Responsibilities |
Performance Standard
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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 |
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3. Assists Case Managers with patient transfers and discharges. |
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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
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· 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 |
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Key Success Factors |
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Qualifications:
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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.
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