Registered Nurse (RN) - Admissions Coordinator - Inpatient Rehab - Lorain Hospital

Thank you for considering a career at Mercy Health! Scheduled Weekly Hours: 0.01 Work Shift: Days/Afternoons (United States of America) Primary Function/General Purpose of Position The Admissions Coordinator Registered Nurse (RN) is responsible for the coordination of all Acute Inpatient Rehabilitation Unit admissions and referrals. This position is responsible for on-site evaluation and completion of preadmission assessment forms, beginning orientation of patient and families, communication with discharge planners, and physicians. This role serves as a clinical resource and consultant for the acute rehab program. The Admissions Coordinator RN cross trains to cover case management as needed, which includes initiating and directing the discharge plan of care throughout the acute rehab stay and rounding with Physical Medicine & Rehabilitation (PM&R) physician daily and leading team rounds. Essential Job Functions Works closely and collaboratively with social worker, care coordinators, therapists, and nursing. Collaborates with PM&R physician, and nurse manager on all acute rehab referrals to establish eligibility for care; understand and communicates Center for Medicare & Medicaid Services (CMS) medical necessity and admission criteria. Establishes rapport with hospital staff and physicians; serves as consultant/resource person for acute rehab program; rounds with care coordination team; coordinates daily unit admission/quality rounds with the unit manager. Ability to guide and direct the health care team for optimal patient flow and quality outcomes Reviews patient medical records, performs screening assessments (to assess physical, psychological, functional, social, environmental, and financial status and goals) and coordinates clinical evaluation prior to admission to acute rehab; and completes pre-admission screening form. Anticipates admitting diagnosis and assigns estimated length of stay (ELOS) appropriately (using insurance and industry guidelines). Qualified to provide thorough and detail-oriented assessment of patient needs and medical readiness for admission to acute rehab Coordinates the admission of patients from the emergency department (ED), direct admissions, other facilities, and inpatient units; coordinates with sending healthcare facility to ensure that patient has smooth transition to acute rehab unit. Maintains expertise in clinical field, utilization review and case management; communicates to insurance companies/third party payers regularly for pre-admission or continued stay reviews Proactively identifies and removes barriers related to patient transfers, progress of care, or the work setting. Collaborates with discharge planners to assist in transitioning patients to the appropriate level of care Responsible for meeting with patient/family to initiate admission to the acute rehab program. Communicates with patients and families; provides full scope of rehab nursing practice and criteria for acute rehab admission. Assesses family/caregiver coping skills, and the ability of the family/caregiver to support and participate in the planning of care. Works with the Interdisciplinary Team and participates in coordinating follow-up care to the patient/family Understands payer principles, terminology of managed care, and the goals of managed care. Maintains current knowledge of payer requirements for post-acute care, acute rehab, long-term care, and home health care admission criteria. Maintains working knowledge of payer requirements for post-acute services; verifies health insurance coverage and performs precertification if necessary; updates care coordination team of status. Knowledgeable about length of stay (LOS) and Case Mix Index and ways of improving. Advocates for the patient and/or hospital as appropriate when dealing with insurance companies/third party payers Works with the marketing and sales department to bring awareness of the facility’s strengths and services into the community at large. Develops relationships in the community on behalf of the rehab program; participates in providing community education. Maintains contact with internal and external referral sources to assure good communication and maximum referral opportunities Cross trained to provide case management assistance on the rehab unit to include discharge planning and coordination. Leads rehab team meetings when covering for case manager to discuss appropriateness of program and progress of patient towards goals Participates in new staff orientation and staff education; trains new employees who serve in the admissions coordinator role or case manager role and provide shared coverage of the position Assists with the development, implementation, and evaluation of Quality Improvement relative to the admissions process. Active participant in survey preparation for Commission on Accreditation of Rehabilitation Facilities (CARF), Joint Commission and CMS. Adheres to CMS, CARF and Joint Commission standards and regulations Reports admission trends and marketing activities of the acute rehab unit. Provides analysis of admission data and implements recommendations to ensure