|
Description Become part of an inclusive organization with over 40,000 teammates, whose mission is to improve the health and well-being of the unique communities we serve. Summary: Responsible for overseeing the referral and admission process for the Inpatient Rehabilitation Center in conjunction with unit leadership and the Medical Director Responsibilities: * Completes timely pre-admission assessment of candidates referred by acute care case managers, therapists, physicians, and external referral sources * Assessments include a review of the medical record, family interviews, and consultation with unit leadership and the rehabilitation physician to determine appropriateness of admission * Determines patient/family overall goal for rehabilitation, establishes a preliminary discharge plan and determines available insurance benefits for inpatient rehabilitation * Makes recommendations for inpatient rehabilitation or other appropriate post-acute care settings and communicates recommendations to referral sources in a timely manner * Ensures appropriate pre-admission documentation is complete * Facilitates daily communication with unit leadership and the rehabilitation physician to discuss potential admissions to the unit and any barriers that might exist including medical, clinical, financial, or social barriers * Ensures accurate collection of referral, denial, and admission data and prepares periodic (monthly) reports for leadership. * Seeks pre-authorization from insurance companies and communicates availability of rehab benefits to prospective admissions * Works with financial counselors to assist our uninsured with potential access to the rehab level of care * Ensures accurate collection of data related to the insurance authorization process and prepares monthly periodic reports to leadership. * Works with referral sources, physicians, and the interdisciplinary team to identify opportunities to improve the efficiency/effectiveness of the admission's process, improve overall communication, and improve patient outcomes * Provides ongoing education to referral sources and staff related to admission criteria and regulatory changes that affect the rehab level of care
- Participates in performance improvement activities for the department and organization.
- Support departmental goals through active participation and ownership of processes required to meet goals.
- Communicates pending admissions to the team to assist with care planning in anticipation of arrival.
- Depending on unit needs, may be requested to support episodic direct patient care.
* Performs other duties as assigned Other information: EDUCATION/EXPERIENCE: Associate or Bachelors degree; licensed or certified clinician in nursing, therapy, social work. * LICENSURE, CERTIFICATION, and/or REGISTRATION: BLS is required.
Job Details
Legal Employer: Lenoir Health Entity: UNC Lenoir Health Care Organization Unit: Ip Rehab Facility Work Type: Full Time Standard Hours Per Week: 40.00 Work Assignment Type: Onsite Work Schedule: Day Job Location of Job: LENOIR MEM Exempt From Overtime: Exempt: Yes
|