Performs activities and duties related to recruitment, preadmission evaluation, education and admission of patients to services along the rehabilitation continuum of care. For Acute Rehab Center and Transitional Care Unit, identifies potential patients, educates patients, family members, referral sources and payers, performs onsite or telephone assessments, coordinates smooth transition from referring site, recommend appropriate options patients denied admissions.
This is a 0.6 FTE appointed position, authorized for 48 hours per pay period. This is role is benefit eligible.
Identifies and assesses potential patients for admission to Acute Rehab or Transitional Care
Performs on-site and phone preadmission screening and clinical assessment
Provides recommendation as to appropriate level of post-acute care
Educates patient, family, referral sources, hospital staff, external payers as to rehabilitation program benefits and services
Maintains a thorough knowledge of facilities, services available
Serves as liaison case manager with internal and external case management teams
Assists with pre certification processes by providing information/plan of care
Facilitates completion of preadmission screening in compliance with IRF regulation
Contributes to completion of IRF-PAI
Facilitates seamless transition process for patient transfers
Serves as a consultant at off-site locations
Attends designated unit rounds in order to identify potential trans care patient referral and acute rehab patient
Reviews medical records to verify appropriateness of patients for admission for acute rehabilitations or transitional care.
Offers options when acute rehab or transitional care is not indicated.
Communicates effectively with referral sources including, but not limited to, the results of assessments, financial information etc.
Provides education to staff including, but not limited to, physicians, care coordinators, nursing, social services, therapists, direct care and service providers, in regard to acute rehab and transitional care.
Continues to educate care providers on trends in health care, such as length of stay, alternatives to acute care, resource use, critical importance of discharge planning, etc.
Demonstrates ability to problem solve with staff on both sites, on issues delaying the transfer of patients and patient information.
Continues to identify new referral sources.
Promotes change and increases referrals to our program by educating medical staff and other health care professionals regarding effective hospital resources use and other options available.
Collaborates with physicians, social workers, nurses, therapists, intake workers and other health care professionals to identify current utilization problems, educate regarding appropriate hospital resource use and facilitate case management.
Assists the physician in preventing and/or appealing denials by educating regarding criteria for acute inpatient rehabilitation and transitional care, alternative settings, adequate documentation and the appeal process.
Brings significant information to appropriate individuals or meetings in such a manner as to facilitate problem resolution and educate regarding appropriate hospital resource use.
Collaborates with Facility Admission Coordinator to, identify problems and facilitate reimbursement.
Communicates appropriate information with others according to established procedures so that day-to-day operations are effectively conducted.
Communicates, as needed, both written and verbal information in a clear, concise, accurate and considerate manner as observed or documented by peers or supervisor.
Is accountable on an ongoing basis for information communicated at staff meetings discussing all unclear issues with supervisors.
3 years clinical experience, strong assessment and evaluation skills
Licensed as a Registered Nurse or Rehabilitation Professional in State of Minnesota
4+ years clinical experience, strong assessment and evaluation skills
Additional Requirements (must be obtained or completed within a period of time):
Certification in rehabilitation nursing or advanced training/certification in rehab related field completed within 18 months
3 or more years with discharge planning experience. Knowledge of regulations and requirements in post-acute care setting, including acute rehab, trans care, long term care and long term acute care hospital.. Excellent communication and interpersonal skills. Broad-based clinical knowledge preferred. Strong patient assessment skills.
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.
Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.
Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider netwo...rk and health insurer PreferredOne. In partnership with the University of Minnesota, Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.