Catholic Health Initiatives Lead RN - Patient Flow Operations - FT 1.0 (Day/Evening) in DES MOINES, Iowa
Lead RN - Patient Flow Operations - FT 1.0 (Day/Evening)
GENERAL SUMMARY :
The Lead RN Patient Flow Coordinator is responsible for providing leadership in the Patient Flow Operations Department along with the Department Director in addition to the daily work flow tasks.
ESSENTIAL FUNCTIONS :
Facilitates appropriate patient placement, based on diagnosis and physician preference, with consideration of bed availability.
Oversees the incoming calls of the One Call Center and, working with protocols, triages and transfers those calls appropriately to facilitate the admission of patients to Mercy Medical Center.
Prepares department schedule according to guidelines and with consideration for departmental and organizational needs as well as individual requests for time-off
Participates in interviewing process for applicants for open positions
Promotes continuous education and professional growth of staff regarding effective patient care outcomes.
Prepares schedule for Orientation of new employees and oversees progress and needs of new employee
Participates in Performance Review process for department staff, offering input and assisting with preparation and delivery of same
Conducts admission reviews per the UM plan related to level of care changes, to assure that hospitalization is warranted based on established criteria.
Utilizes knowledge of current census information and potential inpatient bed needs to project accurate and appropriate placement of incoming patients.
Communicates bed placement explanations to appropriate Patient Flow and Patient Access Department staff.
Facilitates communication with respective Department Directors and managers regarding events, bed flow and other issues as appropriate.
Facilitates appropriate referrals to care coordination.
Assists with pre-authorization of services, as needed.
Enhances knowledge and expertise and serves as a role model by affiliating with appropriate technical and professional organizations; by participating in applicable conferences, seminars, and workshops; and through review of relevant literature and self-study courses.
Applies professional Nursing skills in applying the four aspects of the nursing process (assessment, planning, implementation and evaluation) in all encounters to evaluate needs of incoming patient and the disease process to assess needs for bed placement and appropriate care.
Enhances knowledge and expertise and serves as a role model by affiliating with appropriate technical and professional organizations; by participating in applicable conferences, seminars, and workshops; and through review of relevant literature and self-study courses
Assists medical staff physicians with interpretation and compliance with external regulatory agencies and Medicare, Medicaid and third party payer requirements.
Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), The Joint Commission (TJC), and multiple payer defined criteria for eligibility. Validates medical necessity using Medicare guidelines.
Promotes proactive planning and direction for care management, patient placement, pending discharges/transfers and appropriate use of services.
MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED :
Possession of a current license as a registered nurse issued by the State of Iowa.
BSN or degree in healthcare related field preferred.
Two years clinical nursing experience, required.
One year experience in Patient Access, Admissions and Flow Operations, required.
Prior lead or management experience preferred.
Experience in electronic bed tracking systems, preferred.
Proof of completion of Mandatory Reporter – Child and/or Dependent Adult Abuse training within three (3) months of hire.
BLS certified by the end of the orientation period (approximately six (6) weeks).
Basic understanding of computer applications.
Knowledge of eligibility requirements for insurance coverage with respect to health care services: ambulatory, observation stays, surgical, acute care, subacute and continuum of care services.
Demonstrated ability to manage complex clinical situations related to patient placement. Ability to work and function independently exercising judgement to reach resolutions to issues related to patient placement.
Primary Location IOWA-DES MOINES-MERCY MEDICAL CENTER
Daily Schedule Day/Evening
Scheduled Hours per 2-week Pay Period 80
Weekends Required Occasional
Req ID: 2018-R0175933
We’re an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.