Under limited direction, facilitates and enhances patient care and hospital efficiency by assuring and expediting appropriate assignment of patients, counseling attending physicians and hospital department heads regarding third party payer requirements, coordinating patient care communication and fostering cooperation between numerous hospital departments for appropriate and safe patient care. Performs various professional functions related to appropriate placement of patients to hospital services, including hospital-wide decisions regarding direct admits, transfers, pre-admission review, as well as emergency and other intra-departmental admissions. Utilizes expertise in third party reimbursement procedures and regulations to enhance hospital revenues and prevent financial losses such as non-reimbursed services. Assigns patients to appropriate clinical/nursing services according to knowledge of hospital bed capacity and utilization, availability of required clinical services, as well as knowledge of clinical needs of patient. Maintains contact with numerous hospital departments such as patient management (admitting), nursing units, emergency department and other points of entry into the hospital in order to effectively utilize hospital capacity. Expedites patient admissions/transfers, as well as coordinates problem resolution involving consideration of acuity of patient, diagnosis, preparation of vacant beds, competent staffing, physician orders upon admission, and records. Routinely interacts with attending physicians and department heads to resolve and coordinate patient placement issues. Coordinates pre-admission authorization from third parties/insurance providers when required, maintaining necessary documentation. [BRASSRING IMPORT 9/1/16]
Qualifications:
1. Bachelor?s degree in Nursing or the equivalent combination of education and/or experience. 2. Michigan RN license. 3.Three to five years experience as a nurse in a patient care setting. 4.Preferably experience with emergency department and/or critical care. 5.Knowledge of third party payors. [BRASSRING IMPORT 9/1/16] Job: Case Management/Home Health Primary Location: Detroit, Michigan Facility: DMC Harper University/Hutzel Women's Hospital Job Type: Full-time Shift Type: Nights Shift Begin: 7:00 PM Shift End: 7:00 AM
Employment practices will not be influenced or affected by an applicant�s or employee�s race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status or any other legally protected status. Tenet will make reasonable accommodations for qualified individuals with disabilities unless doing so would result in an undue hardship. |
