In our admissions department there are 3 people for a total of 182 SNF beds (2 facilities) and 44 Chronic complex LTC (vents, trachs ,etc). There is a full-time person doing the SNF beds (has a bachelor degree in psychology and minor in health care studies), a part-time social worker answering phones, giving tours, and admissions paperwork for one SNF, and me full-time. I do the assessments for the chronic complex LTC since I am the nurse, assist the LTC screener when she gets busy and some marketing. Typically I get a call from a hospital that the patient is going to be ready for discharge, and whether it will be short-term rehabilitation to/or long-term care. I go to the hospital and examine the pts chart, read the discharge summary if it's ready, review lab work, check if any precautions and look for behaviors that might not fit in with our residents. I meet the patient then fax the clinical to the DON (or supervisors), and insurance information to the business office. Once I get the okay from the DON and business office I inform the hospital discharge planner/ social worker we've offered a bed(including how many other patients are in the room) and I call the family to let them know as well and to answer any questions. From there the family will talk with the discharge planner, and I'll get a call from them if the family has accepted the bed or going to another facilty. If you want to get into screening, I would check out what if any chains are in your area, and send a cover letter with a resume to corporate. Especially with summer coming up, the present screeners will be wanting to take vacations and this could be your chance to get in. I know of a facility that just has one screener for a 156 bed LTC facility- but they get fed patients from contracts and their assisted living. When their screener goes on summer vacation the census goes way down because no one takes her place. Good luck, feel free to ask any more questions.