Summary of Position
The primary purpose of the Central Intake & Case Management Coordinator position is to facilitate the intake, referral, and admission process for assigned skilled nursing facilities while serving as a liaison between referral sources, hospitals, managed care organizations, residents, families, and facility teams.
Essential Duties and Responsibilities
Referral Management Functions
• Receive, review, and process referrals.
• Monitor referral activity for assigned facilities.
• Maintain referral tracking systems and databases.
• Ensure timely response to referral opportunities.
Intake Coordination Functions
• Coordinate all aspects of intake from referral through admission.
• Review clinical, financial, and insurance information.
• Verify referral documentation requirements.
• Support timely admission decisions.
Clinical and Placement Review Functions
• Review referrals for appropriate level of care.
• Collaborate with facility clinical teams regarding admission suitability.
• Support continuity of care throughout transitions.
Case Management Support Functions
• Support transition-of-care initiatives.
• Communicate with families and responsible parties.
• Support readmission reduction initiatives.
Census Development Functions
• Assist facilities in achieving census goals.
• Monitor admission activity and conversion rates.
Managed Care and Insurance Coordination Functions
• Verify payer source information.
• Coordinate authorization requirements and approvals.
Customer Service and Relationship Management Functions
• Provide exceptional customer service.
• Maintain positive relationships with hospitals and community partners.
Communication and Collaboration Functions
• Collaborate with admissions, clinical, business office and operations personnel.
• Promote teamwork and collaboration.
Reporting and Analytics Functions
• Maintain referral tracking reports and admission metrics.
• Monitor referral conversion rates and outcomes.
Compliance and Regulatory Functions
• Ensure compliance with federal, state and company policies.
• Comply with HIPAA requirements.
Resident Rights
• Protect resident confidentiality and privacy.
• Respect resident rights, dignity and personal choice.
Key Competencies
Qualifications
- Associate's Degree required; Bachelor's Degree preferred.
- Healthcare admissions, case management, discharge planning or long-term care experience preferred.
- Understanding of Medicare, Medicaid and Managed Care processes.
- Strong organizational, communication and problem-solving skills.