Job Details
About NYC Health + Hospitals
NYC Health + Hospitals/Gouverneur is a 295-bed Skilled Nursing Facility (SNF) with a 5-star CMS Quality Rating in Manhattan s Lower East Side neighborhood. Gouverneur offers enhanced, cutting-edge healthcare services in a state-of-the-art space. It provides 24-hour care for individuals needing sub-acute care, long-term care, or hospice care, including services like physical therapy, occupational therapy, speech, and vocational rehabilitation. Gouverneur is an academic affiliate of NYU School of Medicine and Rusk Institute of Rehabilitation Medicine.
From more than 600 Nursing Homes, Gouverneur ranks #7 in Newsweek s Best Nursing Homes in New York 2024 and received high-performance ratings for Long-term Care and Short-term Rehabilitation from U.S. News & World Report s Best Nursing Homes in America 2024.
At NYC Health + Hospitals, our mission is to deliver high-quality care and health services without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.
Job Description
Under the direction of the Director of Admissions, the Sr. Admissions Nurse Liaison oversees admission clinical activities for 5 Skilled Nursing facilities. Directly responsible for oversight and management of the admissions nurse liaisons within the framework of established policies and procedures governed by the New York State Department of Health. Provides direction and leadership to the admissions department without the director and associate director. Provides clinical guidance to the director and admitting staff in relation to patient/resident admissions, transfers, and discharges throughout the Post-Acute Care Service Line.
Duties & Responsibilities
- Oversees the admissions clinical activities of admission nurse liaison for their assigned facility in accordance with resident needs, government regulations, and established policies to maintain quality care for the residents while achieving the facility's business objectives.
- Ensure admission nurse liaisons perform high-quality reviews of referrals.
- Ensures quick turnaround of referral response.
- Review and summarize denial reasons for referrals monthly.
- Conduct monthly audits and summarize the levels of care authorized by managed plans and the levels recommended by the admission nurse liaison.
- Monthly evaluate the appropriateness of recommendations of the level of care by admission nurse liaison for managed care referrals.
- Train and ensure clinical review competencies of admission nurse liaison.
- Is the point of contact for escalated clinical concerns involving SNF/NH admissions referrals.
- Participates in preparation for regulatory agency audits and surveys; responds to information inquiries as required.
- Assists with developing and promoting marketing activities, including building referral source relationships to increase referral volumes.
- Assists with monitoring overall efficiencies of the Centralized Admissions Department, including responding to referrals faster and more thoroughly.
- Negotiate rates with managed care companies based on medical and nursing needs.
- Participates in off-premises networking and recruitment for admission, which includes, but is not limited to, visiting and communicating with other healthcare professionals.
- Maintains ongoing communication and a positive rapport with all referral sources
- Communicate effectively with residents, families, and staff throughout the admissions process.
- Provides coverage with admission activities as required.
- Responds electronically to Careport referrals.
- Understands health insurance coverage for patients and the participating insurance of the health system.
- Review patients medical records.
- Provide clinical assessment of appropriateness for admission to SNF/NH and LTAC as needed.
- Document the decision to admit or not admit, incorporating industry clinical criteria.
- Enter patients/residents admitting and discharge diagnosis information timely when provided by the Health Information Management coder. Validate entry through covered/non-covered MDS forms, e-mails, and closed medical records.
- Ensures compliance with needed referral information from referral sources to make a timely decision regarding admission and have an in-house physician inquiry.
Minimum Qualifications
1. Licensed and currently registered to practice as a Professional Nurse in New York
State, plus (2) or (3) below.
2. A Master s Degree in Nursing Administration, Education or an equivalent field and a
minimum of six years of satisfactory nursing experience, of which four years shall
have been in a supervisory, teaching or administrative capacity; or,
3. A Baccalaureate Degree in Nursing and seven years of satisfactory nursing
experience, five years of which shall have been in a supervisory or teaching capacity;
or,
4. A satisfactory equivalent combination of education and experience. However, all
candidates must be licensed and currently registered to practice as a Professional
Nurse in New York State.
Department Preferences
- Experience working in a nursing capacity in a long-term care setting with experience in an Admissions capacity preferred
- Previous management experience preferred
- It requires critical thinking skills, decisive judgment, and the ability to work with minimal supervision.
- Must be able to work in a fast-paced environment and take appropriate action
- Strong communication skills, both oral and written.
- Proficiency in MS Office Suite (Outlook, Word, Excel, and PowerPoint)
- Ability to work in a collaborative, team-oriented environment.
- Knowledge of state and federal regulations related to nursing home admissions, particularly Case Management/MDS regulations, is preferred.
How To Apply
If you wish to apply for this position, please apply online by clicking the "Apply Now" button.
NYC Health and Hospitals offers a competitive benefits package that includes:
- Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
- Retirement Savings and Pension Plans
- Loan Forgiveness Programs for Eligible Employees
- Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
- College tuition discounts and professional development opportunities
- Multiple employee discount programs