Description
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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
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Participates in performance improvement activities for the department and organization.
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Support departmental goals through active participation and ownership of processes required to meet goals.
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Communicates pending admissions to the team to assist with care planning in anticipation of arrival.
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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.
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
