Bed Management Point of Entry Nurse – Days

HOUSTON METHODIST EXPERIENCE EXPECTATIONS

• Provide personalized care and service by consistently demonstrating our I CARE values:
  • INTEGRITY: We are honest and ethical in all we say and do.
  • COMPASSION: We embrace the whole person including emotional ethical physical and spiritual needs.
  • ACCOUNTABILITY: We hold ourselves accountable for all our actions.
  • RESPECT: We treat every individual as a person of worth dignity and value.
  • EXCELLENCE: We strive to be the best at what we do and a model for others to emulate.

• Practices the Caring and Serving Model

• Delivers personalized service using HM Service Standards

• Provides for exceptional patient/customer experiences by following our Standards of Practice of always using Positive Language (AIDET Managing Up Key Words)

• Intentionally collaborates with other healthcare professionals involved in patients/customers or employees experiential journeys to ensure strong communication ease of access to information and a seamless experience

• Involves patients (customers) in shift/handoff reports by enabling their participation in their plan of care as applicable to the given job

• Actively supports the organizations vision fulfills the mission and abides by the I CARE values

• Collaborates to foster healthy relationships in the work environment. Maintains a good rapport with the Emergency Department (ED) physicians and their office staff to streamline patient entry to the hospital receiving admitting orders and special request concerning each patient. Coordinates with case manager to escalate cases.

• Demonstrates teamwork by awareness department activities consistently offering assistance and responding positively to requests for assistance. Works closely with ED physicians social workers and case managers to identify alternate level of care/treatment plan for patients who do not require admission.

• Identifies levels of organizational conflict and applies tools to effectively resolve concerns complaints or conflict with patients families physicians and other interprofessional health care team members. Facilitates bed issue resolution when conflicts arise.

• Oversees patient placement in appropriate beds based on admission criteria diagnosis medical necessity clinical needs bed availability and staffing demonstrating proficiency in bed placement.

• Coordinates patient flow and bed utilization through frequent and timely communication maintaining close communication to the unit department regarding patient and physician requests to ensure smooth transition of patients in our facility. Continually assesses needs of customers.

• Reviews orders on patients from admission access points to ensure appropriate level of care. Documents as appropriate working diagnosis on ED placements:
  Surgery schedule and PACU patients
  Emergency Department
  Transfer Center
  Physician offices/direct admits

• Evaluates transfers to entity for appropriateness including clinical financial and social issues and coordinates them with unit and Operations Administrator ensuring they are managed in a timely manner and within EMTALA (Emergency Medical Treatment and Active Labor Act) guidelines.

• Obtains relevant clinical data from sending facilities working effectively with accepting physicians and nurses to ensure clear communication among caregivers and assist in correct clinical placement of patients to consistently achieve desired outcomes for patient care.

• Participates in quality improvement activities by collecting and analyzing data related to patient throughput identifying trends and suggesting improvement plans.

• Promotes accuracy and completeness of clinical documentation to reflect the appropriate Severity of Illness (SOI) and Intensity of Service (IOS) for all patients. Assists physicians in improving documentation to meet regulatory and payor requirements as appropriate.

• Evaluates current and future bed supply to anticipate areas of congestion and potential obstacles to patient flow when clinical lead not available.

• Consistently reviews all admissions for medical necessity and appropriateness of care based on nationally recognized criteria.

• Documents all aspects of the transfer in appropriate location and ensures computer system accuracy of patient level of care status to physician order.

• Identifies and presents areas for improvement in patient care or department operations and offers solutions by participating in department projects and activities. Participates on clinical process improvement teams within the department and hospital.

• Oversees any implementation and evaluation of medical management tools for assigned areas to ensure goals and outcomes established by the team are met.

• Graduate of education program approved by the credentialing body for the required credential(s) indicated below in the Certificates Licenses and Registrations section

• Bachelors degree preferred

• Two years as a registered nurse in an acute care hospital setting

• Bed placement experience highly preferred

• RN Registered Nurse Texas State Licensure and/or Compact State Licensure within 60 days OR
• RNTemp Registered Nurse Temporary State Licensure within 60 days AND
• Additional credentials as defined by unit/service line

• Magnet ANCC Recognized Certification

• Demonstrates the skills and competencies necessary to safely perform the assigned job determined through ongoing skills competency assessments and performance evaluations.

• Sufficient proficiency in speaking reading and writing the English language necessary to perform the essential functions of this job especially with regard to activities impacting patient or employee safety or security

• Ability to effectively communicate with patients physicians family members and coworkers in a manner consistent with a customer service focus and application of positive language principles

• Understanding of preacute and postacute venues of care and postacute community resources

• Strong assessment organizational and problem solving skills as evidenced by capacity to prioritize multiple tasks and role components

• Ability to work independently and exercise sound judgment in interactions with physicians payors and patients and their families

• Must have critical thinking advanced communication negotiation and collaboration skills

• Must have good organizational and time management skills

• Understands and adheres to all pertinent federal state and Houston Methodist regulations laws and policies as they presently exist and as they change or are modified

• Well versed in computer skills of the entire Microsoft Office Suite (Access Excel Outlook PowerPoint and Word)

• Demonstrates knowledge of obtaining information in the electronic medical record as appropriate

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

• Uniform No
• Scrubs Yes
• Business professional Yes
• Other (department approved) No

ONCALL*
*Note that employees may be required to be oncall during emergencies (ie. DIsaster Severe Weather Events etc) regardless of selection below.

• On Call* No

TRAVEL**
**Travel specifications may vary by department**

• May require travel within the Houston Metropolitan area No
• May require travel outside Houston Metropolitan area No

Since its founding in 1919 Houston Methodist Hospital has earned worldwide recognition. Houston Methodist Hospital is affiliated with the Weill Medical College of Cornell University and New YorkPresbyterian Hospital one of the nations leading centers for medical education and research. In 2020 U.S. News & World ReportnamedHouston Methodist Hospitalto its top ranked Honor Roll for the fourth time and second consecutive year. 2020 also marked the ninth year in a row Houston Methodist Hospital has been named the No. 1 hospital in Texas. Houston Methodist Hospital directs millions of research dollars into patient care and offers the latest innovations in medical surgical and diagnostic techniques. With 952 operating beds 85 operating rooms and over 8000 employees Houston Methodist offers complete care for patients from around the world.

The same highquality care for which Houston Methodist is known is available at several Emergency Care Centers in Houston and the surrounding areas. These Emergency Care Centers house exam rooms full digital radiography suite low radiation dose 16slice CT scan ultrasound and a full onsite stat chemistry lab.