Admissions Clinical Reviewer

St. Luke’s University Health NetworkBethlehem, PA
11d

About The Position

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Admission’s Clinical Reviewer is responsible for the comprehensive medical review and screening of all referrals made to the inpatient Acute Rehabilitation Center within the network. They work collaboratively with other members of the rehabilitation team, referral sources, and departments in the network to thoroughly prepare and promptly facilitate admissions to the Acute Rehabilitation Center.

Requirements

  • Licensed professional required: PT, OT, RN license.
  • PTA, COTA or LPN will be considered with at least 1 year in an IRF admissions position AND demonstrated competence in completing reviewer tasks.
  • Minimum 1 year experience with admissions for a post-acute rehabilitation setting preferred.
  • Clinical experience as a nurse or therapist in an inpatient setting for a minimum of 3 years.

Nice To Haves

  • Marketing related experience desired.
  • Work experience with an adult geriatric population is desired.

Responsibilities

  • Promptly processes and responds to all inquiries for admission to ARC
  • Completes thorough review of documentation and information and assesses a patient’s appropriateness for ARC services consistent with ARC policies and admission criteria and in conjunction with the medical director, Admissions Manager, and ARC Director or designee
  • Provides recommendations to patients and referral sources on appropriate level of care
  • Ensures accepted patients are medically stable for transfer and initiation of rehab program
  • Efficiently completes pre-admission screening on all admitting patients or as needed
  • Assume initial responsibility for assessing patient/family needs and consulting with medical director and other ARC staff members as appropriate
  • Coordinate bed availability with Admission coordinator or designee
  • Is responsible for collaborating with case management and Discharge Support Center in securing timely authorization
  • In collaboration with Admission’s Manager and Community Liaisons provides education to referral sources at least annually regarding admission criteria and program overview
  • Is timely and accurate maintaining and completing the referral log
  • Offer suggestions/solutions in problem solving situations or activities regarding the program
  • Collaborates with referral sources and rehab staff to facilitate admission
  • Works in conjunction with community liaisons, physicians, directors, managers, and other members of the ARC team to facilitate referrals and admissions

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What This Job Offers

Job Type

Full-time

Education Level

No Education Listed

Number of Employees

5,001-10,000 employees

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