Summary: Acts as a liaison between other health facilities, nursing staff, physicians, family members, ancillary services, and other appropriate resources that will be needed to effectively care of residents who are admitted to this system.
1.Responsible for maintaining overall census goals for Surrey, which directly impact Surrey’s revenue stream. Proactive planning to determine when private pay beds may become available and establishing plan for filling open bed with a 48-hour turnaround goal. (3%)
2. Evaluates residents at other health care facilities and/or home to determine appropriateness for admission to Surrey Place. Evaluation includes: potential resident’s mental, physical, and financial resource status. (10%)
3. Initial tour for family/resident in preparation of admission. Orientation of families and residents to Surrey Place; involves educating families on resident rights and discussing finances and
availability of service. (10%)
4. Arranges meetings with St. Louis area hospitals to educate their discharge planners on Surrey Place service. (5%)
5. Provide follow-up on hospitalized residents daily in order to facilitate a timely return to Surrey Place. (1%)
6.Coordinates care with various managed care companies to ensure timely approval to stay at Surrey Place and subsequent reimbursement. (20%)
7.Responsible for meeting with family/resident to review code status of resident. (1%)
8.Collects security deposit from families prior to admission in a private pay bed. (1%)
9.Reviews admission paperwork with families with regard to Surrey Place internal policies and financial responsibility. Must obtain signature from resident/family to acknowledge that family received information. (5%)
10.Responsible for obtaining all appropriate documentation on prospective residents, such as H/P, admission orders, Medicare certification where applicable, and narcotic prescriptions. Provides the business office with all needed insurance and demographic data. (5%)
11.Maintains Medicare certification sheets as required. (1%)
12.Performs verification and pre-certification of benefits when necessary. (1%)
13.Participates in the development and update of treatment plans on residents as appropriate and communicates said plans to insurance companies. (1%)
14.Responsible for marketing/outreach to physicians, healthcare professionals, and community events to increase awareness of Surrey Place. (10%)
15.Evaluate ALL Medicare/Managed Care admissions, verify benefits, coordinate transportation with hospital discharge planner. (20%)
16.Coordinates with infectious disease nurse on infection control issues related to room placements/assignments. (1%)
17.Obtains precertification for therapy services/referrals for custodial managed care patients. (5%)
18.Performs other work duties as assigned.
Clinical base for the resident population served. Two years current experience in the clinical Field specialty preferred.
Knowledge of managed care requirements preferred.
Ability to plan, organize, and follow through with multiple tasks at once.
*Registered Professional Nurse, Physical Therapist, Occupational Therapist, Speech Pathologist and/or MSW in the State of Missouri, required.
Employee is required to sit and walk frequently (34%-66%). Employee is occasionally required to bend, climb, and lift (1%-33%). For repetitive action, employee is required to use both hands for simple grasping and pulling/pushing. Employee is occasionally exposed to electrical hazards and CRT terminal work. Employee may be exposed to blood-born pathogens. Work shifts may vary to meet resident need.
The most significant of duties are included but this does not exclude occasional work assignments not mentioned or developmental duties.
Job Relations: Member of a comprehensive healthcare team, including other healthcare providers, the patient, the patient’s family, and significant others.
The assessment, care, and treatment provided by the staff will be consistent with the specific age related needs of the patient. The staff is competent to care for patient age groups including the adult and geriatric patient.
Provides direction to: Admissions Clerical Support Staff
Takes direction from: Admissions Liaison Manager
Mission: Faithful to our Episcopal-Presbyterian heritage and its ministry of healing, St. Luke’s Hospital is dedicated to improving the health of the community. Using talents and resources responsibly, our medical staff, employees and volunteers provide care for the whole person with compassion, professional excellence, and respect for each other and those we serve.
Core Values: Human Dignity, Compassion, Justice, Excellence, and Stewardship.
Human Dignity: We accept and treat all persons as being created in the image of God.
Compassion: We respond with caring to the needs of others as if they were members of our family.
Justice: We honor each person’s rights and responsibilities in light of the common good.
Excellence: We set and strive to attain high standards of performance and continuous improvement.
Stewardship: We use our talents and resources wisely, with honesty and integrity.
FACES – Friendly – Available – Caring – Efficient – Safe
Communication Standards: Promotes and provides courteous and effective communication with internal and external customers.
St. Luke's Hospital - Missouri - 10 months ago