Ahmc Healthcare Inc. Whittier , CA 90607
Posted 2 months ago
Responsibilities
Responsibilities
Performance Standard
1.Assessment
Does the initial screening of all elective inpatient admissions related to:
Appropriateness of admission
Coordinates and supervises data and reporting needs. Provide timely discharge planning.
Coordinates out-of-area transfers as well as third party contractual arrangements and supervise ground transportation, home health and durable medical equipment.
Appropriate resource utilization
Coordinates the pre-admission screening and education of the identified patient populations
Documents patients admitted directly through Pre-Admissions in the lap to system and forward the information on to the Case Managers as appropriate with discharge planning concerns and the initial discharge-planning screen.
Utilization and documents patient admitted directly.
2.Technical and Job Specific Skills
Ensures facility compliance with federal and state regulations involving the Case Management practice.
Answers inquiries and educate patient, family, MD and hospital employee on discharge follow up.
3.Assists Case Managers with patient transfers and discharges.
Frequently contact with case manager, charge nurse, bedside nurse, outside facilities to obtain and verify and/or provide information regarding the discharge follow up.
Utilizes Interqual - Screening criteria for all admissions and observations status patients.
Collaborate with all respective departments to ensure patient flow during the admission and transfer process.
Interacts with the Admitting MD as appropriate involving the Physician Advisor as needed for inappropriate admits transfers and level of care.
Assist case manager on initial screening of all elective inpatient admission related to: level of care, appropriateness of admissions, discharge needs, third party contract arrangements, appropriate resource.
Utilization and documents patient directly.
Appropriately prioritize work activities.
Performance/
Process Improvement
Is aware of and follows all hospital and department policies and procedures.
Is knowledgeable of performance/process improvement.
Offers performance/process improvement
Guest/
Interdepartmental Relations
As observed by representatives of management all interactions are conducted in a professional manner.
Consistently exhibits phone protocol
Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions.
Productivity
Maintains high productivity and performs efficiently
Appropriately prioritizes work activities
Responds to difficult situations with self-control and a positive attitude.
Key Success Factors
Readily accepts work assignments in a positive manner.
Performs work that is accurate, neat and consistent.
Documentation is legible
Reports safety issues and equipment failures appropriately.
Projects a professional image, follows the hospital dress code policy and/or department requirements.
Wears hospital ID badge at all times on duty
Sensitive information including, but not limited to, patient records, charts, hospital documents and employee information is kept confidential without exception.
Reports to work each regularly scheduled workday
Qualifications
Qualifications:
Minimum Education: Preferred Bachelors of Science/Nursing or Bachelors of Health Care Administration.
2.Minimum Experience: 2 -3 years' experience in an acute care setting preferred. Working knowledge of InterQual IS-SI Milliman and Robertson Managed Care guidelines, Erickson Life Skills (Age Competencies), Medicare Part A and Part B, Medic-Cal NCQA, HEDIS and other criteria as identified by the Quality/Care Management Department. Working knowledge of Care-M.A.P. development and implementation. Working knowledge of managed care and capitation.
Preferred Certifications: Current and valid CA LVN.
Ahmc Healthcare Inc.