Clinical Access Nurse - RN; PRN

Overview

Join to apply for the Clinical Access Nurse - RN (PRN) role at Franciscan Missionaries of Our Lady Health System
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Job Description

The Clinical Access Supervisor will be the preliminary step of the utilization management process and the access point for admissions. Ensures the coordination of patient care and resource utilization at the time of access. The Clinical Access Supervisor will have an understanding of CMS requirements and guidelines to facilitate appropriate admissions, as well as managed care contracts associated with Lourdes. Serves as a resource in the areas of direct admissions, emergency admissions, transfers from outside facilities, and elective surgery/procedure scheduling and functions as a liaison between admissions, surgery scheduling, physicians and Medical Management.

The Clinical Access Supervisor also supervises and coordinates activities of departmental staff, participates in planning work of unit assignments and coordinates activities with other patient care units and related departments. Also supports compliance with existing criteria and guidelines that ensure appropriate resource utilization.

• Clinical Access Review
• Determines medical necessity and level of care guidelines using Interqual criteria for questionable admissions; ensures understanding of criteria required for admission, concurrent stay, and level of care; ensures compliance with EMTALA/COBRA regulations as it applies to transfers from outside facilities.
• Quality:
  Promote the quality and efficiency of performance by staying current with trends through seminars, workshops, conferences, and professional affiliations.
• Collaboration and Partnership:
  Work closely with acute Unit Supervisors; coordinate discharge planning upon admission and ensure movement of patients through the continuum of care while controlling resource utilization.
• Acts as a liaison between physicians and Medical Management at the time of access; under Physician Advisor direction, query admitting physician for information to determine medical necessity and appropriate level of care; direct to alternate level of care when necessary.
• Leadership and Supervision:
  Assist in hiring and training, assign and monitor staff work, manage attendance data, administer performance reviews, address employee relations issues, coach and mentor staff.
• Facilitates patient throughput in admission/discharge/transfer processes; communicates risk, guest service issues, and other critical information with administration, risk management, medical management, medical staff, and patient advocates.
• Other Duties:
  Perform other duties as assigned; consistently meet service standards focused on Values, Service and Quality.

• Bachelor's Degree
• RN - Current/unrestricted RN license
• BLS (Basic Life Support) Certification