25011392
PRN Admissions (RN) Texas Health Specialty LTAC
Bring your Passion to Texas Health where we are Better + Together
Work location: Texas Health Specialty 1301 Pennsylvania Ave. Fort Worth TX 76104
Work hours: PRN as needed to cover staff PTO days; work schedule could be M-F between the hours of 8a -5p/8-hour shifts
Department Highlights
You are the true Lifeline for the patient, conducting patient assessments to determine medical necessity, admissions, screening for referrals, insurance approvals, working as a liaison with other hospitals to bring in patients to our facility and coordinating care with nursing CTM’s, families, and physicians.
PRN Admissions (RN) Texas Health Specialty LTAC
Bring your Passion to Texas Health where we are Better + Together
Work location: Texas Health Specialty 1301 Pennsylvania Ave. Fort Worth TX 76104
Work hours: PRN as needed to cover staff PTO days; work schedule could be M-F between the hours of 8a -5p/8-hour shifts
Department Highlights
- Robust Unit Based Council (UBC) and engaged leadership team.
- 10-bed, long term acute care hospital, located within Texas Health Harris Methodist Hospital Fort Worth, offers an environment for you to use your clinical expertise to provide individualized and holistic care for patients with intensive nursing needs.
- We care for those with medically complex cases such as:
- Ventilator-dependent patients with rehabilitation potential
- Multiple trauma patients
- Patients with complex wound care
- Multisystem failure patients.
- Associate degree from an accredited Nursing program
- BSN preferred
- Current RN licensure or compact licensure recognized by the Texas Board of Nursing upon hire
- 3+ years’ experience as a registered nurse in LTAC, acute care setting or utilization review required
- LTAC, Critical care or Progressive Care experience preferred
You are the true Lifeline for the patient, conducting patient assessments to determine medical necessity, admissions, screening for referrals, insurance approvals, working as a liaison with other hospitals to bring in patients to our facility and coordinating care with nursing CTM’s, families, and physicians.
- Assess the patient
- Administrative and Telephonic task, such as collecting medical information and ensuring all insurance paperwork is in order.
- Update insurance case managers on patients progress throughout hospital stay
- Manages continued-stay authorizations as needed and with compliance to all regulatory and contractual requirements.
- Maintains a working knowledge of care management, utilization review changes, authorization changes, contract changes and other regulatory requirements and/or changes.
- Provides consultation to medical and nursing staff, health information management and payers on potential issues with reimbursement of hospitalization.
- Collaborates and communicates with payers via phone, fax or computer system per payer contract and/or request.
- Initiates and facilitates physician communications relative to the utilization review process and assists and facilitates the physician peer-to-peer review process with insurance medical directors as indicated.
- Communicates payer issues and medical necessity concerns with members of the hospital interdisciplinary team.
- Responsible for interacting proactively with hospital leadership on potentially negative patient financial situations.
- Works effectively with the interdisciplinary team in daily care briefing and patient care conference to raise awareness of imminent need for patient discharge.
- Provides patient and family members with information concerning third-party payer coverage and patient financial responsibilities for non-covered services.
- Benefits include 401k and EAP for PRN employees
- Delivery of high quality of patient care through nursing education, nursing research and innovations in nursing practice.
- Strong Unit Based Council (UBC).
- A supportive, team environment with outstanding opportunities for growth.
- Explore our Texas Health careers site for info like Benefits, Job Listings by Category, recent Awards we’ve won and more.
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