Participate in referral relations activities within an inpatient healthcare setting and conduct preadmission patient evaluations. Coordinate the referral process to ensure a smooth transition of patients to post acute services within Mass General Brigham (MGB) scope of care. Obtain patient assessment information from a variety of sources and transmit data to appropriate systems. Develop and maintain collaborative relationships with internal staff and external referral sources. Determine appropriate discharge plan, communicate with referral sources and resolve customer concerns with positive outcomes.
Patients are evaluated, interviewed, and referred to appropriate post-acute service within the MGB scope of care according to established guidelines and in compliance with local, state and federal regulations, including LTAC, IRF, and SNF.
Perform clinical judgement to determine appropriateness of patient for admission.
Patient assessment information is obtained from a variety of sources and data is transmitted in appropriate systems (4Next).
Patient evaluations include meetings and interviews with patient, families, or other caregivers as appropriate.
Collaborative relationships are developed and maintained with internal staff to ensure customer satisfaction.
Referral source relationships are nurtured to ensure and maintain customer satisfaction.
Challenging transfers are supported using MGB clinical and supervisory resources.
Patients are accepted, confirmed, and qualified as described in the liaison process.
Admissions adhere to MGB criteria.
Pertinent information from MGB is communicated to the current medical provider to meet patient and provider needs.
MGB referral influences are identified and communicated to the manager for proper follow-up per established guidelines.
Discharge plan alternatives are considered to determine the appropriate plan to meet the patients' needs.
Payor mix results are achieved according to established targets.
Account/territory referral and admissions targets are achieved.
Educational information and updates are shared with the referral sources to ensure an understanding of the benefits of MGB post-acute services.
Additional department, organization, or network activities are completed per established objectives.
Spaulding Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence are upheld.
Qualifications
Education/Degree
Required
High School Graduate of equivalent required
Experience
Required
Minimum 2 years acute hospital, or extended carefacility experience.
Licensure
Required
Current license in Massachusetts as RN, PT, OT, or SLP
Skills (Specific learned activity gained through training (e.g. computer skills, keyboarding, presentation, CPR, ACLS, etc.)
Required:
Knowledge of switchboard practices, paging procedures and equipment.
Computer proficiency required. Microsoft office applications preferred with ability to learn new software.
Effective verbal, electronic and written communications skills using the English language.
Preferred:
Broad knowledge of various insurances and government reimbursements is desirable.
Sales and/or marketing experience preferred.
Highly developed communications and interpersonal skills, working with diverse population.
Work independently, be self-directed and contribute as a member of a team.
Anticipates challenges and develops and implements strategies for addressing them.
High level of service delivery. Demonstrate initiative with ability to prioritize work, meet deadlines and adapt to changing situations.
Attention to detail.
EEO Statement
Spaulding Rehabilitation is an Affirmative Action Employer. By embracing diverse skills, perspectives, and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, perform essential job functions, and receive other benefits and privileges of employment.