Patient Placement Coord RN at MyMichigan Health

Midland, Michigan, United States -

Full Time

Start Date

Immediate

Expiry Date

25 Aug, 26

Salary

0.0

Posted On

27 May, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Necessity Assessment, Patient Placement, InterQual, Epic, Critical Thinking, Problem Solving, Deductive Reasoning, Pathophysiology, Disease Process Knowledge, Payer Guidelines, Interpersonal Skills, Analytical Skills, Clinical Documentation, Care Management, Customer Service

Industry

Hospitals and Health Care

Description

Summary 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. Responsibilities (50%)* Performs medical necessity assessment to ensure accurate and timely patient status and bed assignment using hospital selected medical necessity criteria such as InterQual. (30%)* Actively educates the health care team and physicians regarding the appropriate patient status and bed assignment. (10%)* Completes all documentation and data entry requirements in EPIC. (10%)* Communicates with outside agencies to ensure accurate information is received to evaluate if transfers are appropriate prior to patient arrival. OTHER DUTIES AND RESPONSIBILITIES: 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. Assigs 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 admiting 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. Certifications and Licensures Credential:RN: Registered Nurse Equivalent Experience: Qualification Source: MI Essential: true Required Education Education: Associates Degree Equivalent Experience: Bachelor's degree preferred. Education Specialization: NRG Essential: true Other Information EXPERIENCE, TRAINING AND SKILLS: 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. MyMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft® Windows. An employee may be required to participate in further learning opportunities offered by MyMichigan Health. 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. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS: Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MyMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Light. Must be able to occasionally (0-33% of the workday) lift or carry 11-20 lbs., frequently (34-66% of the workday) 10 lbs. and or Walk/Stand/Push/Pull of Arm/Leg controls.

Responsibilities

The Patient Placement Coordinator RN applies admission criteria to ensure timely and appropriate bed assignments and patient status. They collaborate with physicians and nursing staff while utilizing medical necessity tools and documenting data in EPIC.