Patient Referral Coordinator- Roger C Peace

Prisma Health • Greenville, SC

287d

About The Position

The Patient Referral Coordinator develops and expands patient referral sources through marketing and networking with other hospitals in the extended service areas to grow and sustain patient volumes. This role evaluates, monitors, facilitates, and coordinates patients' readiness and transfer to post-acute services (inpatient rehabilitation) while ensuring quality and cost-effective use of clinical resources.

Requirements

• Bachelor's degree.
• Two (2) years post-acute related experience.

Responsibilities

• Markets the multiple post-acute care options to hospitals and physicians within extended service area.
• Creates and delivers presentations on all post-acute services to physicians, case managers, social workers.
• Develops and maintains strong referral sources outside of the organization.
• Assesses referred patients to identify the need and appropriateness for inpatient rehab based on CMS guidelines.
• Communicates with patients, physicians, multidisciplinary care team, and payors information regarding physical, psychosocial and financial assessment.
• Works as a liaison with patient, family, multidisciplinary healthcare team and payor source to formulate placement plans as appropriate.
• Maintains appropriate documentation related to patient's status regarding their transition to the next level of care.
• Maintains open communication with physicians, nurse case managers, discharge planners, social workers and performs ongoing physical assessment.
• Ensures the transfer of the patient in a timely, compliant manner which includes, but is not limited to, transportation set up, physician compliance, regulatory compliance, and patient/family coordination.
• Involves patient/family in plan for admission and in preparation for discharge from day of evaluation, taking into account the patient/family's cultural, ethnic, religious/spiritual beliefs.
• Integrates knowledge of payor requirements and federal/state regulations for placement along the continuum of care.
• Works with Utilization Management and/or payor sources to complete pre-certification prior to transfer to a post-acute facility.
• Participates in program evaluation, Continuous Quality Improvement/CQI studies and performance improvements.
• Maintains database of admissions and referrals.
• Works with other patient placement staff to ensure adequate coverage for department at all times.
• Prepares a biweekly report of external referrals and admissions for each post-acute setting for senior leadership.
• Performs other duties as assigned.

What This Job Offers

• Job Type: Full-time
• Industry: Hospitals
• Education Level: Bachelor's degree