Job detail

Admissions Liaison (LCSW): Acute Rehab Nursing

Hoag

#Market Share #BLS #Physicians #LCSW #Admissions #Rehabilitation Center #Precertification #Case Managers #Rehabilitation Nursing

Quick overview

The Rehab Admissions Liaison proactively identifies clients meeting program criteria and manages the assessment and admission process into the Acute Rehabilitation Center. This role involves educating stakeholders on services, determining patient eligibility via coverage verification and IRF criteria, and securing physician approval.

Requirements summary

Candidates must possess a Bachelor's Degree and have previous experience managing multiple payers and insurances, preferably with two years of clinical experience in acute rehabilitation. A current California license (RN, PT, OT, SLP, or LCSW) and a valid CA Driver's License are required.

bachelor degreeCase ManagementPatient EducationData ManagementEligibility VerificationPrecertificationMarket Share GrowthBenefit EligibilityPlan of CareAdmissions LiaisonAcute RehabilitationPayer NegotiationsInpatient Rehabilitation Facility CriteriaPhysician AcceptancePre-admission ScreenUnit Census CoordinationCMS Rule Compliance

Job description

Primary Duties And Responsibilities The Rehab Admissions Liaison is responsible for proactively identifying clients who meet program criteria and managing the assessment admission process into the Fudge Family Acute Rehabilitation Center.
Provides education on acute rehabilitation services and resources including participation expectations and hours of therapy per day with current and potential patients, case managers, physicians, and outside agencies.
Assists patients with the process for admission to the rehabilitation hospital.
Determines eligibility by verifying coverage information, ensuring that the patient meets Inpatient Rehabilitation Facility (IRF) criteria and securing physician acceptance/approval by providing detailed documentation in the pre-admission screen.
Facilitates benefit eligibility and precertification including providing a plan of care and participating in external payer negotiations.
Serves as the liaison case manager with the internal and external case managers.
Maintains optimal unit census through coordination of admissions and discharges while staying informed and compliant with 60/40 CMS rule.
Develops strategies to grow market share.
Provides data management and outcome analysis.
Performs other duties as assigned.

Hoag Memorial Hospital Presbyterian is a nonprofit regional health care delivery network in Orange County, California, consisting of three acute-care hospitals with sixteen urgent care centers, eleven health centers and a network of more than1,800 physicians, 100 allied health members, 8,000 employees, and 2,000 volunteers.
More than 30,000 inpatients and 550,000 outpatients choose Hoag each year.
For over 70 years, Hoag has delivered a level of personalized care that is unsurpassed among Orange County’s health care providers.
Since 1952, Hoag has served the local communities and continues its mission to provide the highest quality health care services through the core strategies of quality and service, people, physician partnerships, strategic growth, financial stewardship, community benefit and philanthropy.
Hoag offers a comprehensive blend of health care services including six institutes providing specialized care in the areas of cancer, heart and vascular, neurosciences, women's health, orthopedics, and digestive health through our institutes.

Admissions Liaison (LCSW): Acute Rehab Nursing

Quick overview

Requirements summary

Job description

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