Registered Nurse RN - Transfer Specialist - PRN - Mid Shift

Northeast Georgia Health System•Gainesville, GA

About The Position

The RN Transfer Specialist coordinates inbound transfers and direct admissions from primary care provider offices, urgent care clinics, and regional community hospitals for patients requiring a higher level of care, following established policies. The specialist facilitates activation of the STEMI protocol and participates in professional nursing shared governance, VOICE councils, Nursing Quality Teams, and Unit Council activities to support improvements in nursing quality indicators, nurse satisfaction, employee engagement, safety culture, and patient experience. The role also supports recruitment and retention of an excellent nursing care team. The specialist provides utilization and resource management, assigns appropriate initial patient status, coordinates patient entry into acute beds, and applies clinical criteria to assess medical appropriateness and status. The role includes documentation and second-level reviews, reporting transfer issues, compliance with regulatory and payer requirements, supporting bed placement and Access Center staff, communicating with physicians and referring facilities, and contributing to staff training and department operations. The position requires attention to patient confidentiality, HIPAA, customer service, and accurate documentation.

Requirements

  • Licensed to practice as a Registered Nurse in Georgia.
  • Associate Degree in Nursing.
  • Three to five years of experience in direct patient care and/or case management.
  • Excellent observation skills and problem-solving ability.
  • Excellent written and verbal communication skills; self-directed.
  • Proficiency with computers and computer software, and ability to collect data.
  • Interpersonal skills, including professionalism, teamwork, and a positive approach to situations.
  • Working knowledge of medical necessity criteria and application of admission criteria.

Nice To Haves

  • Professional certification in a specialty, as eligible.
  • Bachelor’s Degree in Nursing.
  • Membership in a professional organization.

Responsibilities

  • Coordinates inbound transfers and direct admissions according to established policies and facilitates STEMI protocol activation.
  • Provides utilization and resource management, including appropriate initial patient status for patients bedded through direct admission or transfer.
  • Coordinates patient entry into acute beds using clinical criteria to assess medical appropriateness and patient status.
  • Uses the second-level review process according to established guidelines and documents referrals and outcomes appropriately.
  • Identifies and reports clinical transfer issues, applying knowledge of EMTALA, medical necessity, and reimbursement.
  • Adheres to regulatory, DNV, third-party payer, and governmental requirements, including completing required paperwork and documentation.
  • Maintains patient confidentiality and privacy in accordance with HIPAA.
  • Supports compliance with external regulatory and health-plan standards to facilitate accurate reimbursement.
  • Assists other team members with job duties, data entry and retrieval, and accurate completion of transaction documentation.
  • Supports a customer-service-oriented environment and communicates with physicians and referring facilities to ensure collaborative practice.
  • Contributes to the productive operation of the PLACe department and assists with bed placement procedures as needed.
  • Reports problems to management as opportunities for improvement.
  • Participates in staff training and orientation to maintain competency and keep staff knowledge current.
  • Attends or completes mandatory education as required by the hospital or manager.
  • Assists Access Center LPNs and non-clinical staff with appropriate patient placement using clinical knowledge.
  • Participates in VOICE shared governance, councils, Nursing Quality Teams, and Unit Council activities as appropriate.
  • Supports improvement efforts related to nursing-sensitive indicators, RN satisfaction, employee engagement, culture of safety, and patient experience.
  • Works with care team members to recruit and retain an excellent nursing care team.
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