Company :

Job Description :

GENERAL OVERVIEW:

Facilitates referrals of rehab patients to the Inpatient Rehabilitation Program as appropriate by establishing relationships with a variety of hospitals, departments, providers, payor organizations, physician offices, post-acute facilities and community agencies. Evaluates referred patients to assess their appropriateness for admission to an inpatient rehab program. Facilitates admission working with the rehab attending physician and the nursing team. Develops and implements a marketing/community relations plan for the rehabilitation program in conjunction with System Inpatient Rehab Programs. Functions as a liaison between community physicians, their staff and system rehab facilities.

ESSENTIAL RESPONSIBILITIES:

• Provides education about services, facilities and resources of the inpatient rehabilitation program to a variety of hospitals, departments, providers, payor organizations, physician offices, post-acute facilities and community agencies. (15%)
• Conducts onsite assessments and identifies potential rehabilitation candidates for appropriateness and medical stability for admission to the inpatient rehabilitation program. (15%)
• Facilitates the transfer of appropriate clinical information to appropriate individuals in order for the physician to review/approve the admission and for clinical staff to prepare to care for the patient. This includes extensive interaction with physicians, nurses and ancillary staff to facilitate improved clinical documentation. Provides freedom of choice to patients/families in acute settings to identify post-acute needs. (10%)
• Completes clinical documentation and other paperwork related to the patient admission accurately and within required timeframes. (10%)
• Works with discharge planning, case management staff and the system inpatient rehab program to facilitate a smooth transition for the patient and family into rehab. (10%)
• In cooperation with other relevant stakeholders, develops and implements the clinical marketing plan for the inpatient rehab program. (10%)
• Solicits feedback from community physicians and their office staff in order to improve their experience with the inpatient rehab program. (10%)
• Solicits feedback from community physicians and their office staff in order to improve their experience with the inpatient rehab program. (10%)
• Works with the Executive team to address concerns of community based physicians and their staff. (10%)
• Other duties as assigned.

QUALIFICATIONS:

Minimum

• Bachelor’s degree in Nursing or related field OR 6 years of related experience in lieu of Bachelor's Degree OR similar combination of education and experience
• 3 years in physical rehabilitation or acute care setting
• Marketing experience

Preferred

• 1 year experience in Medicare/Medicaid/commercial insurance
• Registered Nurse (PA license), Physical Therapist or Licensed Social Worker

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job.

Compliance Requirement : This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company’s Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore, it is every employee’s responsibility to comply with the company’s Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, age, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, age, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.

EEO is The Law

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled/Sexual Orientation/Gender Identity ( https://www.eeoc.gov/sites/default/files/migrated_files/employers/poster_screen_reader_optimized.pdf )

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.

For accommodation requests, please contact HR Services Online at HRServices@highmarkhealth.org

California Consumer Privacy Act Employees, Contractors, and Applicants Notice