Employment Type:
Full time
Shift:
Day Shift
Description:
The Eddy's highly regarded Skilled Nursing Facilities have a unique opportunity for a RN to receive, review and process referrals of patients at St. Peter's Hospital referred for subacute rehab services. Primary responsibility is to provide on-site support and assistance to hospital case management and hospitalist team to ensure timely identification of inpatients appropriate for referral to subacute rehab and long term care. Upon referral, RN is responsible to screen to determine medical appropriateness and coordinate with the team to verify insurance and obtain payer prior authorization with goals of ensuring a timely discharge and smooth transfer of care to our facility.
Principal Responsibilities and Duties:
Early identification of candidates/potential rehabilitation candidates
Education of clients, family members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources.
Screening of clients through on site and/or telephonic assessment and record review in collaboration with physicians, nurses, therapists, social workers, case managers and other interdisciplinary team members involved in the client's care. If the client is unable to participate in an interview, family members or significant others may also be interviewed to obtain accurate information as to pre-morbid functional status, personal interests, cultural considerations, and discharge plans affecting the rehabilitation admission.
Determination of medical stability, readiness for program participation, and those services recommended are appropriate, reasonable and necessary. This is done in collaboration with the physical medicine and rehabilitation physician or other licensed treating physician with specialized training and experience in rehabilitation.
Facilitation of benefit eligibility and precertification by payers prior to the rehabilitation admission.
Coordination of a smooth transition from the referring facility or site to the rehabilitation setting
Performs on-site and/or record review, including telephone preadmission screening and clinical assessment
Completes all required preadmission screening documentation to determine that services are appropriate, reasonable and necessary
Educates clients, family members or significant others, referral sources, interdisciplinary team members, external payers, and external case managers about rehabilitation program benefits and services and post-acute care services
Serves as the liaison case manager with the internal and external case managers to provide an appropriate and cost-effective plan for each client
Demonstrates effective communication between internal and external customers at all times
Maintains high ethical standards
Serves as a rehabilitation consultant, with attention to the client's rehabilitation potential, therapy and functional progress, discharge plan and feasibility, special equipment needs, rehabilitation services across the continuum of care, and care transitions
Demonstrates a high level of knowledge of regulations and external payer requirements
Assists in facilitation benefit eligibility and precertification
Maintains a thorough knowledge of rehabilitation settings, post-acute care services, acuity trends and outcomes
Develops relationships with referral sources
Assumes accountability for outreach activities, including data management and outcomes analysis
Develops rapport with clients and their family members or significant others
Conducts other outreach activities including exhibiting and providing tours when/if appropriate
Provides information necessary to facilitate referrals and subsequent admissions
Provides outstanding customer service in a manner reflective of the St. Peters Health Partner's Network and the Trinity Health Mission and Values. Adheres to the Trinity Health Standards of Appearance, Attitude, Respect, Responsiveness, Communication, Courtesy, and Guiding Behaviors.
Performs other related duties as assigned
Experience and Requirements
Active Licensure as a registered nurse, preferably with a bachelor's degree in nursing from an accredited school and Certified Registered Rehab Nurse preferred (CRRN).
A minimum of 2 years of clinical experience; experience in the rehabilitation of chronically or catastrophically ill or injured individuals
Demonstrated expertise in analysis, decision making, time management, oral and written communication, and computer use
Excellent assessment skills and knowledge of insurance and managed care principles and practices
Ability to function independently
The position requires a moderate amount of physical work - individual must be able to maneuver throughout halls, stairways, and patient rooms. Interpretation of environmental input requires visual and auditory skills
Ability to make trips to various departments/hospitals will be required
Clean valid driver's license required
Ability to utilize multiple Electronic Medical Record Platforms
Pay Range: $38.00 - $50.18 per hour
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
Our Commitment to Diversity and Inclusion
Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.
EOE including disability/veteran
