RESIDENT NAVIGATOR

Resident Navigator

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.

Other Duties

• Medical Staff Credentialing responsibilities as assigned.
• Provides orientation to new employees as needed.
• Complies with all policies, local, state and federal laws and regulations.
• Perform other duties as assigned

Supervisory Responsibility

• May serve as an interim department leader depending on need.

Physical Requirements

• Must be able to lift and/or move up to 50 pounds and push/pull up to 50 pounds, walk, climb stair or ladders, stand on feet for extended periods of time, etc.

The job description is not designed to cover or contain a comprehensive listing of activities duties or responsibilities that are required of the employee. Other duties, responsibilities and activities may change or be assigned at any time.

CHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, and transfer, leaves of absence, compensation and training.