Post-Acute Placement Coordinator, System Admission Transfer Center (Rev 070919)

  • Oakland, CA
  • Highland General Hospital
  • System Admission Transfer Center
  • Full Time - Day
  • Req #: 24867-16259
  • Posted: November 21, 2019
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SUMMARY: Provides post-acute care coordination between the SATC and acute, long term acute & skilled nursing facilities, home health, hospice, recoup care, assisted living, board & care and shelters.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

1.  Assists with throughput and discharges into the post-acute settings and work closely with post-acute partners to expedite placements into the appropriate levels of care.

2.  Coordinates referrals to appropriate post-acute agencies/facilities.

3.  Identifies trends and problem areas for special studies regarding discharge barriers.

4.  Identifies challenges of placement of complex patients and patients with behavioral health needs and collaborates with post-acute partners to remove barriers and assist with facilitation of post discharge support as needed.

5.  Reviews SNF discharge checklist completed by clinicians and Case Mangers.

6.  Provides authorization of HPAC cases for IP to IP outgoing transfers.

7.  Communicates with payers/confirmation of approval for incoming transfers.

8.  Communicates with physicians and outlying facilities regarding all patient transfers, potential bed placements, and assists with coordinating patient movement between facilities.

9.  Coordinates transfer of emergent, urgent and elective patients to a final destination facility from all potential referral sources to include but not limited to hospitals, clinics, nursing homes, and physician offices.

10. Evaluates medical necessity/available services for SNF/Sub-Acute level of care for outgoing transfers.

11. Triages and prioritizes patient information and communicates clinical presentation of the patient for accepting physicians and nurses.

12. Coordinates and troubleshoots referrals for placement of complex patients.

13. Reviews team documentation and conducts quality reviews.

14. Maintains complex care team dashboard.

15. Performs other duties as assigned.

Any combination of education and experience that would likely provide the required knowledge, skills and abilities as well as possession of any required licenses or certifications is qualifying.

Required Education: Graduate of an accredited nursing program or Bachelor’s degree in Nursing.

Required Experience: Two years experience providing care management for complex, medically fragile patients in an inpatient/SNF environment.

Required Licenses/Certifications: Valid license to practice as a Registered Nurse in the State of California; Basic Life Support Certification (BLS) issued by the American Heart Association.

Preferred Licenses/Certifications: Certification in Public Health Nursing.


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