Central Intake & Case Management Coordinator

Summary of Position The primary purpose of the Central Intake & Case Management Coordinator position is to facilitate the intake, referral, and admission process for assigned skilled nursing facilities while serving as a liaison between referral sources, hospitals, managed care organizations, residents, families, and facility teams.

Essential Duties and Responsibilities Referral Management Functions Receive, review, and process referrals.

Monitor referral activity for assigned facilities.

Maintain referral tracking systems and databases.

Ensure timely response to referral opportunities.

Intake Coordination Functions Coordinate all aspects of intake from referral through admission.

Review clinical, financial, and insurance information.

Verify referral documentation requirements.

Support timely admission decisions.

Clinical and Placement Review Functions Review referrals for appropriate level of care.

Collaborate with facility clinical teams regarding admission suitability.

Support continuity of care throughout transitions.

Case Management Support Functions Support transition-of-care initiatives.

Communicate with families and responsible parties.

Support readmission reduction initiatives.

Census Development Functions Assist facilities in achieving census goals.

Monitor admission activity and conversion rates.

Managed Care and Insurance Coordination Functions Verify payer source information.

Coordinate authorization requirements and approvals.

Customer Service and Relationship Management Functions Provide exceptional customer service.

Maintain positive relationships with hospitals and community partners.

Communication and Collaboration Functions Collaborate with admissions, clinical, business office and operations personnel.

Promote teamwork and collaboration.

Reporting and Analytics Functions Maintain referral tracking reports and admission metrics.

Monitor referral conversion rates and outcomes.

Compliance and Regulatory Functions Ensure compliance with federal, state and company policies.

Comply with HIPAA requirements.

Resident Rights Protect resident confidentiality and privacy.

Respect resident rights, dignity and personal choice.

Key Competencies Intake Coordination Relationship Management Customer Service Communication Case  Management Support Admissions Coordination Qualifications Associate 's Degree required;
Bachelor's Degree preferred.

Healthcare admissions, case management, discharge planning or long-term care experience preferred.

Understanding of Medicare, Medicaid and Managed Care processes.

Strong organizational, communication and problem-solving skills.
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