Clinical Assessment Specialist RN, PT, OT, SLP

Clinical Assessment Specialist – (RN, PT, OT, SLP)

Full-Time, Monday through Friday, 8am - 5pm

The Clinical Assessment Specialist is a critical member of our hospital business development team, assisting the field clinical liaisons with patient assessment completion and pull-through. This position is a step into the business side of healthcare, helping patients from the bedside to post-acute settings. The candidate must have an active, unencumbered RN, PT, OT, or SLP license.

• Work with Admission Department (and/or acute care hospital personnel) to secure insurance authorization and/or coordination of benefits necessary to be admitted.
• Assess a patient’s eligibility for and feasibility of post-acute services in consultation with the field Clinical Liaisons, Senior Clinical Liaison, or Director of Business Development.
• Prepare and complete a detailed preadmission assessment timely and thoroughly, meeting all regulatory requirements.
• Participate in meetings with hospital leadership, DBD, and clinical liaisons to provide market intelligence information.
• Support team members in the field or in the admissions office as appropriate.
• Assist with insurance authorization backup as needed.
• Obtain timely authorization of all patients requiring pre-certification and be accountable for conversion percentage and results.
• Ensure all policies governing commercial pre-certification and authorization are followed to minimize financial risk.
• Maintain relationship profile by payor for payor case managers and medical directors.
• Identify payor preference or use best practice cover sheet and submission portfolio to maximize results.
• Develop and maintain professional credibility, building trust with leadership and teammates.
• Perform other related projects and duties as assigned.

• Current and valid state licensure or eligibility for state licensure as a Registered Nurse, Physical Therapist, Occupational Therapist, or Speech Language Pathologist; multi-state licensure as required.
• Two years of related experience working in a clinical healthcare setting, with demonstrated competency in preadmission processes, transitions of care communication, and patient pull-through.
• Demonstrated computer proficiency.
• Must exercise sound judgment in handling professional/confidential health care information.

Entry level

Full-time

Health Care Provider

Hospitals and Health Care