Resident Navigator

Summary & Objective

The Resident Navigator will assist Centralized Admitting Department in various job functions in obtaining required clinical documentation for patient/residents 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.

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 drivers 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.

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)