JOB SUMMARY The One Call Admission Coordinator (OCAC) is responsible for managing all incoming calls, via the One Call designated phone number, for all outside facilities such as; Acute Hospital Emergency Departments, Acute Hospitals IP-lateral transfers, MD Offices, Community Clinics, Skilled Nursing Facilities, or Home as examples who are requesting a patient be admitted / transferred to HPMC. This position is also responsible for internal bed placement by working with nursing supervisor and Admitting.
Major Responsibilities/Essential Functions: Collaborates with appropriate departments and staff for all requests for patients to be admitted / transferred to HPMC. Receives and coordinates all incoming calls from the One Call phone lines for requests to admit / transfer patients to HPMC. Adheres to all metrics and timeframes for the One Call does it All Process Request to response 30 minutes.
Identifying appropriate alternative placements for patients (i.e. send patient to ER, redirect to another facility, etc.) as appropriate for patient safety. Ability to effectively communicate with Physicians, admissions team, case management, leadership and other internal & external customers. Reviews requests for admission to HPMC based on insurance criteria knowing not to accept Trauma, Inpatient Psych or other services not available at HPMC or capitated to other facilities (except as directed by Leadership) Responsible for cost containment, conservation of supplies, equipment, and other organizational resources.
Ensure all the appropriate logs, system notations, documentation and other data requirements are accurate and entered timely to ensure proper and compliant billing practices by PFS Ability to use AIDET in all settings. •Completes departmental and hospital-wide in-services, competencies and Health Stream assignments. Create Shell accounts in Paragon and collaborates with IT improvements for accurate statistical tracking.
Collaborate with admitting/case management teams on process improvement, automation, data entry and enhancement of the one call Center as directed by Leadership, Hospital Goals and Vision. Assists department management in the resolution and evaluation of problem situations. Consistently supports compliance and the Code of Conduct (Hollywood Presbyterian Medical Center's code of Conduct) by maintaining the privacy and confidentiality of information, protecting the assets of the organization, acting with ethics and integrity, reporting non-compliance, and adhering to applicable federal, state and local laws and regulations, accreditation and license requirements (if applicable), and Hollywood Presbyterian Medical Center's policies and procedures.
Assumes other duties as required. Minimum Education (Indicate minimum education or degree required.) High School Diploma or equivalent required Preferred Education (Indicate preferred education or degree required.) Associates Degree Preferred Graduate of an accredited LVN program Preferred Minimum Work Experience and Qualifications (Indicate minimum years of job experience, skills or abilities required for the job.) Thorough understanding of the healthcare industry, particularly related to areas of case management and admission / transfer criteria.
Knowledge and principals and practice for different payers; Managed Care, Medicare, Medi-Cal, others. Must possess exceptional customer service skills and excellent telephone skills. Consistently demonstrates problem solving skills.
Ability to communicate effectively verbally and in writing. Must be able to work in a union environment. Preferred Work Experience and Qualifications (Indicate preferred years of job experience, skills or abilities required for the job.) 1 Year of High Volume Call Center or Customer Service experience preferred Required Licensure, Certification, Registration or Designation (List any licensure or certification required and specify name of agency.) Los Angeles County Fire Card (required within 30 days of hire).
Assault Response Competency (ARC) (required within 30 days of hire). Status: Full Time
Variable (Varied/Rotating) Hours: 8hrs (Varied) Weekly Hours: Varied Bi-Weekly Hours: 40hrs/80hrs FTE: 1.0