Access Management Nurse

Henry Ford Health | General | Healthcare

Hybrid

Full Time

United States of America, Detroit

Source not independently verified

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• Position: 36 hours per week
• Shift: Afternoons 12 Hour Shifts

• Every other weekend and Holiday Rotations
• Benefits: Full time benefit package

MUST be within driving distance of Elijah McCoy building in downtown Detroit for purposes of ongoing training and if internet is down at remote location

GENERAL SUMMARY:

Within the System Capacity Command Center (SC3) at Henry Ford Health, the Access Management Nurse operates under minimal supervision, to review and screen recommended admission cases at Henry Ford Health System Emergency Departments (ED). Utilizes clinical and regulatory knowledge and skills to reduce financial risk and exposure due to inappropriate admissions. Collaborates with ED physicians, attending physicians, and third-party payers regarding initial screening reviews. Facilitates throughput in the most cost-effective manner, through continuous assessments, problem identification, and education.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

1. Performs the utilization management process using approved clinical screening guidelines to evaluate the recommended admission and may recommend if patients are candidates for observation or inpatient status.

2. Manages the initial components of the admission process through all access points, establishes relationships that positively impact financial outcomes and ensures complex communication processes occur: a. Reviews orders and communicates with ED physicians to clarify orders that are unclear or contradictory. b. Reviews and provides concise medical information to Physician Advisors when admission order and InterQual output do not align. c. Communicates with third-party payers to ensure notification of patient admission.

3. Reevaluates ED admissions who have been boarding in the Emergency Department for 18 or more hours to assess potential changes in level of care. Facilitates change in order and retargeting of most appropriate unit based on medical criteria.

4. Facilitates inpatient transfers from Henry Ford Health freestanding Emergency Department.

5. Completes documentation according to departmental guidelines.

6. Identifies, reports and resolves actual and potential delays in service and inappropriate use of resources.

7. Identifies the most appropriate target unit for patients based on hospital guidelines, admission order, and patient presentation. Communicates with Transfer and Bed Planning teams regarding target unit needs and bed assignments.

8. Perform other duties as assigned, including acting at times as charge nurse.

9. Understands and maintains productivity expectations.

10. Educates healthcare professionals regarding initial screening criteria, recommended patient classification/status, utilization of resources and government regulations that impact the delivery of care.

11. Supports and collaborates with clinicians to ensure safe and timely transfers.

12. Participates in the orientation and training of on-boarding SC3 staff.

13. Participates in activities to promote own continued learning and professional growth.

EDUCATION/EXPERIENCE REQUIRED:

• Bachelor’s degree in nursing. • Three (3) years of clinical experience. • Experience facilitating InterQual reviews, admission process preferred. • Experience with systems that support patient flow, admission, and transfer preferred. • Ability to prioritize, meet deadlines and produce detailed and accurate work. • Excellent clinical knowledge and assessment skills to evaluate and prioritize care issues. • Ability to assess and handle highly sensitive and confidential matters with considerable discretion and independent judgment. • Demonstrated positive work ethic and strong sense of teamwork/problem solving with co-workers. • Understanding of Henry Ford Health policies and procedures preferred.

CERTIFICATIONS/LICENSURES REQUIRED:

Licensed as a Registered Nurse in the State of Michigan.

Additional Information

Organization: Corporate Services
Department: System Command Center
Shift: Evening Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Required Skills

communication_skills

Required Languages

🇬🇧 English

Key competency: General