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 the pre-admission assessment of candidates referred by acute care case managers, therapists, physicians, or 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's data
- 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
- 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
- Performs other duties as assigned
Other information :
EDUCATION / EXPERIENCE : Bachelor's degree in nursing, PT, OT, ST, or another related field is required.
LICENSURE, CERTIFICATION, and / or REGISTRATION : North Carolina license required. CPR certification required. Must be an evaluating licensed therapist or RN.Job Details
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