RN - Transtion of Care/Readmission
Company: Frye Regional Medical Center
Location: Hudson
Posted on: April 23, 2025
|
|
|
Job Description:
Description:
Job Summary Accountable for the execution, adaptation and outcome
of care management as prescribed in the initial Utilization Review
Plan with regard to resources, appropriateness of care and
adherence to a designated Geometric Length of Stay (GLOS) for each
patient. COMPANY DESCRIPTION Frye Regional Medical Center, located
in the beautiful foothills of North Carolina is a 355-bed acute
care hospital, 81-bed Behavioral Health facility and more than 70
primary and specialty care providers. Essential Functions 1.
Identifies and implements placement of services to facilitate
successful patient outcomes and highlighting patients at high to
moderate risk for readmission. Follows all core measures diagnosis
for readmission. 2. Serves as the contact for patients, families,
and community liaisons to ensure coordination of post-acute
services. Run daily readmission reports. 3. Provides support and
education to the patient and families by listening and responding
to their questions/concerns about the discharge process and
educating them about the options that are available for post
discharge care. Begin the coaching relationship. 4. Assists with
the referral process based on patient and family choice as well as
the ability of the post discharge facility to meet the specific
needs of the patient. 5. Promote effective utilization of
healthcare resources for placement in the appropriate level of care
post discharge by facilitating updates to patients discharge plan.
6. Work collaboratively with the interdisciplinary healthcare team,
internal and external, to achieve optimal clinical outcomes by
following patient for 30 days post discharge. 7. Collaborate with
physicians, patients, and families in the after-care planning
process to ensure all critical elements have been communicated and
addressed. 8. Document all discharge planning activities in Cerner
and review data to ensure accuracy with the goal of improving the
clinical experience for referred patients and their physician.
Manage resources appropriately (scales, med planners, medication
vouchers). 9. Strives to improve the discharge process for patients
and their physician by monitoring the hospital patient satisfaction
and physician satisfaction scores 10. Monitor regulatory issues and
requirements regarding denial of benefits and provide information
to appropriate individual. Contact payer to assess benefit coverage
and the need for prior authorization for post discharge care. 11.
Communicate with the physician and facilitate/expedite the
discharge when patient is ready for lower level of care. 12.
Attendance Policy 13. Communication by attending readmission
meetings and provide feedback Benefits - Wide range of benefits
options!
Certifications/ Licenses Associates Degree in Nursing required
Bachelor's Degree in Nursing preferred. Requires critical thinking
skills, decisive judgment and the ability to work with minimal
supervision. Must be able to work in a stressful environment and
take appropriate action. Licenses: Current RN license to practice
in NC (NC licensure or multi-state (compact) license). NIH Stroke
Scale required. Minimum Work Experience 1-3 years case management
experience preferred. Two years hospital based clinical experience.
Experience in Case Management, Utilization Review and/or discharge
planning, knowledge of Interqual and other payor criteria
preferred. Must have excellent communication skills, demonstrate
self-direction, and have the ability to work well in a team
environment
Keywords: Frye Regional Medical Center, Kingsport , RN - Transtion of Care/Readmission, Healthcare , Hudson, Tennessee
|
Click
here to apply!
|
