Admissions Nurse Manager

Presbyterian Villages of Michigan • Chesterfield, MI • 2d ago

Overview

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

Responsibilities

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

Review referral and forward to billing for insurance verification.

Review Michigan Care Improvement Registry (MICR) to obtain immunization status foreach patient.

Prepare documentation to obtain authorization for skilled nursing care from insurancecompanies.

Coordinate with admissions personnel regarding status of each admission to ensureproper signage of admission documents.

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

Update insurance companies with complete clinical information on status of resident'scare - usually every 3 days.

Obtain therapy notes to provide clinical updates to insurance companies.

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

Email approved referrals/clinical charts to all necessary disciplines.

Complete Ombudsman summary report for all residents.

Complete Medicare A discharge list.

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

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

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

Manage resident appeals through Livanta.

Explains policies, procedures or services to residents and families using medicalknowledge.

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

Provide daily admissions and denial list to Marketing.

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

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

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

Obtains potential resident information from CarePort and Ensocare.

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

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

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

Communicates with social worker/discharge planner for discharge statuses.

Participates in weekly clinical management meetings, health care center meetings andMarketing meetings.

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

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

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

Follow established policies and procedures including but not limited to:

oPresbyterian Villages policies and procedures.

oSafety policies and procedures.

oFederal, state and local regulations.

All other duties as assigned

Qualifications

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

Job Locations US-MI-Chesterfield

Job ID 2026-2515

Category Skilled Nursing

Shifts Days

Type Full Time (40+) per week

Similar Jobs

Registered Nurse 13

State of Michigan • Chesterfield, MI • 1d ago

Hospital & Medical

Registered Nurse 13 Print ( https://www.governmentjobs.com/careers/michigan/jobs/newprint/5270016 ) Apply ? Registered Nurse 13 Salary $39.37 - $54.36 Hourly Location Chesterfield Township, MI Job Type Permanent Full Tim...

1d ago

Go to Apply

US- Biologist (Entry)

Actalent • Chesterfield, MO • 5d ago

Hospital & Medical

Biologist/Plant Life Specialist (Entry Level) Job Description This role involves studying the basic principles of plant life and understanding the effects of varying environmental and physical conditions. The position re...

5d ago

Go to Apply

Physical Therapist

Select Medical • Chesterfield, MO • 6d ago

Hospital & Medical

Overview SSM Health Physical Therapy -Day Institute Chesterfield, MO Physical Therapist (PT) Full-time (M-F 8am-4:30pm) SSM Health Day Institute is seeking a Physical Therapist to work in our specialized outpatient rehab...

6d ago

Go to Apply

Substitute School Nurse - Parkway Schools

Kelly Services • Chesterfield, MO • 1w ago

Hospital & Medical

Substitute Nurses for Parkway District We are hiring substitute school nurses in Parkway School District! Remember that school district employee who made a difference in your life? Now it's your turn! Substitutes nurses...

1w ago

Go to Apply