Qualifications
Associate Degree in Nursing required
Bachelor's Degree in Nursing preferred
Work Experience
3 years progressive clinical and basic management experience required
Licenses and Certifications
Registered Nurse (RN) with current Georgia license
AHA Basic Life Support (BLS)
Essential Functions
EFFECTIVE COMMUNICATION WITH CARE MANAGEMENT, NURSING, PHYSICIANS, AND OTHER DISCIPLINES:
This individual will be able to effectively discuss with the appropriate discipline any needs related to the appropriate placement and correct admit status on any and all patients.
Ability to maintain patient confidentiality and follow applicable hospital and department policies and work instructions.
Demonstrate effective communication and team building skills.
Ability to think outside of the box in decision making processes.
JOB KNOWLEDGE - ACCESS CARE MANAGER
Understands and fulfills job responsibilities and expectations and applies knowledge and skills to function proficiently in Access CM role.
Serves as Patient Advocate in support of Hospital mission and goals.
Maintains knowledge of current federal, state and accreditation requirements applicable to utilization review; demonstrates compliance and skill in the application of this knowledge.
Possesses current and comprehensive skill and knowledge to perform all parts of the job effectively and efficiently.
Exhibits ability to learn and apply new skills, professional knowledge and expertise.
Requires minimal day-to-day direction to perform responsibilities.
Serves as a resource and is able to share best practices and answer questions as needed.
Has knowledge of EMTALA regulations and applies this on a consistent basis according to scope of role and decision making.
Educates physicians and others about regulatory and payer issues that impact admission or transfer process.
ACCESS CM UTILIZATION REVIEW, DOCUMENTATION & ELECTRONIC SYSTEM
Performs UR functions, documents and records review activity, follow up and outcomes in the appropriate electronic system as required; assures documented/recorded information and data are timely and inclusive of pertinent facts.
