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Patient Management Representative

Job Description - Patient Management Representative

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



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