Admissions Coordinator at Adventist Health in Lodi, CA

Education and Work Experience:

• Associate’s/Technical Degree or equivalent combination of education/related experience: Required
• Bachelor’s Degree or equivalent combination of education/related experience: Preferred
• Five years' healthcare compliance experience: Preferred
• Preferred: Preferred

Licenses/Certifications:

• Registered Nurse (RN) or licensed allied health professional (Physical Therapist, Occupational Therapist, Speech Pathologist, or Clinical Social Worker): Required
• Registered Nurse (RN) or licensed allied health professional (Physical Therapist, Occupational Therapist, Speech Pathologist, or Clinical Social Worker): Required

Essential Functions:

• Assigns preliminary Functional Independence Measure (FIM) scores (motor & cognitive), Case Mix Group (CMG), target Length of Stay (LOS) and expected reimbursement for Medicare patients. Works on activities of a diverse scope requiring minimal interpretation of policies and guidelines.
• Suggests the Rehabilitation Impairment Category (RIC), etiological diagnosis, secondary and related diagnosis, and any comorbidities present upon referral based on medical history, and reviews with Medical Director. Makes recommendations on new processes, tools and services. Supports and contributes to the development of new products, services or techniques.
• Ensures a viable discharge plan, expectation of significant practical improvement, established and realistic rehabilitation goals, and that the patient is medically stable/able to participate in an intensive rehabilitation program. Ensures prior authorization, verification of benefits and insurance coverage. Identifies payer expectations.
• Performs pre-admission screening, completes pre-admission screening forms and conducts onsite evaluations, as needed, on patients referred for acute inpatient rehabilitation. Solves escalated operational problems and technical issues. Prioritizes own weekly schedule and guides others in the completion of tasks within clearly defined schedules as set by leadership.
• Maintains current knowledge of regulatory and reimbursement criteria as related to patient admissions and program development. Assists with orienting and providing on-the-job skills training to others.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations as a condition of employment and annually thereafter, where applicable. Medical and religious exemptions may apply.

Adventist Health participates in E-Verify. Visit https://adventisthealth.org/careers/everify/ for more information about E-Verify. By choosing to apply, you acknowledge that you have accessed and read the E-Verify Participation and Right to Work notices and understand the contents therein.