Admissions Nurse Manager

Assesses current and potential residents’ for placement throughout the village.

1. Review, accept and approve referrals from area hospitals, other nursing facilities and other facilities through CarePort, Ensocare, fax and email.

2. Review referral and forward to billing for insurance verification.

3. Review Michigan Care Improvement Registry (MICR) to obtain immunization status for each patient.

4. Prepare documentation to obtain authorization for skilled nursing care from insurance companies.

5. Coordinate with admissions personnel regarding status of each admission to ensure proper signage of admission documents.

6. Manage daily phone calls from family members regarding potential rehab or long-term care patients and answer financial, insurance and clinical questions.

7. Update insurance companies with complete clinical information on status of resident’s care – usually every 3 days.

8. Obtain therapy notes to provide clinical updates to insurance companies.

9. Ensure all charts and forms are provided to Unit Secretaries to scan into charts.

10. Email approved referrals/clinical charts to all necessary disciplines.

11. Complete Ombudsman summary report for all residents.

12. Complete Medicare A discharge list.

13. Facilitate weekly Medicare meetings to ascertain potential discharge dates with team.

14. Participates in weekly placement meeting to discuss village wide levels of care and placement.

15. Participates in weekly PACE meetings regarding status of the current PACE patients on rehab and long term care units.

16. Manage resident appeals through Livanta.

17. Explains policies, procedures or services to residents and families using medical knowledge.

18. Emails Billing, Social Work and Therapy regarding PACE residents and authorizations.

19. Provide daily admissions and denial list to Marketing.

20. Verifies patient’s insurance on all LOA residents > 24 hours.

21. Conducts bed management (room allocations, moves, etc.).

22. Collaborates with area hospitals, case managers, social workers and discharge planners to build a rapport and gain referrals.

23. Obtains potential resident information from CarePort and Ensocare.

24. Prepares reports to provide answers in response to identified issues/concerns.

25. Fosters an environment of effective communication, customer service, warmth and caring relationships amongst staff, residents and families.

26. Sustains and provides census goals to leadership in meetings. Meets census goals by collaborating closely with the Administrator, Director of Nursing and Unit Managers.

27. Communicates with social worker/discharge planner for discharge statuses.

28. Participates in weekly clinical management meetings, health care center meetings and Marketing meetings.

29. Maintains and communicates daily or weekly for potential long term care residents.

30. Develops and maintains a relationship with the organization to include all areas. Encourage teamwork between all areas of marketing and nursing.

31. Attend and participate in all appropriate meetings and training opportunities in order to keep informed on current information and skill development.

32. Follow established policies and procedures including but not limited to:

o Presbyterian Villages policies and procedures.

o Safety policies and procedures.

o Federal, state and local regulations.

All other duties as assigned

Graduate from accredited school of nursing
Six months to one year geriatric experience preferred
Efficient Computer knowledge and use of Microsoft products, word processing, spreadsheets database systems, and email.

Certificates & Licenses:
Current RN preferred from the State of Michigan
Valid CPR certification

Must have working knowledge of the LoC determination forms
Knowledge of Medicare denial process, forms, Medicare Part "A" days ,and certification.
VEH: Availability to perform On Call/Rotational responsibility as weekend facility supervisor