General Summary

Under general supervision, provides consultation, education, public relations and patient assessment services in order to obtain admissions into post acute programs.

Principal Responsibilities and Tasks

• The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
• Performs on-site detailed functional assessments on patients referred for post-acute services. Determines potential and appropriateness of post-acute services. Consults with RN Manager, receiving facility clinician, or RN co-worker, to determine clinical stability for patient transfer, in questionable cases.
• Serves as a patient advocate to recommend appropriate level of care or alternate resources available to meet the patient's assessed needs.
• Provides pertinent information and feedback to post-acute care staff regarding clinical and administrative issues.
• Works with patients and families to provide information and facilitate a smooth transition to post-acute programs.
• Provides detailed assessments and treatment plan goals to facilitate reimbursement authorization from commercial insurers.
• Collaborates with post-acute sites and referral coordinators to insure smooth flow of patients from acute care and community settings to post-acute facilities.
• Collaborates with external case managers, medical staff, nursing, and social work to ensure continuity of patient care between community hospitals and post-acute care service sites.
• Provides educational services to the UMMS community and to third party payors regarding post-acute care service lines.
• Participates in public relations and marketing projects/programs for post acute services and promotes post-acute care services referral network in community hospitals and other healthcare organizations.
• Provides coverage for additional sites in post-acute services, as required, with cross trained capabilities in all areas.
• Educates healthcare staff in community hospitals on the comprehensive rehabilitation and long-term services provided by University of Maryland Medical System.