Physician Advisor on case reviews
Monitors and oversees the collection and transfer of data (medical records) and referral requests by Providers
Acts as a department resource for medical service requests /referral management and processes
Receives incoming calls from providers, professionally handles complex calls

What we offer

Paid Time Off (PTO)
Tuition Reimbursement
Retirement Plans
Medical, Dental and Vision
Wellness Program
Volunteer Time Off (VTO)

Fulltime

Logistics Specialist

Location

United States , Hot Springs

Salary:

17.24 - 24.35 USD / Hour

American Nursing Care

Expiration Date

Until further notice

Requirements

High School GED General Studies

Job Responsibility

Answering and directing large number of phone calls to Emergency Department, including physician and professional calls regarding transfers, admissions, and consultations, answering patient emergency call systems, and activating emergency notification systems for the entire facility
Facilitate transfers of patients to and from outside facilities including printing/copying/scanning patient documents
Facilitate flow by placing admissions within bed placement system
Scan patient charges and maintain and order department supplies, office and form supplies, nourishment, etc. Ordering specialty supplies for trauma department and physicians
Maintain department statistics for quality, safety, and regulatory needs
Scan patient documents into electronic medical record. Provide Health Information Management services after hours for emergency department patients

What we offer

medical
prescription drug
dental
vision plans
life insurance
paid time off
tuition reimbursement
retirement plan benefit(s) including 401(k), 403(b), and other defined benefits offerings

Parttime

Specialist Physician

The Specialist Physician should follow up on his/her specialty as regards inpati...

Location

Egypt , Kattamya

Salary:

Not provided

As-Salam International Hospital

Expiration Date

Until further notice

Requirements

Master Degree plus 2 years professional experience after Master

Job Responsibility

Diagnose, treat, or provide continuous care to hospital inpatients
Prescribe medications or treatment regimens to hospital inpatients
Admit patients for hospital stays
Conduct discharge planning and discharge patients in cooperation with the senior registrar and after approval of the relevant consultant
Order or interpret the results of tests such as laboratory tests and radiographs (x-rays)
Communicate with patients' consultant physicians upon admission, when treatment plans change, or at discharge to maintain continuity and quality of care
Conducts regular ward rounds to formulate a Patient Care plan
Abides by Departmental Policies and Procedures, as well as hospital by-laws, Rules, and Regulations
Performs diagnostic and therapeutic procedures on his/her patients within the range of the specialty

RN Patient Logistics - Transfer Center

RN Patient Logistics - Transfer Center FT 3p-3a position at Atrium Health Mobile...

Location

United States , Charlotte

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

1-3 Years varied experience to include Med/Surg, Critical Care and Emergency preferred
Working knowledge of the Dispatch and Electronic Health Record and how they relate to admission, transfer, and discharge processes preferred
Previous experience in a call center or in virtual care preferred
Experience collaborating with multidisciplinary teams

Job Responsibility

Obtains accepting/consulting providers, accurately documents PHI, and coordinates patient transport and bed assignment
Develops and maintains effective processes and documentation in information systems to facilitate efficient and appropriate admissions
Interacts with the entire Transfer Center team to ensure appropriate and timely placement of patients accepted for transfer
Gathers and maintains accurate representation of acute care facility bed capacity. Sends redistribution notification and regular updates to administrators, providers, facility leadership and area transportation agencies
Navigates complex algorithms based upon requested specialty in combination with knowledge of bed availability, proximity of the referring facility to the receiving facility, patient diagnosis and specialties and services needed to determine the most-appropriate receiving provider and facility
Attends facility Capacity and Safety Huddles to monitor staffing, safety, and capacity concerns as needed
Utilizes computer technology integrated telephone answering system for process inbound and outbound calls
Activate code group alerts to multidisciplinary teams to provide timely, high-quality patient care. Documents PHI and timestamps for accurate data collection and national data registry reporting
Sends diversion notification and regular updates to administrators, providers, facility leadership and area transportation agencies when a facility nears capacity
Serves as a liaison between the medical staff of the referring facility and the medical staff at the receiving facility to ensure a smooth inbound patient transfer process

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

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Admissions Specialist- Specialty

Job Description

Job Responsibility

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