Catholic Health Initiatives RN-Patient Flow PT .6 (7a-7p) in DES MOINES, Iowa

RN-Patient Flow PT .6 (7a-7p)

Description

GENERAL SUMMARY :

The RN

Patient Flow Coordinator is responsible for appropriately placing patients,

based on diagnosis and physician preference, with consideration of bed

availability and oversees the incoming calls of the One Call Center and working

with protocols, triages and transfers those calls appropriately to facilitate

the admission of patients to Mercy Medical Center.

ESSENTIAL FUNCTIONS :

  • Monitors

patient admissions to assure appropriate patient placement

  • Focuses

on efficient bed utilization when assigning beds, based on patient diagnosis,

special needs, physician preference and bed availability.

  • Conducts

admission reviews per the UM plan related to level of care changes, to assure

that hospitalization is warranted based on established criteria.

  • Utilizes

knowledge of current census information and potential inpatient bed needs to

project accurate and appropriate placement of incoming patients.

  • Oversees

the incoming calls of the One Call Center and, working with protocols, triages

and transfers those calls appropriately to facilitate the admission of patients

to Mercy Medical Center.

  • Communicates

bed placement explanations to appropriate Patient Flow and Patient Access

Department staff.

  • Facilitates

communication with respective Department Directors and managers regarding bed

flow and other issues as appropriate.

  • Facilitates

appropriate referrals to care coordination.

  • Occasionally

assists with pre-authorization of services, as needed.

  • Utilizes

expert knowledge and teamwork to facilitate cohesive efforts to achieve

continuous quality management and excellence in providing for patients and/or

populations.

  • Applies

professional Nursing skills in applying the four aspects of the nursing process

(assessment, planning, implementation and evaluation) when indicated to

evaluate needs of incoming patient and the disease process to assess needs for

bed placement and appropriate care.

  • Acts

as a liaison between Doctors, offices, facilities and Mercy to facilitate the

admission process.

  • Assists

medical staff physicians with interpretation and compliance with external

regulatory agencies and Medicare, Medicaid and third party payer requirements.

  • Carries

out hospital programs and principles of utilization review in compliance with

hospital policies and external regulatory agencies Peer Review Organization

(PRO), The Joint Commission (TJC, and

multiple payer defined criteria for eligibility. Validates medical necessity using Medicare

guidelines.

  • Promotes

proactive planning and direction for care management, patient placement,

pending discharges/transfers and appropriate use of services.

  • Works

closely with the House Supervisor to efficiently manage patient volumes and

available resources

MARGINAL FUNCTIONS :

  • General

office duties of filing, data retrieval and computer use.

Qualifications

MINIMUM KNOWLEDGE, SKILLS ANDABILITIES REQUIRED :

  • Possession

of a current license as a registered nurse issued by the State of Iowa.

  • BSN

or degree in healthcare related field preferred.

  • Two

years clinical nursing experience required.

  • Experience

in Patient Access, Admissions and Flow Operations, preferred.

  • Proof

of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse

training within three (3) months of hire.

  • BLS

certified by the end of the orientation period (approximately six (6) weeks).

  • Basic

understanding of computer applications.

  • Knowledge

of eligibility requirements for insurance coverage with respect to health care

services: ambulatory, observation stays,

surgical, acute care, subacute and continuum of care services.

  • Demonstrated

ability to manage complex clinical situations related to patient placement. Ability to work and function independently

exercising judgement to reach resolutions to issues related to patient

placement.

Job RN

Primary Location IOWA-DES MOINES-MERCY MEDICAL CENTER

Daily Schedule 7a-7p

Scheduled Hours per 2-week Pay Period 48

Weekends Required Every

Req ID: 2018-R0155099