Description
Serves as advocate for acute care patients to achieve the appropriate level of post-acute care.
RESPONSIBILITIES
Develops and establishes effective working relationships with all referral sources both internal and external. Facilitates professional communication with all members of acute care team, community organizations, and insurance companies. Coaches, encourages, and monitors teamwork and represents a positive first impression of the inpatient rehabilitation unit.
Employee is the first to assess patients, reviews their medical records and determines whether they should be admitted for care and or followed for future potential admission. This requires decision-making for the appropriate level of care; may include admission/transfer reviews, utilization reviews, and surgical schedule reviews.
Employee facilitates acute rehab admissions for those referrals that are appropriate for admission to the inpatient Rehab Unit. In collaboration with the acute care hospital staff and the rehab team, collects required patient information and completes all documentation that is required for admission.
Employee assesses acute care patients to identify needs, rehab potential, resources and care goals. Employee participates in pre/post screening problem solving. Conducts tours and greets families and other decision-makers. Employee understands or facilitates pre-admission insurance authorization process.
Employee utilizes expert insurance authorization process knowledge to prepare for customized reviews of the medical record and required authorization process including initial approval and subsequent approvals. This may include prepping for the peer-to-peer reviews between the physician and insurance company.
In collaboration with the acute care hospital staff, completes pre-screen process required for admission to Rehab Unit and enters completed screen into CMS tool within 24 hours.
Employee demonstrates patient advocacy and sustains team focus and provides guidance in team decision-making.
Performs other related duties as required and directed.
Qualifications
REQUIRED
State licensure as Registered Nurse, Physical Therapist, Occupational Therapist or Speech Language Pathologist.
Associates degree in licensure discipline.
2 years' experience in business, management or allied health.
Job: Nurse
Primary Location: Michigan-Petoskey
Organization NRT10-McLaren Northern MI-Hospital
Employee Status Regular
Shift Day Job
Job Type Standard
Schedule Full-time
Req ID: 21002606