About Texas Children's Hospital
We’re searching for an Inpatient Rehabilitation Care Coordinator, someone who works well in a fast-paced setting. This position serves as an integral member of the interdisciplinary Inpatient Rehabilitation Team through proactive planning, organizing, coordinating, monitoring, and evaluating services provided to patients admitted to the IRU. Responsible for ensuring consistency and quality of the referral/admission process, direct patient/family pre-admission assessment, coordination of patient admission to the IRU, team collaboration to ensure a safe discharge, referral source marketing and community liaison.
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Job Duties & Responsibilities
• Responsible for ensuring payer funding through verification and securing of admission pre-authorizations, continual case management of patient goals and outcomes within effective and appropriate time frames and ensuring that payer/regulatory conditions are met. This is accomplished through initial and ongoing assessment, knowledge, and awareness of care options and linkages, effective and efficient use of resources, active participation in the individualized care planning process based on the needs of the persons served, predicted outcomes, and regulatory, legislative, and financial implications.
• Conducts a thorough and systematic pre-admission assessment of the patient’s status addressing the following components: Current and past medical history, physical/functional/cognitive level, psychosocial/ behavioral issues, environmental/ cultural needs, support system involvement, and financial resources.
• Assesses medical necessity and appropriateness for acute rehab services through medical record review, communication with referral sources and patient assessment. This may require travel to the referring facility by car or plane.
• Interviews family identifies the primary decision makers and explains goals of rehab, scope of services recommended and funding availability through provision of a Courtesy Disclosure Statement (per CARF Standards). Provides patient and family/support system a tour of the IRU.
• Identifies actual/potential barriers and discusses with the Acute Rehab Interdisciplinary team.
• Identifies goals relative to patient’s age-specific / cognitive needs.
• Acquires and disseminates accurate payer information to facilitate the admission process and ongoing service authorization.
• Maintains responsibility for the ongoing assessment, coordination, and education regarding options for care and available resources.
• If a patient is denied admission to IRU, initiates the Appeal to Denial to IRU with IRU attending and Director.
• Coordinates, facilitates, monitors, and assesses the plan of care for patients throughout the episode and continuum of care to achieve optimal clinical and financial outcomes. Oversees discharge planning and facilitates safe transitions to community settings.
• In collaboration with the Care Management Department, serves as a liaison between members of the interdisciplinary care team, community providers, payer sources, and patient/family to ensure safe and effective plans and smooth transitions between internal and external levels of care.
• In collaboration with the Care Management Department, effectively and efficiently oversee the plan of care to optimally assure clinical and financial outcomes.
• In collaboration with the IRU interdisciplinary team, identifies opportunities for improvement, participates in data collection and analysis, contributes to problem solving and actions to be taken and assesses effectiveness of those actions implemented.
• Within the nursing scope of practice, the IRU Care Coordinator continuously assesses self-knowledge and competencies to ensure job performance.
Skills & Requirements
• Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees unless approved for a medical or religious exemption.
• Required Bachelor's Degree In Nursing or associate degree in nursing with acceptance or current enrollment in a BSN program and signed agreement or an associate degree in a related field accepted by the Texas Board of Nursing for the purposes of obtaining and maintaining an RN license or technical diploma in nursing with acceptance or current enrollment in a BSN program and signed agreement or must be currently enrolled in a nursing bridge program working toward an MSN. Verified BSN-equivalency or a signed agreement is required.