Description
Description
Position Highlights:
Work/life: Two 12-hour shifts scheduled every weekend (24 hours), although paid for 32 hours!
Employee-centric: Tuition reimbursement, loan forgiveness, comprehensive major medical, dental and vision insurance, paid time off, 401(k), health and wellness offerings, monthly employee events, and more.
Lifestyle: Sandusky was voted "Best Coastal Small Town in America". You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie.
About Firelands Health:
Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.
Firelands Health is the area's largest and most comprehensive resource for quality medical care. We are "big enough to care for you, and small enough to care about you". We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.
Our Core ACE Values: Attitude: We choose to be positive and inclusive every day. Commitment: We are committed to exceed the expectations of those we serve. Enthusiasm: We will work passionately to make a difference.
Position Summary:
Under the supervision of the Director, this position is responsible for the implementation of the Case Management process. Monitors physician documentation and works closely with the medical staff for appropriateness of hospitalization. Identify potential risk management and utilization issues and reports findings per departmental protocol. This position is responsible for initial utilization and discharge assessment and completes concurrent utilization review and monitor progress through the acute care continuum. Works closely with the Social Worker in the identification of discharge and transition needs and is ultimately responsible for the coordination of discharge planning activities. This is accomplished by working collaboratively with interdisciplinary staff internal and external to the organization. Works closely with Clinical Documentation Specialist in supporting documentation needs. Participates in quality improvement and evaluation process.
What You Will Do:
Makes patient rounds with and without physician to evaluate and assess the needs of the patient, assigning a designated level of risk of identified barriers to plan of care and discharge/transition needs.
Reviews the medical records daily to complete utilization review documenting Admission Justification and Ongoing Plan of Care.
Arranges for facility cooperation in the performance of the delivery of care and awareness of psychosocial needs for resolution of individual cases.
Interviews patients, family members, and significant others to summarize immediate level of comfort and pending problems that present as a deterrent to delivery of care.
Acts as a liaison between patient, family, significant other, and hospital staff during periods of crisis.
Communicates with nursing and medical staff in assessing the psychosocial needs of the patient to monitor and oversee the discharge plan.
Communicates with patients, family, significant others in identifying the discharge need of the patient and any barriers in the completion of a safe discharge goal.
Maintains current working knowledge of HFAP, COBRA, EMTALA, OSHA and other regulatory standards.
Maintains current, accurate documentation in the patient's medical record.
Maintains current and accurate data collection related to the quality of the delivery of care of the department.
Works closely with the Social Worker in assigning tasks and responsibilities in the discharge planning process
Maintains a working knowledge of and update community resources in areas of practice.
Participates in reporting abuse, neglect or exploitation suspected prior to hospitalization as indicated by hospital protocol. Report findings to the appropriate agency.
Works closely with the Clinical Documentation Specialist to identify and update the working DRG as indicated by patient acuity.
Contacts attending physicians as needed to ensure patient medical information documented in medical record meets quality, and appropriate reimbursement.
Coordinates in an interdisciplinary manner with medical and nursing personnel to clarify patient's medical status needs and coordinating plans for discharge/transition from the acute care setting. This process is supported by current research and evidence-based practice.
In reviewing medical record documentation, communicates with the attending physicians as needed to ensure the documentation represents the acuity of need of that patient to allow for appropriate reimbursement.
Contacts attending physician to clarify patient's medical information and discharge plans and identify potential needs.
Directly responsible for referral of services indicated or required by the patient post-discharge, (i. e. SNF, Home Health Care).
Assures all high risk and/or complex patients have an interim plan of discharge established prior to discharge from our facility.
Proposes alternative placement and/or treatment options as appropriate to facilitate and ensure a cost efficient plan of care and quality outcomes.
Other Responsibilities:
Responsible for referring patients with special financial needs and/or requirements to the appropriate finance personnel.
Contacts attending physician to clarify patient's medical information and discharge plans and identify potential needs.
Identifies clinical or system/process breakdowns and improvement opportunities and documents according to the PI plan.
Intervenes and recommends appropriate referral to resolve system/clinical barriers to patient progression, collaborating with other disciplines as appropriate.
Assures compliance with regulatory standards of care both at the state and federal level.
Assesses all patients or potential risk management and quality issues through appropriate intervention or referral.
Abstracts, tracks and trends data related to resource utilization, avoidable tests/procedures, case management interventions, etc.
Initiates referrals to Ethics Committee, Physician Advisor, QA, Risk Management or legal services as appropriate.
Assists Social Worker in the initiation of advanced directives or provides resources as needed to educate patient/family.
Demonstrates professional accountability through supporting patient's rights, informed consent and advanced directives.
Identifies patients/fa
Compensation Information:
$0.0 / - $0.0 /
Starting At: 0.0
Up To: 0.0
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