RN Patient Flow

Company: MercyOne Des Moines Medical Center
Location: Des Moines
Posted on: March 20, 2023

Job Description:

Overview
MercyOne Central Iowa operates four not-for-profit Catholic medical centers in Des Moines West Des Moines Newton and Centerville and two specialty hospitals - MercyOne Children's Hospital in Des Moines and MercyOne Rehabilitation Hospital in Clive (965 beds total) - along with more than 20 additional facilities that house more than 50 primary care pediatric internal medicine and specialty clinics. Founded by the Sisters of Mercy in 1893 MercyOne Central Iowa has the longest continually operating hospital in Des Moines and is also one of the largest employers in the state with more than 7000 employees and a medical staff of more than 1000 physicians and allied health associates. MercyOne Central Iowa is a member of MercyOne which was founded in 1998 through a collaboration between CommonSpirit Health and Trinity Health - two of the country's foremost not-for-profit Catholic health organizations. MercyOne has more than 20000 colleagues in Iowa and surrounding states. Responsibilities
GENERAL SUMMARY: The RN Patient Flow Coordinator is responsible for appropriately placing patients, based on diagnosis and physician preference, with consideration of bed availability and oversees the incoming calls of the One Call Center and working with protocols, triages and transfers those calls appropriately to facilitate the admission of patients to Mercy Medical Center. - - ESSENTIAL FUNCTIONS:

• Monitors patient admissions to assure appropriate patient placement
• Focuses on efficient bed utilization when assigning beds, based on patient diagnosis, special needs, physician preference and bed availability.
• Conducts admission reviews per the UM plan related to level of care changes, to assure that hospitalization is warranted based on established criteria.
• Utilizes knowledge of current census information and potential inpatient bed needs to project accurate and appropriate placement of incoming patients.
• Oversees the incoming calls of the One Call Center and, working with protocols, triages and transfers those calls appropriately to facilitate the admission of patients to Mercy Medical Center.
• Communicates bed placement explanations to appropriate Patient Flow and Patient Access Department staff.
• Facilitates communication with respective Department Directors and managers regarding bed flow and other issues as appropriate.
• Facilitates appropriate referrals to care coordination.
• Occasionally assists with pre-authorization of services, as needed.
• Utilizes expert knowledge and teamwork to facilitate cohesive efforts to achieve continuous quality management and excellence in providing for patients and/or populations.
• Applies professional Nursing skills in applying the four aspects of the nursing process (assessment, planning, implementation and evaluation) when indicated to evaluate needs of incoming patient and the disease process to assess needs for bed placement and appropriate care.
• Acts as a liaison between Doctors, offices, facilities and Mercy to facilitate the admission process.
• Assists medical staff physicians with interpretation and compliance with external regulatory agencies and Medicare, Medicaid and third party payer requirements.
• Carries out hospital programs and principles of utilization review in compliance with hospital policies and external regulatory agencies Peer Review Organization (PRO), The Joint Commission (TJC, and multiple payer defined criteria for eligibility. - Validates medical necessity using Medicare guidelines.
• Promotes proactive planning and direction for care management, patient placement, pending discharges/transfers and appropriate use of services.
• Works closely with the House Supervisor to efficiently manage patient volumes and available resources
  Qualifications
  MINIMUM KNOWLEDGE, SKILLS AND ABILITIES REQUIRED:
  • Possession of a current license as a registered nurse issued by the State of Iowa.
  • BSN or degree in healthcare related field preferred.
  • Two years clinical nursing experience required.
  • Experience in Patient Access, Admissions and Flow Operations, preferred.
  • Proof of completion of Mandatory Reporter - Child and/or Dependent Adult Abuse training within three (3) months of hire.
  • BLS certified by the end of the orientation period (approximately six (6) weeks). Acceptable credentialing bodies and certifications include American Heart Association Basic Life Support for Healthcare Providers.
  • Basic understanding of computer applications.
  • Knowledge of eligibility requirements for insurance coverage with respect to health care services: ambulatory, observation stays, surgical, acute care, subacute and continuum of care services.
  • Demonstrated ability to manage complex clinical situations related to patient placement. Ability to work and function independently exercising judgement to reach resolutions to issues related to patient placement.
    Pay Range
    28.88 - 46.21

Keywords: MercyOne Des Moines Medical Center, Des Moines , RN Patient Flow, Healthcare , Des Moines, Iowa