Assessment
- Does the initial screening of all elective in patient admissions related to:
- Level of care
- Appropriateness of admission (IS-SI)
- Discharge needs
- Third party contractual arrangements
- Appropriate resource utilization
- Coordinates the pre-admission screening and education of the identified patient populations
- Coordinates out-of-area transfers
- Documents patients admitted directly through Pre-Admissions in the laptop system and forwards the information on to the Case Managers as appropriate with discharge planning concerns and the initial discharge-planning screen
Technical and Job Specific Skills
- Develops educational programs (pre/post op surgeries), high risk screening tools, Care-Maps for the Pre-Admit phase of identified populations and proactive discharge planning.
- Coordinates OOA/OON Managed Care admissions, as well as meeting criteria and the Level of Care, which is appropriate according to Interqual and Millman & Robertson Guidelines.
- Serves as a source in selecting and assigning the admission types (i.e. In Patients, 23:59, SOS, etc.).
- Interacts with the admitting MD as appropriate involving the Physician Adviser as needed for inappropriate admits/transfers/level of care.
- Oversees that Pre-Admit TAR's are obtained and the patients payer sources have the appropriate network among the patients health care team (i.e. Case Mgmt, Business Office, Physicians, Social Services, Nurse Manager, etc.)
- Is a clinical resource to admitting department and provides ongoing education on the effective resources of the Pre Admission Case Manager and Quality/Case Management Department to physicians, physician office staff, nursing.
- Maintains identified tracking and data statistics as requested by Commitment to Quality role in Case Management.
Performance/Process Improvement
- Is aware of and follows all hospital and department process policies and procedures.
- Is knowledgeable of Improvement performance/process improvement (P.I.) methodology.
- Can verbalize knowledge of hospital-wide performance/process improvement activity.
- Offers suggestions for departmental and/or hospital-wide performance/process improvement.
- Knowledge of and participation in the performance/process improvement is a condition of employment.
Guest/Interdepartmental Relations
- As observed by representatives of management, all interactions are conducted in a professional manner.
- Verbal and written feedback from patients, family members/significant others, medical staff, visitors and co-workers indicates behavior conducive to positive guest relations.
- Consistently exhibits appropriate phone protocol (e.g., answers phones promptly, is courteous, helpful and identifies self and department).
- Consistently contributes to the team effort (e.g., assists co-workers when need is observed or upon request, offers constructive suggestions rather than complaints).
- Consistently displays cheerful and positive attitude.
Productivity
- Maintains high productivity and performs efficiently regardless of whether the work volume is high or low.
- Appropriately prioritizes work activities.
- Responds to difficult situations with self-control and a positive attitude.
- Makes decisions independently and knows when to ask for assistance.
- Exercises good judgment and arrives at sound decisions.
Key Success Factors
- Employee reports to work each regularly scheduled work day.
- Is ready for work at precise starting time and continues working until scheduled departure time.
- Readily accepts work assignments in a positive manner.
- Performs work that is accurate, neat and consistent.
- Documentation is legible.
- Keeps work area neat and maintains equipment in accordance with health and safety codes.
- 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.
- Completes annual requirements (PPD, requirements, Annual Update, Ethics Training, Licensure and/or Professional Certification) on time.
Communicates with nursing and other hospital personnel, regarding laboratory procedures, results, etc.
- Communicates in a clear, courteous and professional manner.
Professional Conduct
- Employee has the willingness and ability to perform additional duties and responsibilities in different areas of the department as on an-needed basis or as determined by management.
- Follows established hospital and department policies.
- No more than 2 written substantiated complaints representing a breach of policy, procedure or professional behavior since last evaluation.
- Demonstrates the philosophy of team concept.
- Participates in group projects and staff meeting with suggestions that enhance the work environment and increase productivity.
- Communicates well with supervisor reporting problems with equipment, supplies, or procedures. Requests assistance as appropriate.
- Maintains confidentiality as related to job responsibilities.
- Exhibits willingness to resolve problems as they arise.
- Consistently projects positive professional image through appearance and behavior.
- Completes assigned work within shift.
Professional Growth and Development
- Completes annual safety updates within the established time frames.
- Completes general and departmental orientation within established time frames.
- Attends 100% of mandatory in-service programs.
- Maintains licensure/certification as appropriate.
- Attends 75% of staff meetings or reads and initials minutes.
- Keeps up with reading memos without reminders.
- Does continuing education programs on time and with good test scores.
Performance Improvement
- Consistently strives to understand, anticipate and meet the needs, expectations and satisfaction levels of patients and other "customers".
- Errors, inefficiencies and inaccuracies are brought to management's attention with suggestions for improvement.
- Develops innovative solutions to departmental problems.
- Identifies and implements methods of controlling coast or generating revenue while providing maximum value to both the patient/customer and the hospital.
- Maximizes efficiency in all departmental operations.
- Measures progress against quality goals.
- Actively promotes our Attitude is Everything, Core Measure, No Pass Zone, Avatar and Front Stage/Back-Stage goals.
Additional Responsibilities
- Coordinates and supervises data and reporting needs and provides timely discharge planning.
- Frequent contact with other organization units, outside facilities staff to obtain, verify and/pr provide information for the discharge follow up.
- Answers inquires and education th patients/family, physicians and hospital staff on discharge.
- May coordinate and supervise Air & Ground transportation.
- Coordinates and supervise cases and referral information (SNF, Home Health and DME).
- Maintain the consistency and integrity of Case Management/Social Services bed track data.
Department-Specific Competencies
- Medication administration
- Basic Life Support
- Respiratory care
- Isolation technique
- Blood glucose testing