Paradigm Healthcare is looking to hire a skilled and motivated Central Intake Nurse to join our amazing team in Houston Texas
Reports to
Director of Referral Management
Summary/Objective
In keeping with our organization’s goals, then Clinical Nurse Evaluator will manage the clinical components of the referral process and oversees the five stages of the referral process.
Job Duties
- Utilizes Clinical Determination Tool to determine clinical acceptance.
- Oversee the denial process.
- Identifies referral care needs, high-cost medications, DME, wound care, etc.
- Understands the referral process including policy, procedures, assessments, and communication requirements.
- Participates in daily CRM calls.
- Maintain a thorough knowledge of the facilities services, clinical capabilities, and physician relationships.
Required Education, Experience, and Skills
- Must possess a current, unencumbered, active license to practice as a nurse.
- 2 years’ experience with admissions process at a skilled nursing facility, subacute, rehab, or other health care facility.
- Significant experience and strong skills using Point Click Care software.
- Significant experience and strong computer literacy skills (Microsoft Outlook, Microsoft Office suite, and other online platforms).
- Recent long-term care experience required.
- Experience making independent decisions when circumstances warrant such action.
- Self-motivated and self-directed: possesses the ability to work independently.
- Excellent written and verbal communication skills.
- Demonstrates leadership, organizational skills, and ability to maintain a positive and professional attitude.
- Ability to establish and maintain working relationships with multiple and varied people and organizations.
Skills Required
- Current, unencumbered, active license to practice as a nurse
- 2 years' experience with admissions process at a skilled nursing facility, subacute, rehab, or other health care facility
- Significant experience and strong skills using PointClickCare software
- Significant computer literacy (Microsoft Outlook, Microsoft Office suite, and other online platforms)
- Recent long-term care experience
- Experience making independent clinical decisions when circumstances warrant
- Self-motivated and self-directed; ability to work independently
- Excellent written and verbal communication skills
- Demonstrated leadership and organizational skills with a positive professional attitude
- Ability to establish and maintain working relationships with multiple and varied people and organizations
What We Do
Paradigm Healthcare provides exemplary care through a people-first approach, collaborating with acute care providers, physicians, senior living organizations, and home care partners. Their services range from post-hospital rehabilitation to long-term nursing and memory care. By leveraging advanced technology, such as electronic medical records and real-time monitoring, Paradigm ensures high-quality patient care and supports residents in their journey toward recovery and returning home.
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