Patient Management Representative

Job Description

To coordinate and prioritize patient flow activity throughout the hospital by registering patients and assigning inpatients to beds via electronic bed board.

Responsibilities

Patient Care

• Under direction of a Registered Nurse, coordinates patient placement process by accurately and efficiently assigning beds to patients and ensuring that all physician requested patient beds are filled in a timely manner. Determines bed availability for transferring patients, develops priorities for bed assignments, and maintains electronic bed board in an effort to facilitate the efficient operation of the admitting process.
• Placing patients into beds using clinical information, physician preference and each unit's admission discharge criteria.
• Assigning beds to patients transferring in and out of critical care units.
• Entering bed assignments into bed tracking system.
• Monitoring bed status and upgrades bed via electronic bed tracking systems to expedite patients' admission to a clean bed.
• Communicates with appropriate departments with notification of patient transfers to and from different units.
• Assigns appropriate health plan to patient visit. Maintains a good working knowledge of the health plans and contractual obligations.
  
  

Quality

• Obtains and edits patient information in the hospital's computer system while ensuring all information is accurate.
• Maintains a good working knowledge of the health plans and contractual obligations.
• Appropriately assigns health plans to current patient visit.
• Maintains familiarity with insurance referrals and authorization process.
• Ensures all referral requirements are completed at the time of the bed request.
• Promotes and maintains cooperation and communication with other OLOL departments, physician offices, hospitals, and patients.
  
  

Other Duties As Assigned

• Performs other duties as assigned or requested.
  
  

Qualifications

Experience: One year experience in a medical office or hospital setting OR six months experience on OLOL clinical unit.

Education: High School or equivalent