What are the responsibilities and job description for the Patient Referral Coordinator position at Prisma Health?
Inspire health. Serve with compassion. Be the difference.
Job Summary
Job Profile Summary
Develops and expands patient referral sources through marketing and networking with other hospitals in the extended service areas to grow and sustain patient volumes. Evaluates, monitors, facilitates and coordinates patients' readiness and transfer to post-acute services (inpatient rehabilitation) while ensuring quality and cost-effective use of clinical resources.
Essential Functions
All team members are expected to be knowledgeable and compliant with Prisma Health's values : Inspire health. Serve with compassion. Be the difference.
Markets the multiple post-acute care options to hospitals and physicians within extended service area.
Creates and delivers presentations on all post-acute services to physicians, case managers, social workers. Develops and maintains strong referral sources outside of the organization.
Assesses referred patients to identify the need and appropriateness for inpatient rehab based on CMS guidelines. Communicates with patients, physicians, multidisciplinary care team, and payors information regarding physical, psychosocial and financial assessment.
Works as a liaison with patient, family, multidisciplinary healthcare team and payor source to formulate placement plans as appropriate. Maintains appropriate documentation related to patient's status regarding their transition to the next level of care.
Maintains open communication with physicians, nurse case managers, discharge planners, social workers and performs ongoing physical assessment.
Ensures the transfer of the patient in a timely, compliant manner which includes, but is not limited to, transportation set up, physician compliance, regulatory compliance, and patient / family coordination.
Involves patient / family in plan for admission and in preparation for discharge from day of evaluation, taking into account the patient / family's cultural, ethnic, religious / spiritual beliefs.
Integrates knowledge of payor requirements and federal / state regulations for placement along the continuum of care. Works with Utilization Management and / or payor sources to complete pre-certification prior to transfer to a post-acute facility.
Participates in program evaluation, Continuous Quality Improvement / CQI studies and performance improvements. Maintains database of admissions and referrals. Works with other patient placement staff to ensure adequate coverage for department at all times.
Prepares a biweekly report of external referrals and admissions for each post-acute setting for senior leadership.
Performs other duties as assigned
Supervisory / Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Requirements
Education - Bachelor's degree
Experience - Two (2) years post-acute related experience
In Lieu Of
Required Certifications, Registrations, Licenses
Knowledge, Skills and Abilities
Knowledge of office equipment (fax / copier)
Proficient computer skills (word processing, spreadsheets, database)
Data entry skills
Work Shift
Day (United States of America)
Location
Roger C Peace Rehab Hosp
Facility
1010 Roger C Peace Rehabilitation Hospital
Department
10109079 Post-Acute Bed Placement
Share your talent with us! Our vision is simple : to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
