Nurse Liaison in Philadelphia, Pennsylvania at Good Shepherd Rehabilitation Network
NewJob Function: Medical
Good Shepherd Rehabilitation Network
Philadelphia, Pennsylvania, 19146, United States
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Job Description
Nurse Liaison
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JOB SUMMARY
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Enhancing and maintaining communication between team members and referral sources
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Traveling to referring facilities and completing admission assessments
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Completing admission assessments remotely for out of area referrals via phone / fax
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Developing and maintaining relationships with referring facilities
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Screening patients for Medical Necessity, IRF 60%, and LTACH 25% rule compliance
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Receiving referrals directly from stakeholders
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Communicating information with admission coordinators
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Coordinating with referring facility staff, physicians, and patients / families
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General marketing and education
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ESSENTIAL FUNCTIONS
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PATIENT / CUSTOMER
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Essential Accountabilities
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Interviews patients that have been referred to the GSPP IRF or LTACH to answer questions about the program and inform patients and families about the rehabilitation schedule and policies.
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With assistance of the Admissions Ambassador, schedules tours of the GSPP IRF or LTACH for patients and families.
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Responsible for developing effective relationships with all patients and their families/significant others, physicians, discharge planners, referral sources, and all professional staff on the rehabilitation team.
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PATIENT/ EMPLOYEE SAFETY ACCOUNTABILITIES
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Patient Care Providers
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Participates in Entity and Department wide initiatives for
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Patient /Employee safety
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Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position.
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OPERATIONS
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Essential Accountabilities
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Performs clinical screens and evaluations of patients referred to the GSPP IRF or LTACH for potential admission. Monitors the progress of patients who are pending admission.
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Coordinates the inpatient rehabilitation referral process by collecting information from the referral source and communicating information to the admissions coordinator and Medical Directors to determine appropriate placement of patients.
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Assess patient’s insurance status to ensure eligibility and expedite admission process. Collects third party payer information and communicates justifying clinical information to Utilization Review as needed.
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Communicates with nursing staff, physicians, therapists, discharge planners/case managers, administrators, and other referral sources to ensure coordination, continuity, and effective resource utilization in the provision of care.
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Communicates with the admissions coordinator, and Medical Directors regarding incoming referrals for all admissions.
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Collects pre-admission patient data needed from CMS’ PPS program and outcomes/quality assessment for GSPP IRF and LTACH.
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Consults with Medical Directors, Directors of Nursing, Admissions Coordinators, and Administration as needed to discuss patient needs, operational concerns, and staffing issues that could potentially impact the admission process or satisfaction of clients served.
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Develops and implements strategies to enhance the communication and relationship of Rehabilitation Medicine with current and potential referral sources. Determines needs of referring sources, and availability of resources to accommodate a smooth flow of patients through GSPP IRF and LTACH and the UPHS
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Contributes to monitoring and development of accessibility of the consult system.
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Documents admission decisions in the patient record and communicates with physicians, discharge planners, and patients concerning the decisions.
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Non-essential Accountabilities
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Promotes available services of the GSPP IRF and LTACH
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Participates in quality improvement programs of the inpatient unit, including monitoring the impact of patient admissions
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Participates in GSPP unit-based committees as needed
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QUALIFICATIONS
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To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
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Education
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Bachelor's Degree required
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Master's Degree preferred
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Work Experience
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2-4 years of clinical experience required
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Working knowledge of insurance coverage, medical diagnoses, pharmacologic treatments, and disease progression and recovery required
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Licenses / Certifications
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Clinical license in appropriate discipline required
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Driver's License required
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Job Location
Philadelphia, Pennsylvania, 19146, United States