Hoag Health System
Admissions Liaison : Acute Rehab Nursing
Hoag Health System, Newport Beach, California, us, 92659
Overview
The Rehab Admissions Liaison identifies clients who meet program criteria and manages the assessment and admission process into the Fudge Family Acute Rehabilitation Center. This role educates patients and stakeholders about acute rehabilitation services, participation expectations, and daily therapy hours.
Responsibilities
Identify clients who meet program criteria and manage the assessment admission process into the Fudge Family Acute Rehabilitation Center.
Provide education on acute rehabilitation services and resources to current and potential patients, case managers, physicians, and outside agencies, including participation expectations and hours of therapy per day.
Assist patients with the admission process to the rehabilitation hospital.
Determine eligibility by verifying coverage information, ensuring the patient meets Inpatient Rehabilitation Facility (IRF) criteria, and securing physician acceptance/approval with detailed documentation in the pre-admission screen.
Facilitate benefit eligibility and precertification, including providing a plan of care and participating in external payer negotiations.
Serve as the liaison case manager with internal and external case managers.
Maintain optimal unit census through coordination of admissions and discharges while staying informed and compliant with the 60/40 CMS rule.
Develop strategies to grow market share.
Provide data management and outcome analysis.
Perform other duties as assigned.
Qualifications Education and Experience
Bachelor’s Degree required.
Previous experience with multiple payers and insurances required.
Two years’ clinical experience with experience in acute rehabilitation preferred.
Experience with Medicare IRF admission criteria preferred.
Bilingual or multilingual preferred.
License Required
Current California licensure required, one of the following: Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), Speech-Language Pathologist (SLP), or Licensed Clinical Social Worker (LCSW).
Valid CA Driver’s License required.
Certifications
Required: Basic Life Support (BLS).
Preferred: Certification in Rehabilitation Nursing.
About Us Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to equal employment opportunity for all employees and providing a work environment free of discrimination and harassment.
Additional Details
Seniority level: Entry level
Employment type: Full-time
Job function: Education and Training
Industries: Hospitals and Health Care
For more information about Hoag’s awards and accreditations, visit the Hoag awards page. This posting includes standard information about the role and organization.
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Responsibilities
Identify clients who meet program criteria and manage the assessment admission process into the Fudge Family Acute Rehabilitation Center.
Provide education on acute rehabilitation services and resources to current and potential patients, case managers, physicians, and outside agencies, including participation expectations and hours of therapy per day.
Assist patients with the admission process to the rehabilitation hospital.
Determine eligibility by verifying coverage information, ensuring the patient meets Inpatient Rehabilitation Facility (IRF) criteria, and securing physician acceptance/approval with detailed documentation in the pre-admission screen.
Facilitate benefit eligibility and precertification, including providing a plan of care and participating in external payer negotiations.
Serve as the liaison case manager with internal and external case managers.
Maintain optimal unit census through coordination of admissions and discharges while staying informed and compliant with the 60/40 CMS rule.
Develop strategies to grow market share.
Provide data management and outcome analysis.
Perform other duties as assigned.
Qualifications Education and Experience
Bachelor’s Degree required.
Previous experience with multiple payers and insurances required.
Two years’ clinical experience with experience in acute rehabilitation preferred.
Experience with Medicare IRF admission criteria preferred.
Bilingual or multilingual preferred.
License Required
Current California licensure required, one of the following: Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), Speech-Language Pathologist (SLP), or Licensed Clinical Social Worker (LCSW).
Valid CA Driver’s License required.
Certifications
Required: Basic Life Support (BLS).
Preferred: Certification in Rehabilitation Nursing.
About Us Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than 1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers. More than 30,000 inpatients and 550,000 outpatients choose Hoag each year. Hoag is an Equal Opportunity Employer and prohibits discrimination and harassment of any kind. Hoag is committed to equal employment opportunity for all employees and providing a work environment free of discrimination and harassment.
Additional Details
Seniority level: Entry level
Employment type: Full-time
Job function: Education and Training
Industries: Hospitals and Health Care
For more information about Hoag’s awards and accreditations, visit the Hoag awards page. This posting includes standard information about the role and organization.
#J-18808-Ljbffr