Position Summary:

The Central Intake Coordinator is responsible for the clinical and financial review, evaluation, and coordination of all incoming referrals for multiple skilled nursing facilities within the organization. This role serves as the liaison between referral sources, facility leadership, and clinical teams to ensure timely, appropriate, and efficient admission decisions. The ideal candidate will have strong clinical judgment, exceptional communication skills, and a thorough understanding of skilled nursing facility admission criteria, payer sources, and regulatory guidelines.

Key Responsibilities:

Referral Management & Clinical Review

• Receive and review all incoming referrals (hospital, home health, hospice, etc.) for clinical appropriateness.

• Evaluate medical records to assess medical stability, care needs, and alignment with facility capabilities.

• Communicate admission decisions promptly to referral sources and facility staff.

Authorization & Payer Verification

• Verify insurance coverage and benefits (Medicare, Medicaid, Managed Care, Private Insurance).

• Collaborate with insurance verification teams to obtain authorizations and ensure payer compliance.

• Notify billing and business office of payer sources and authorization status.

Coordination & Communication

• Coordinate with Administrators, Directors of Nursing, Admissions Directors, and external Liaisons to ensure a smooth transition from referral to admission.

• Ensure all referral packets and required documentation are uploaded to the electronic medical record (e.g., PCC).

• Communicate any barriers to admission and help develop solutions to resolve them.

Documentation & Compliance

• Maintain accurate, organized documentation of all referrals, decisions, and communications.

• Ensure HIPAA compliance in handling patient records and communications.

• Follow state and federal guidelines for admission criteria and documentation standards.

Team Support & Workflow Optimization

• Provide clinical insight and guidance to the admissions team regarding complex cases.

• Serve as a central point of contact for referral partners needing clinical review.

• Participate in regular admissions and census review meetings with the interdisciplinary team.

Qualifications:

• Experience

  • Minimum 2 years of clinical experience in a post-acute care setting (SNF, LTACH, Hospital).

  • Previous admissions, case management, or intake experience

  • Licensed Nurse preferred

• Knowledge:

  • Understanding of SNF level-of-care requirements.

  • Familiarity with Medicare, Medicaid, and Managed Care guidelines.

  • Proficiency in EMR systems (e.g., PointClickCare) and Microsoft Office Suite.

• Skills:

  • Strong clinical assessment and decision-making skills.

  • Excellent verbal and written communication.

  • Ability to work independently, multitask, and meet deadlines.

Work Environment:

Central office or remote setting depending on organizational structure.

Fast-paced, deadline-driven environment requiring frequent communication with multiple stakeholders.