Centered in the heart of Boyle Heights, Adventist Health White Memorial is one of the area's leading healthcare providers since 1913. We are comprised of a 353-bed hospital, three medical office buildings, residency programs, comprehensive cancer care and a vast scope of services located in the Los Angeles area. In 2019, Adventist Health White Memorial was recognized with the Malcolm Baldrige National Quality Award, the nation's highest presidential honor for performance excellence.
We are proud to promote wellness in the community at the local farmers market and through our community resource center with services for seniors and Spanish-speakers. Los Angeles is known for its art, rich culture, numerous sports teams and world-renowned dining. There is something for everyone in this culturally diverse city.
Job
Plans, organizes, coordinates and evaluates the admissions process. Maintains responsibility for screening, evaluating, processing and coordinating all admissions to the department unit. Fosters relationships with referral agencies, hospitals and physicians, actively engaging in marketing activities.
Exercises judgment in selecting methods, techniques and evaluation criteria for obtaining results. Job
Education and Work
Associate’s/Technical Degree or equivalent combination of education/related
Required Bachelor’s Degree or equivalent combination of education/related
Preferred Five years' healthcare compliance
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 Physical Therapist (PT) or Occupational Therapist (OT) or American Speech Language Hearing Association (ASHA) or Certificate of Clinical Competence in Speech-Language Pathology (CCC-SLP) or Speech-Language Pathology (SLP) or Licensed Clinical Social Worker (LCSW): Required Facility Specific License/Certifications: Hospital Fire and Life Safety (HLFS): Required
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
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.
Full time