Director, Resource Management, Paintsville, KY - May 8, 2014
Typically a day at work is to direct the Resource Management department and make corrective actions for patient level of care, denials for billing purposes, utilize all criteria to ensure patients remain in proper level of care and are billed correctly. Learning has been ongoing with our home office resources that provided excellent learning opportunities for Physician Advisors and Resource Management Directors. Management was included in the educational processes for Resource Management as have been my staff. My co-workers in this department are the best! I have a staff that I am proud to call my colleagues. They work hard, fast and efficiently which is the standard I hold myself to as well. My job has the hardest part and the most enjoyable part as symbiotic. Placing patients in post acute care settings is often difficult and often it is difficult to tell families that their loved one needs to be in a skilled facility or Hospice but the satisfaction of placing these patients correctly and knowing they are getting the care they need and deserve is also a great source of satisfaction. Resource Management is a completely different scope of Nursing but one that can be just as satisfying as bedside nursing if viewed as I do. I believe that without constraints on our spending and without making each hospital as efficient as possible; there will be more and more hospitals close. In Resource Management we want all patients to recieve the care they need but the utilization of all resources maintained to include only the need of the patient; not to over utilize or misuse healthcare in any capacity. In today's world of decreased reimbursement and increasing constraints upon procedures etc. it is an ongoing challenge to mesh the needs of the patient with the allowances of the payors and that is where Resource Management steps up to the plate to ensure both are carried out to an optimal level.