Collaborate with and serve as an expert resource to the health care team to enhance the delivery of patient care services.
Efficiently coordinate patient needs to assure high quality patient care, reduce length of stay and resource utilization and ensure reimbursement drawing on a broad clinical and systems management knowledge base.
Responsibilities
- Intervenes with physicians and ancillary departments concerning clinical and utilization issues to ensure optimal patient outcomes.
- Identify tests, procedures and interventions earlier to advance the plan of care.
- Provides real time interventions to prevent delays and ensure compliance and revenue integrity with health care regulations.
- Evaluates complex patients for needs and barriers to discharge and potential re-admissions.
- Assist with transfers to other facilities.
- Provides code 44 documents to Medicare patients when applicable.
- Acts as a resource to assist others with patient care management.
- Ensures patient rights are sustained and safeguard patient privacy and confidentiality.
- Assists social worker with medication prior authorizations when necessary.
- Monitors trends and report practice issues of the multidiscipline health care team that impacts finances and quality care issues.
Implement appropriate measures to resolve issues.
- Directs attending and consulting physicians, residents, staff nurses and other members of the multidisciplinary team to address system processes that impact the timely delivery of care.
- Identifies educational needs of the staff and physicians and provide continuing education.
- Participates in hospital / unit committees as requested.
Knowledge, Skills & Abilities
1. Maintain and document all applicable required education. 2. Demonstrate positive customer service and co-worker relations.
3. Comply with the company's attendance policy. 4. Participate in the continuous, quality improvement activities of the department and institution.
5. Perform work in a cost effective manner. 6. Perform work in accordance with all departmental pay practices and scheduling policies, including but not limited to, overtime, various shift work, and on-call situations.
7. Perform work in alignment with the overall mission and strategic plan of the organization. 8. Follow organizational and departmental policies and procedures, as applicable.
9. Perform related duties as assigned.
Education
Bachelor's Degree (Required) Education : Or related degree Experience : 7 years -Clinical Experience Pertinent to Position Substitution : Associates Degree and 9 Years Relevant Experience May be Substituted for Bachelors degree and 7 years experience.
Credentials
Registered Nurse (Required)
Work Schedule : Days
Location : General Hospital
Location of Job : US : WV : Charleston
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