Patient Management Representative
2 weeks ago
To coordinate and prioritize patient flow activity throughout the hospital by registering patients and assigning inpatients to beds via electronic bed board.
ResponsibilitiesPatient Care
- Under direction of a Registered Nurse, coordinates patient placement process by accurately and efficiently assigning beds to patients and ensuring that all physician requested patient beds are filled in a timely manner. Determines bed availability for transferring patients, develops priorities for bed assignments, and maintains electronic bed board in an effort to facilitate the efficient operation of the admitting process.
- Placing patients into beds using clinical information, physician preference and each unit's admission discharge criteria.
- Assigning beds to patients transferring in and out of critical care units.
- Entering bed assignments into bed tracking system.
- Monitoring bed status and upgrades bed via electronic bed tracking systems to expedite patients' admission to a clean bed.
- Communicates with appropriate departments with notification of patient transfers to and from different units.
- Assigns appropriate health plan to patient visit. Maintains a good working knowledge of the health plans and contractual obligations.
Quality
- Obtains and edits patient information in the hospital's computer system while ensuring all information is accurate.
- Maintains a good working knowledge of the health plans and contractual obligations.
- Appropriately assigns health plans to current patient visit.
- Maintains familiarity with insurance referrals and authorization process.
- Ensures all referral requirements are completed at the time of the bed request.
- Promotes and maintains cooperation and communication with other OLOL departments, physician offices, hospitals, and patients.
Other Duties as Assigned
- Performs other duties as assigned or requested.
Experience: One year experience in a medical office or hospital setting OR six months experience on OLOL clinical unit.
Education: High School or equivalent
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