5 acute care jobs found

The Patient Access Representative 1 - ED (PAR 1) is responsible for accurately registering patients presenting to the Emergency Department, including traumas, stroke patients, disaster response patients, other emergency patients, behavioral health, direct admits to inpatient units, surgery patients, radiology patients, and prisoners.  Registration includes validating patient identity, collecting ED-specific screening information, coordinating with ED nurses to ensure patients are triaged in a timely manner, verification of insurance coverage, calculation of and collection of patient co-insurance/deductibles/co-pays, determination of in-network and out-of-network status post-stabilization, and balancing of cash.  In this fast-paced, high-stress environment, the PAR1 demonstrates professional/effective communication skills with patients and families, physicians, and nurses.  They manage patient and visitor concerns during traumas and disasters.  The PAR1 is knowledgeable of and...

The Case Manager directs the utilization review of patient charts, treatment plans, and discharge planning pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager 1 specializes in the review of information pertaining specifically to the assigned areas. Relies on education, experience, professional training and judgment to accomplish responsibilities. A wide degree of creativity and latitude is expected. Works under minimal supervision. Directs the utilization review of patient charts and treatment plans pertaining to the quality of care and treatment criteria for patients in a specific department. The Case Manager of Clinical Services specializes in the review of information pertaining specifically to the assigned area (i.e.: Case Management, Geriatrics, Mental & Behavioral Health, Home Health). Most, but not all, of the accountabilities below may apply to each specific area. Evaluation and Analysis:...

Under broad direction from the Centralized Utilization Management Manager, is responsible for the hospital-wide Utilization Management Programs in a general acute care hospital which serves infant, pediatric, adolescent, young adult, adult and geriatric patients. Incumbent of this position is responsible for planning, developing, implementing and monitoring these facility-wide programs. Responsible to ensure cost effective and quality patient care by appropriate utilization of hospital resources. Performs highly responsible professional nursing and administrative work in accordance with established standards, criteria, procedures, rules, regulations and policies. of the agency.  Actively communicates with department heads to ensure compliance with these standards. Team 30% a. Completes all job requirements related to prospective, concurrent and retrospective case review and reporting quality issues identified during the utilization review process to department leaders.  b....

Clinical Documentation : Facilitates clinical documentation improvement through extensive daily interaction with physicians, caregivers, case management, and HIM Coding staff to achieve timely, accurate, and complete medical record documentation Provides concurrent clinical and analytical evaluation of medical records to ensure that the documentation supports the appropriate severity of illness, expected risk of mortality, and complexity of care provided Performs post-discharge quality audits of select medical records to ensure documentation supports DRG assignment, appropriate severity of illness, expected risk of mortality, and complexity of care provided Support timely, accurate and complete documentation of clinical information used for measuring and reporting physician and hospital outcomes Education/Training: Provides on-going education to all members of the patient care team regarding high-quality clinical documentation...

Supervisory: 46 FTEs report to this manager. Coordinates and provides orientation for direct reports Assign committee responsibilities Direct and maintain clinical operation of all Outpatient Rehab programs and services Provides disciplinary action when appropriate Financial Reporting Monitors and knowledgeable of financial reports Assists with financial analysis as needed Establishes and monitors clinical productivity and productivity rates to ensure efficiency and staffing volumes by area Works as a liaison between patients and billing for resolution of account issues Personnel Interviews potential employees Assessment of clinical staff competency Interviews potential employees Problem-solving related to personnel issues Clinical...