MyLaurel New York

Job Summary

The RN Admissions Coordinator plays a critical role in the patient intake process for our Acute Care at Home program. This highly skilled Registered Nurse will be responsible for conducting virtual medical record reviews of referred patients from partner hospitals, making independent clinical decisions regarding patient acceptance into the program based on established criteria. Additionally, this role requires proactive and regular communication with partner hospital staff to confirm administrative eligibility and facilitate a seamless referral pathway. This position is ideal for an experienced RN who thrives in a virtual environment, possesses exceptional clinical judgment, and is passionate about innovative care delivery models.

Key Responsibilities

• Virtual Chart Review & Clinical Decision-Making (Referral Management):
  • Conduct comprehensive, real-time virtual medical record reviews for all incoming patient referrals from partner hospitals.
  • Assess clinical appropriateness, acuity, stability, and eligibility against Acute Care at Home admission criteria.
  • Utilize advanced clinical knowledge to identify potential contraindications, risks, and unique patient needs that may impact program acceptance.
  • Make timely, accurate, and independent "accept" or "deny" decisions for patient referrals, ensuring optimal patient safety and program efficacy.
  • Collaborate with Medical Directors or clinical leads for complex or ambiguous cases.
• Partner Hospital Communication & Administrative Eligibility:
  • Initiate and maintain regular, proactive communication with hospital staff (e.g., nurse managers, social workers, case managers) to ascertain and confirm administrative eligibility of referred patients (e.g., insurance verification status, primary care physician alignment, logistical readiness).
  • Troubleshoot and resolve administrative or logistical barriers to admission in collaboration with hospital staff and internal teams.
• Program Development & Quality Improvement:
  • Identify opportunities to optimize the virtual referral and admissions process, contributing to the development and refinement of clinical eligibility criteria and workflow efficiencies.
  • Participate in interdepartmental meetings and quality improvement initiatives related to patient admissions, care coordination, and partner relations.
  • Provide feedback to internal teams regarding common referral challenges or areas for process enhancement.
• Compliance & Documentation:
  • Ensure all activities comply with federal, state, and local regulations, including HIPAA, licensing requirements, and company policies.
  • Maintain accurate and complete records of all communication and referral outcomes.

Qualifications

Required:

• Active, unencumbered Registered Nurse (RN) license
• Bachelor of Science in Nursing (BSN) preferred; Associate Degree in Nursing (ADN) with significant acute care experience considered.
• 5+ years of recent, direct clinical experience in an acute care setting (e.g., Emergency Department, Intensive Care Unit, Med-Surg, Telemetry, Step-Down Unit).
• Minimum of 2 years of experience in utilization review, case management, hospital admissions, or a similar role involving patient eligibility assessment and decision-making.
• Demonstrated ability to make independent, sound clinical judgments based on comprehensive chart review.
• Exceptional verbal and written communication skills, with the ability to build rapport and effectively communicate with diverse healthcare professionals.
• Proficiency with electronic health records (EHRs) and virtual communication platforms (e.g., video conferencing, secure messaging).
• Highly organized, detail-oriented, and capable of managing a high volume of referrals in a fast-paced virtual environment.
• Strong critical thinking and problem-solving skills.
• Ability to work autonomously and manage time effectively from a remote location.

Preferred:

• Experience in home health, home-based acute care, or post-acute care transitions.
• Experience working for a healthcare startup or a rapidly scaling organization.
• Certification in Case Management (CCM) or other relevant certifications.

Skills

• Clinical Acumen: Deep understanding of acute medical conditions, comorbidities, and patient stability indicators.
• Communication: Professional, clear, concise, and empathetic communication.
• Technological Proficiency: Comfortable and efficient with various digital tools for communication and documentation.
• Decision-Making: Confident in making timely and impactful clinical decisions.
• Interpersonal Skills: Ability to build and maintain strong relationships with external partners.
• Adaptability: Thrives in a dynamic and evolving work environment.
• Organization: Excellent time management and prioritization skills.