Patient Referral Coordinator

Company: Prisma Health
Location: Greenville
Posted on: February 2, 2025

Job Description:

Inspire health. Serve with compassion. Be the difference.Job SummaryJob Profile Summary
Develops and expands patient referral sources through marketing and networking with other hospitals in the extended service areas to grow and sustain patient volumes. Evaluates, monitors, facilitates and coordinates patients' readiness and transfer to post-acute services (inpatient rehabilitation) while ensuring quality and cost-effective use of clinical resources.Essential Functions

• All team members are expected to be knowledgeable and compliant with Prisma Health's values: - Inspire health. - Serve with compassion. - Be the difference.
• Markets the multiple post-acute care options to hospitals and physicians within extended service area.
• Creates and delivers presentations on all post-acute services to physicians, case managers, social workers. Develops and maintains strong referral sources outside of the organization.
• Assesses referred patients to identify the need and appropriateness for inpatient rehab based on CMS guidelines. Communicates with patients, physicians, multidisciplinary care team, and payors information regarding physical, psychosocial and financial assessment.
• Works as a liaison with patient, family, multidisciplinary healthcare team and payor source to formulate placement plans as appropriate. Maintains appropriate documentation related to patient's status regarding their transition to the next level of care.
• Maintains open communication with physicians, nurse case managers, discharge planners, social workers and performs ongoing physical assessment.
• Ensures the transfer of the patient in a timely, compliant manner which includes, but is not limited to, transportation set up, physician compliance, regulatory compliance, and patient/family coordination.
• Involves patient/family in plan for admission and in preparation for discharge from day of evaluation, taking into account the patient/family's cultural, ethnic, religious/spiritual beliefs.
• Integrates knowledge of payor requirements and federal/state regulations for placement along the continuum of care. Works with Utilization Management and/or payor sources to complete pre-certification prior to transfer to a post-acute facility.
• Participates in program evaluation, Continuous Quality Improvement/CQI studies and performance improvements. Maintains database of admissions and referrals. Works with other patient placement staff to ensure adequate coverage for department at all times.
• Prepares a biweekly report of external referrals and admissions for each post-acute setting for senior leadership.
• Performs other duties as assignedSupervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.Minimum Requirements
    • Education - Bachelor's degree
    • Experience - Two (2) years post-acute related experienceIn Lieu Of
      • NARequired Certifications, Registrations, Licenses
        • NAKnowledge, Skills and Abilities
          • Knowledge of office equipment (fax/copier)
          • Proficient computer skills (word processing, spreadsheets, database)
          • Data entry skillsWork ShiftDay (United States of America)LocationRoger C Peace Rehab HospFacility1010 Roger C Peace Rehabilitation HospitalDepartment10109079 Post-Acute Bed PlacementShare your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

Keywords: Prisma Health, Rock Hill , Patient Referral Coordinator, Other , Greenville, South Carolina