Coordinates the medical and rehabilitative services provided to each patient using an interdisciplinary team approach. Cooridnates weekly team conference for all patients and facilitates interdisciplinary team functioning. Acts as a liaison between payer, patient, family, physician, interdisciplinary treatment team, business and other resources. Involves the patient care/service to older adolescent, youg adult, adult and geriatric patients
Customer Focus -- Building strong customer relationships and delivering customer-centric solutions.
Communicates Effectively -- Developing and delivering multi-mode communications that convey a clear understanding of the unique needs of different audiences.
Decision Quality -- Making good and timely decisions that keep the organization moving forward.
Collaborates -- Building partnerships and working collaboratively with others to meet shared objectives.
Nimble Learning -- Actively learning through experimentation when tackling new problems, using both successes and failures as learning fodder.
Demonstrates Self-Awareness -- Using a combination of feedback and reflection to gain productive insight into personal strengths and weaknesses.
Goals -- Completes quarterly goals
Delivering the Mission -- Performs duties as defined in this job description and demonstrates mastery of role
a. Displays a knowledge of various levels of care and the ability to distinguish the appropriate level for each patient
b. Displays a knowledge of Medicare regulations and coverage
c. Communicates effectively to third party payers
d. Participates in and facilitates the weekly interdisciplinary team conference
2. Individual Program Planning
a. Promotes patient/family involvement in the planning process
b. Reviews the interdisciplinary treatment plan with the patient/family following the interdisciplinary team conference
c. Assures that appropriate services are provided to facilitate meeting the patient's goals
d. Works with the interdisciplinary team to respond to the needs and preferences of the patient/family
e. Communicates effectively the patient's current staus to third party payers as indicated
f. Meets with individual disciplines as needed
g. Documents effectively the patient's progress in the electronic medical record
h. Ensures protection of the patient rights and confidentiality
3. Discharge Planning
a. Collaborates with interdisciplinary team members to ensure an organized plan of discharge and follow-up referrals for each person served
b. Coordinates discharge team conferences
c. Promotes patient/family involvement and maintains ongoing communication of discharge and referral plans
d. Coordinates activities to obtain durable medical equipment needed for discharge with all appropriate parties
e. Documents discharge, referral and follow-up processes as appropriate in the electronic medical record
a. Contacts the patient/family within five working days of discharge to confirm status of post-discharge recommendations and documents findings in the electronic medical record
b. Requests that the patient/family complete the patient satisfaction quesitonnaire during the follow-up contact
Minimum of five years of recent clinical experience as an RN. Negotiating skills which support the ability to interact with physicians, interdisciplinary team members, discharge planners, external case managers and payers
C. License, registrations, or Certifications
Current Louisiana RN License
CCRN certification preferred ( obtained within 3 years of working on the Rehab unit)
CHRISTUS HEALTH is an international Catholic, faith-based, not-for-profit health system comprised of almost more than 600 services and facilities, including more than 60 hospitals and long-term care facilities, 350 clinics and outpatient centers, and dozens of other health ministries and ventures. CHRISTUS operates in 6 U.S. states, Colombia, Chile and 6 states in Mexico. To support our health care ministry, CHRISTUS Health employs approximately 45,000 Associates and has more than 15,000 physicians on medical staffs who provide care and support for patients. CHRISTUS Health is listed among the top ten largest Catholic health systems in the United States.