Patient Placement Coord RN

MyMichigan Health • Saginaw, MI

103d

About The Position

The Patient Placement Coordinator RN is responsible for accurately applying admission criteria for patients that have a physician requesting an initial bed assignment to ensure timely and appropriate status and room placement. This involves interaction with physicians, nursing staff, Medical Social Work, community resources, patients/families. Medical necessity criteria and record reviews. In addition, the Patient Placement Coordinator RN practices in accordance with the care management process utilizing tools, standards, models, goals and objectives, and performance improvement concepts. Active participation in team meetings and education of the staff is a key role.

Requirements

• Registered Nurse (RN) credential.
• Bachelor's degree in Nursing preferred.
• Organizational, analytical, writing and interpersonal skills.
• Dependable, self-directed and pleasant.
• Critical thinking, problem solving, and deductive reasoning skills.
• Knowledge of Pathophysiology and Disease Process.
• Basic computer and courteous phone skills.
• Recent hospital experience in ICU, CCU, or strong Med/Surg.
• Knowledge of Commercial and Government Payer guidelines.
• Ability to communicate payer guidelines and impact on patient status and bed assignment.

Nice To Haves

• TEAM ADVANCED: Techniques for Effective Aggression Management certification within 6 months of hire or transfer.

Responsibilities

• Performs medical necessity assessment to ensure accurate and timely patient status and bed assignment using hospital selected medical necessity criteria such as InterQual.
• Actively educates the health care team and physicians regarding the appropriate patient status and bed assignment.
• Completes all documentation and data entry requirements in EPIC.
• Communicates with outside agencies to ensure accurate information is received to evaluate if transfers are appropriate prior to patient arrival.
• Uses critical thinking in all interactions.
• Sets priorities so that patient needs are met in a timely way.
• Explains the process to use when a patient’s condition does not match the Utilization Review (UR) criteria.
• Interacts positively with personnel and shows respect for physicians and other members of the team.
• Builds professional relationships with patient, families, facilities and resources.
• Accepts mentoring.
• Describes how medical necessity and denial prevention relate.
• Assigns bed placement according to medical necessity for surgical admissions, transfers in-house and other affiliates.
• Early intervention with review of potential Inpatient and Observation patients by using all available test results within EPIC chart including ED provider note and/or admitting physician H&P.
• Willingly and consistently offers to help peers who are experiencing high volume case loads.
• Accepts accountability for the clinical outcomes that the Patient Placement Coordinator role can facilitate.
• Anticipates potential problems and pitfalls of vacation, holidays and weekends and proactively manages to avoid delays.
• Provides excellent customer service to patients, physicians, office staff, and medical staff requiring the service of patient placement.
• Delegates tasks appropriately to Patient Placement assistant and oversees their role.
• Other duties as assigned.

What This Job Offers

• Education Level: Associate degree
• Number of Employees: 5,001-10,000 employees