Clinical Access Nurse

2 weeks ago


Lafayette, United States Franciscan Missionaries of Our Lady Health System Full time

Job Description

At Our Lady of Lourdes we offer you much more than just a job in the healthcare industry. We offer career opportunities for people who have a calling to share their gifts and talents as part of our healing ministry. As a Catholic hospital, we are here to create a spirit of healing - and we invite you to join our team today if you would like to be part of that spirit. In addition to competitive salaries and generous benefits, we offer you something special - the chance to do God's work by helping to serve people in need throughout our community, every day.

Job Summary: The Clinical Access Nurse assists with the preliminary step of the utilization management process and serves as the access point for admissions. Is responsible for obtaining orders on all patients for appropriate status and level of care using Interqual criteria. Obtains pre-certifications and insurance verification on transfers from other facilities and works in conjunction with patient care services for proper bed utilization and assignment. 

Responsibilities

Quality and ComplianceDetermines medical necessity and level of care guidelines using Interqual criteria for admissions. Has an understanding of specific criteria required for admission, concurrent stay and an understanding of level of care and criteria subsets within each level of care. Ensures the compliance of EMTALA/COBRA regulations as it applies to transfers from outside facilities.Promotes the quality and efficiency of his/her own performance through participation in staff educational programs, approved continuing education courses, and specialized skill training programs. Collaboration and PartnershipWorks closely with the acute Clinical Resource Coordinators utilizing information provided by the admitting physician to notify of any potentially difficult cases to ensure coordination of discharge planning upon admission.Queries the admitting physician for more information to determine medical necessity of the admission or appropriate level of care. The Access nurse will have the knowledge to direct the physician to an alternative level of care including skilled care, nursing home or outpatient servicesCoordinates appropriate bed placement in conjunction with Patient Care Services and the Bed Coordinator. Other Duties As AssignedPerforms other duties as assigned or requested.

Qualifications

3 years in general or specialty nursing practice Diploma, associate degree or bachelor's Degree from accredited RN program Current and unrestricted Louisiana RN license

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