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Commissioners approve reclassification to add administrative admissions staff at county nursing home

2470373 · February 24, 2025

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Summary

The board approved reclassifying an RN FTE to administrative admissions to manage increased referral volume and reduce staffing shortfall in admissions and billing for county long‑term care services.

Commissioners approved a reclassification request to move an RN full‑time equivalent (FTE) into an administrative admissions role for the county’s long‑term care operations.

Ross Johnson (county official) and Heather (county staff) explained the change is intended to address increased referral volume, driven in part by the skilled unit reopening and higher referrals from Concord Hospital. Heather said admissions staff handle time‑intensive tasks including intake screens, tours, Medicaid follow‑up and wait‑list management. "The need comes from the increasing volume that we have for referrals," she said.

Staff described the reclassification as a budget‑neutral move within the overall personnel budget that would reduce payroll by about $28,600 in 2025 compared with prior classifications. A motion to approve the reclassification was made and seconded; commissioners approved the motion by voice vote. No roll‑call tally was recorded on the transcript.

Officials said the reclassification will help admissions respond more quickly to referrals and reduce the risk of losing placements when hospitals send multiple referrals simultaneously.