Job Description

Summary & Objective

The Resident Navigator will assist Centralized Admitting Department in various job functions in obtaining required clinical documentation for patient/resident’s medical record, completion of admission packets for all new and readmit admissions, bed management and assist the Business Office in accordance with established policies and procedures.

Knowledge & Experience Requirements

• High School diploma or general education degree (GED)

· 1-2 years of experience in a Health Care Facility preferred

· Must have knowledge of computer office/clinical software such as Microsoft Office (Word, Excel, and Outlook).

· Basic knowledge of Medicare/Medicaid, managed care and private insurance guidelines

· Must be able to read, write and understand the English language (Bilingual preferred)

Essential Functions

· Supports and upholds the principles of the organizational Mission, Vision, and Values.

· Work with resident and/or patient, and resident representative, health care proxy, health care surrogate, power of attorney, and/or court appointed Guardian ensure efficient admission.

· Admits, transfers, and discharges patients and/or residents in accordance with established policies and procedures.

· Maintains daily/monthly census report as directed. And will report any discrepancies to central admissions as necessary

· Will attend necessary (morning) meetings to report census.

· Maintain the admission package excel log for timely signatures within the 72 hours period upon admission.

· Distributes all necessary data from referral sources such as hospitals, discharge planners, Case Managers, Physicians for resident/patient chart.

· Create admission face sheets and completes all admissions paperwork to initiate obtaining signatures of patients and/or residents or representative on all required form, releases, authorizations, etc.

· Assures that accurate information is obtained during the admission package process for data entry onto the face sheet.

· Maintains Admissions Control Board with color-coded magnets.

· Assist and facilitate medical, therapy and/or respiratory equipment as needed for a seamless admission.

· Assist with bed management and transfers within the facility.

· Will communicate all admission and discharges to central admissions throughout the day.

· Ensures transfer/discharge data entered into clinical database is accurate.

· Answer public inquiries both written and verbal regarding policy and procedure for admissions. Prepares pre-admission packets for mailing upon request.

· Conducts tours of the facility to potential patient and/or resident and/or representative to secure admission.

· Maintains admission waiting list in accordance with established policies and procedures if applicable.

· Maintains confidentiality of all pertinent care information for patients and/or residents in accordance with Health Insurance Portability Accountability Act (HIPAA) guidelines and established policies and procedures.

· Assists the Business Office for financial responsibilities for co-payments, private pay consumers with new admissions/and readmits.

· Obtains all signatures from patients and/or residents or responsible representative in a timely manner.

· Requests copies of insurance cards, driver’s license, living wills and/or Advance Directives, and scans into clinical software when available.

· Informs (via email) receptionist and nursing units of expected pending admissions.

· Will be the Facility Patient Ambassador with all admissions and discharges in the facility.

• Must exhibit excellent customer service and a positive attitude towards residents and/or patients, colleagues, physicians and community.
• Maintain scanned document such as admission packets into Electronic Chart System (ECS) and Pixcert daily.

· Communicates with the Director, Central Admission and Executive Director/Administrator of any issues and department needs.

· Will assist the Business Office in facilitation of a new Long-Term Care (LTC) resident admission.

*Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of the position.