Resident Navigator

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.