Registered Nurse (RN) - Admissions Coordinator - Inpatient Rehab - Lorain Hospital

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Scheduled Weekly Hours:

0.01

Work Shift:

Days/Afternoons (United States of America)

Primary Function/General Purpose of Position

The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute Inpatient Rehabilitation Unit admissions and referrals. This position is responsible for on-site evaluation and completion of preadmission assessment forms, beginning orientation of patient and families, communication with discharge planners, and physicians.  This role serves as a clinical resource and consultant for the acute rehab program.   The Admissions Coordinator RN cross trains to cover case management as needed, which includes initiating and directing the discharge plan of care throughout the acute rehab stay and rounding with Physical Medicine & Rehabilitation (PM&R) physician daily and leading team rounds.

Essential Job Functions

• ​Works closely and collaboratively with social worker, care coordinators, therapists, and nursing.  Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility for care; understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission criteria. Establishes rapport with hospital staff and physicians; serves as consultant/resource person for acute rehab program; rounds with care coordination team; coordinates daily unit admission/quality rounds with the unit manager.  Ability to guide and direct the health care team for optimal patient flow and quality outcomes

• Reviews patient medical records, performs screening assessments (to assess physical, psychological, functional, social, environmental, and financial status and goals) and coordinates clinical evaluation prior to admission to acute rehab; and completes pre-admission screening form.  Anticipates admitting diagnosis and assigns estimated length of stay (ELOS) appropriately (using insurance and industry guidelines).  Qualified to provide thorough and detail-oriented assessment of patient needs and medical readiness for admission to acute rehab

• Coordinates the admission of patients from the emergency department (ED), direct admissions, other facilities, and inpatient units; coordinates with sending healthcare facility to ensure that patient has smooth transition to acute rehab unit.  Maintains expertise in clinical field, utilization review and case management; communicates to insurance companies/third party payers regularly for pre-admission or continued stay reviews

• Proactively identifies and removes barriers related to patient transfers, progress of care, or the work setting.  Collaborates with discharge planners to assist in transitioning patients to the appropriate level of care

• Responsible for meeting with patient/family to initiate admission to the acute rehab program.  Communicates with patients and families; provides full scope of rehab nursing practice and criteria for acute rehab admission.  Assesses family/caregiver coping skills, and the ability of the family/caregiver to support and participate in the planning of care.  Works with the Interdisciplinary Team and participates in coordinating follow-up care to the patient/family

• Understands payer principles, terminology of managed care, and the goals of managed care.  Maintains current knowledge of payer requirements for post-acute care, acute rehab, long-term care, and home health care admission criteria.  Maintains working knowledge of payer requirements for post-acute services; verifies health insurance coverage and performs precertification if necessary; updates care coordination team of status.  Knowledgeable about length of stay (LOS) and Case Mix Index and ways of improving.  Advocates for the patient and/or hospital as appropriate when dealing with insurance companies/third party payers

• Works with the marketing and sales department to bring awareness of the facility’s strengths and services into the community at large.  Develops relationships in the community on behalf of the rehab program; participates in providing community education.  Maintains contact with internal and external referral sources to assure good communication and maximum referral opportunities

• Cross trained to provide case management assistance on the rehab unit to include discharge planning and coordination.  Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of patient towards goals

• Participates in new staff orientation and staff education; trains new employees who serve  in the admissions coordinator role or case manager role and provide shared coverage of the position

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