Sepsis Data Abstractor

Manage FPPE and OPPE for a new 170 bed hospital medical staffCoordinate Peer Reviews to ensure quality careReviews all readmissions cases for quality assuranceDCA for the hospital’s policiesParticipate in State, CMS and Joint Commission surveysReviews all readmissions and mortality cases

Clinical review of the hospitalized patient’s charts to ensure the patient meets medical necessity in their current level of care.Manage bed days of the hospital.Collaborate closely with insurance payers to facilitate the level of care needed for the patient is received while maintaining continuity of care to the hospitalized patient.Denial management and facilitation of overturn of inappropriate hospital denials.

Grew the Utilization Review department by 8 RN’s. Managed a staff of 15 responsible for completing all Utilization Reviews for 2 acute care hospitals with an average of 600-650 occupied beds. Managed bed days, approvals, and denials.

Complex discharge planning formulated for acutely ill hospitalized patients.Coordinate discharge needs amongst the interdisciplinary team including MD’s, bedside nursing team, social work, post acute discharge destinations, insurance provider, the patient and their family to ensure a safe discharge with the ultimate goal of repatriating the patient back to the community.Clinical review of the hospitalized patient’s charts to ensure the patient meets medical necessity in their current level of care.Manage bed days of the hospital.Collaborate closely with insurance payers to facilitate the level of care needed for the patient is received while maintaining continuity of care to the hospitalized patient.

Complex discharge planning formulated for acutely ill hospitalized patients.Coordinate discharge needs amongst the interdisciplinary team including MD’s, bedside nursing team, social work, post acute discharge destinations, insurance provider, the patient and their family to ensure a safe discharge with the ultimate goal of repatriating the patient back to the community.Clinical review of the hospitalized patient’s charts to ensure the patient meets medical necessity in their current level of care.Manage bed days of the hospital.

Provide excellent patient careManage patient care of 6-8 patients on a Medical-Surgical unitPerform initial and ongoing assessments of patientsMedication administrationCollaborate with healthcare professionals including Physicians, Registered Nurses, Respiratory Therapists, Social Workers, Case Managers, Physical Therapists, Occupational Therapists, Speech Language Pathologists, Certified Nursing Assistants

Point of Service Collections Registration of patients in a number of settings including Financial Counseling (Inpatient), Labor and Delivery, Surgery, and Outpatient Lab and Imaging Providing privacy for patients during their registrationObtaining authorizations for inpatient hospitalizationsWorking closely with Case Management and Social Services during a patient's hospitalization.