Cape Cod Hospital
Purpose of Position
Liaise with partner providers to coordinate admissions and referrals, clinically review medical needs, medications and ancillary needs striving for budgeted census and efficient bed management. Manages marketing and relationship management with Clinical partners, Insurance providers and Community connections.
Description 1. Oversight of the admissions process including working together with the Admitting Nurse to ensure all admissions are completed accurately, timely with optimal outcome. 2. Assures accuracy of records of admission, transfer, discharges, patients' necessary personal, financial, and insurance data, and occupancy-census data. 3. Partners with physicians and NP's to ensure appropriate information is exchanged toward a successful admission.. 4. Partners with hospital Case Management affiliates to ensure efficient use of JML beds. 5. Communicate efficiently and effectively with community/family/friend inquiries regarding potential admissions and conduct on-site tours as requested. 6. Collaborates with DON and Staff Educator on re-hospitalization tracking. 7. Assists with Admission pre-admits and complete all PASRR information.. 8. Works with team members to ensure discharge planning goals and objectives are developed and discussed to assist with discharge dispositions. 9. Ensures that necessary insurance information and legal authorizations are obtained and will assist Admitting Nurse with exchange of information with insurance information exchange as needed. 10. Provide Social Service with necessary information (level 1's, etc.) to complete appropriate admission information shared with Elder Services. 11. Monitor all referrals and collaborate with Weekend Supervisors to ensure all referral information is reviewed and relayed to them during off hours/weekends. 12. Tracks all admission data as well as non-admissions regarding referral turnaround from review to refusal, location of referral, reasoning for refusal. 13. Interprets company policy to employees, ensures compliance, and enforces company policy and practices. 14. Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident's rights. 15. Performs follow-up discharge calls to all discharged patients within 48 hours post-discharge to inquire as to facility stay. 16. Participates in monthly Quality Assurance Process Improvement (QAPI) meetings. 17. Participates in clinical on-call rotation with clinical management team. 18. Performs other work-related duties and activities as assigned or requested.
Qualifications • Possesses, as a minimum, a Nursing Degree from an accredited college or university; Bachelor's Degree Preferred. • Must have, as a minimum, three (3) year's clinical experience in a hospital, nursing care facility, or other related health care facility. • Holds a current, unencumbered, active RN or LPN license to practice as a Registered Nurse or Licensed Practical Nurse in this state. • • Holds BLS/CPR Program Certification. • Must have a working knowledge of managed care rules, regulations, and guidelines. • Must be a supportive team member, contribute to and be an example of team work and team concept. • Must possess the ability to make independent decisions when circumstances warrant such action. • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to managed care and nursing care facilities. • Must possess leadership and supervisory ability and the willingness to work harmoniously with other personnel. • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. • Must be able to relate information concerning a resident's condition.
Description 1. Oversight of the admissions process including working together with the Admitting Nurse to ensure all admissions are completed accurately, timely with optimal outcome. 2. Assures accuracy of records of admission, transfer, discharges, patients' necessary personal, financial, and insurance data, and occupancy-census data. 3. Partners with physicians and NP's to ensure appropriate information is exchanged toward a successful admission.. 4. Partners with hospital Case Management affiliates to ensure efficient use of JML beds. 5. Communicate efficiently and effectively with community/family/friend inquiries regarding potential admissions and conduct on-site tours as requested. 6. Collaborates with DON and Staff Educator on re-hospitalization tracking. 7. Assists with Admission pre-admits and complete all PASRR information.. 8. Works with team members to ensure discharge planning goals and objectives are developed and discussed to assist with discharge dispositions. 9. Ensures that necessary insurance information and legal authorizations are obtained and will assist Admitting Nurse with exchange of information with insurance information exchange as needed. 10. Provide Social Service with necessary information (level 1's, etc.) to complete appropriate admission information shared with Elder Services. 11. Monitor all referrals and collaborate with Weekend Supervisors to ensure all referral information is reviewed and relayed to them during off hours/weekends. 12. Tracks all admission data as well as non-admissions regarding referral turnaround from review to refusal, location of referral, reasoning for refusal. 13. Interprets company policy to employees, ensures compliance, and enforces company policy and practices. 14. Must maintain the confidentiality of all resident care information including protected health information. Report known or suspected incidents of unauthorized disclosure of such information; and adhere to Resident's rights. 15. Performs follow-up discharge calls to all discharged patients within 48 hours post-discharge to inquire as to facility stay. 16. Participates in monthly Quality Assurance Process Improvement (QAPI) meetings. 17. Participates in clinical on-call rotation with clinical management team. 18. Performs other work-related duties and activities as assigned or requested.
Qualifications • Possesses, as a minimum, a Nursing Degree from an accredited college or university; Bachelor's Degree Preferred. • Must have, as a minimum, three (3) year's clinical experience in a hospital, nursing care facility, or other related health care facility. • Holds a current, unencumbered, active RN or LPN license to practice as a Registered Nurse or Licensed Practical Nurse in this state. • • Holds BLS/CPR Program Certification. • Must have a working knowledge of managed care rules, regulations, and guidelines. • Must be a supportive team member, contribute to and be an example of team work and team concept. • Must possess the ability to make independent decisions when circumstances warrant such action. • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel, and the general public. • Must be knowledgeable of nursing and medical practices and procedures, as well as laws, regulations, and guidelines that pertain to managed care and nursing care facilities. • Must possess leadership and supervisory ability and the willingness to work harmoniously with other personnel. • Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc., that are necessary for providing quality care. • Must have patience, tact, a cheerful disposition and enthusiasm, as well as the willingness to handle difficult residents. • Must be able to relate information concerning a resident's condition.