quality and program integrity; maintains statistics and generates reports as requested. This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation. Licensing/Certification Current RN license in state where they are working or covered by compact (required) BLS Basic Life Support (preferred upon hire, must obtain from approved source prior to direct patient care) CRRN Certified Rehabilitation Registered Nurse (CRRN) – Association of Rehabilitation Nurses (preferred) Education. Bachelor of Science Nursing (required) Work Experience 3 years of Registered Nurse (RN) clinical experience (required) 2 years of experience in Acute Rehab (required) Case Management experience – (preferred) Knowledge of CARF and Joint Commission Standards – (preferred) Training Proficient in Microsoft Word and Excel – (required) Microsoft Office Suite, EPIC and EMR – (preferred) Uniform Data System (UDS) and Quality Indicators – (preferred) Medical Terminology and Coding – (preferred) Language None Patient Population Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit. Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures. Adolescents (13-17 years) Adults (18-64 years) Geriatrics (65 years and older) Working Conditions Periods of high stress and fluctuating workloads may occur General office environment May be exposed to high noise levels and bright lights May be exposed to physical altercations and verbal abuse May be exposed to limited hazardous substances or body fluids* May be exposed to human blood and other potentially infectious materials* May be exposed to adverse weather conditions; cold, hot, dust, wind, etc May have periods of constant interruptions Required to car travel to off-site locations, occasionally in adverse weather conditions Prolonged periods of working alone Other: Must be able to work overtime as required * Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control. Physical Requirements Physical Demands Frequency 0% 1-33% 34-66% 67-100% Lifting/ Carrying (0-50 lbs.) _____ X _____ _____ Lifting/ Carrying (50-100 lbs.) _____ X _____ _____ Push/ Pull (0-50 lbs.) _____ _____ X _____ Push/ Pull (50-100 lbs.) _____ X _____ _____ Stoop, Kneel X _____ _____ _____ Crawling _____ _____ X _____ Climbing _____ X _____ _____ Balance _____ _____ X _____ Bending _____ X _____ _____ Work Position Frequency 0% 1-33% 34-66% 67-100% Sitting _____ _____ X _____ Walking _____ _____ _____ X Standing _____ _____ _____ X Additional Physical Requirements/Hazards Physical Requirements Manual dexterity (eye/hand coordination) Perform shift work Maneuver weight of patients Hear alarms/telephone/audio recordings Reach above shoulder Repetitive arm/hand movements Finger Dexterity Color Vision Acuity – far Acuity – near Hazards Depth perception Use of Latex products Exposure to toxic/caustic/chemicals/detergents Exposure to moving mechanical parts Exposure to dust/fumes Exposure to potential electrical shock Exposure to x ray/electromagnetic energy Exposure to high pitched noises Gaseous risk exposure Skills Knowledge of current CMS regulations. Knowledge of reimbursement for Inpatient Rehab Facility and experience working with third party payors Microsoft Office Admissions Discharge planning Quality Improvement Managed care Excellent written and oral communication skills Interdisciplinary team Attention to detail Critical thinking Communication with family members Teamwork Conflict resolution Active listening Relationship building Organizational skills Time-management Identify and remove barriers Mercy Health is an equal opportunity employer. Many of our opportunities reward* your hard work with: Comprehensive, affordable medical, dental and vision plans Prescription drug coverage Flexible spending accounts Life insurance w/AD&D Employer contributions to retirement savings plan when eligible Paid time off Educational Assistance And much more *Benefits offerings vary according to employment status. Department: Med/Surg Unit - Lorain - Rehab Nursing It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health– Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com. Mercy Health is part of Bon Secours Mercy Health, one of the top 20 health systems in the United States and part of the top performing quartile of Catholic health systems for lowest cost per case for patient care. Mercy Health is the largest health system in Ohio and among the top five employers in the state, with more than 33,500 employees serving communities throughout Ohio and in Kentucky. Mercy Health provided care for patients more than 6.8 million times in 2017. The system includes assets of $6.8 billion and nearly 500 care facilities including 23 hospitals and 26 post-acute care facilities including senior living communities, hospice programs and home health agencies. Its clinically integrated network of more than 2,700 health care providers coordinates more effective and efficient care for more than 350,000 patients, saving money for taxpayers through the Medicare Shared Savings Program. As part of Bon Secours Mercy Health, the ministry provides nearly $2 million per day in community benefit. For more information, visit www.mercy.com.

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