Swing Bed Program Coordinator Hospital Discharge Planner Utilization Review Nurse
Share
Job Location:
Petersburg, VA - USA
Monthly Salary:
Not Disclosed
Posted on:
6 hours ago
Vacancies:
1 Vacancy
Job Summary
Position Description
PMC Mission and ValuesOur mission is excellence in healthcare services and the promotion of wellness in our community. Our Guiding values are Integrity Professionalism Teamwork and Quality.
Job Description
Swing Bed Coordinator / Hospital Discharge Planner / Utilization Review Nurse
Department
Acute Care / Swing bed
Reports To
Chief Nursing Officer (CNO)
Job Summary
Responsible for hospital-wide discharge planning and utilization review for all Critical Access Hospital (CAH) inpatients observation and swing bed patients and for coordination of the Swing bed Program in compliance with CMS Conditions of Participation (Appendix W). This role supports medically necessary utilization safe care transitions regulatory compliance financial stewardship and patient-centered care from admission through discharge.
Essential Duties & Responsibilities
A. Hospital - Wide Discharge Planning (All CAH Patients)
- Serves as primary discharge planner for all acute observation and swing bed patients
- Initiates discharge planning at admission with documented needs assessment
- Coordinates post-discharge services (home health DME appointments transportation community resources)
- Provides patient /family education on diagnosis medications warning signs and follow-up
- Facilities transfer to appropriate levels of care: Swing bed SNF home or assisted living
- Ensures advance directives are offered and documented
- Promotes timely safe and efficient transitions of care
B. Hospital-Wide Utilization Review (all CAH Patients)
- Conducts admission and concurrent utilization review for medical necessity status level of care and length of stay
- Ensures documentation supports continued hospitalization and skilled services
- Collaborates with providers nursing therapy and leadership
- Identifies delayed discharges barriers to placement and avoidable days
- Issues required Medicare notices (Moon NOMNC etc.)
- Maintains compliance with Appendix W and Medicare Benefit Policy
- Supports compliant revenue integrity
C. Swing bed Program Coordination
- Coordinates Swing bed admissions and ongoing case management
- Screens for qualifying stay skilled eligibility and payor authorization
- Coordinates attends and documents IDT care conferences
- Orients patients and families to program expectations rights financial responsibility and discharge planning
- Collaborates with providers nursing therapy pharmacy dietary and families
- Issues Skilled Notices of Non-Coverage as required
- Tracks admissions days payor mix outcomes and discharge destinations
D. Regulatory Survey & Quality
- Ensures compliance with CMS Appendix W Alaska regulations and PMC policies
- Participates in state/federal surveys audits and utilization reviews
- Assists with grievances and abuse/neglect reviews as applicable
- Participate in quality improvement activities and committees
E. Communication & Care Coordination
- Serves as liaison between patients families providers nursing therapy and community agencies
- Participates in interdisciplinary rounds and care conferences
- Communicates discharge plans utilization issues and care barriers
Professional Standards & Conduct
- Maintains confidentiality
- Promotes patient rights dignity and informed decision-making
- Demonstrates professionalism empathy and sound judgment
- Supports PMCs mission vision and values
Minimum Qualifications
- Current unrestricted Alaska RN license
- Minimum 2 years clinical nursing experience (acute care rehab LTC case management or care management preferred)
- Working knowledge of discharge planning utilization review medical necessity Appendix W and Swing bed rules and regulations
- Strong assessment documentation communication and organizational skills
- Proficiency with EHR systems
- Ability to maintain confidentiality and exercise independent clinical judgment
Preferred Qualifications
- Experience in discharge planning utilization review Swing bed coordination or payor eligibility
- Critical Access Hospital experience
Physical Demands
- Ability to sit stand walk use computers extensively communicate effectively and manage frequent interruptions with time-sensitive priority
Requirements for employment include --
- Background Check. Employment is contingent upon the successful completion of a background investigation conducted through the State of Alaska in accordance with applicable regulations.
- Drug Screening. All employees must successfully complete a pre-employment drug screening which includes testing for marijuana.
- Immunization Compliance. Employees are required to meet all immunization requirements as mandated by the State of Alaska and Federal regulations governing healthcare facilities.
**Position will remain open until filled.
Type: Full-time
Required Experience:
IC
Key Skills
- Project / Program Management
- Program Management
- Developmental Disabilities Experience
- Organizational skills
- Data Collection
- Meeting Facilitation
- Utilization Review
- Administrative Experience
- Program Development
- Public Speaking
- Supervising Experience
- Social Work
About Company
Frequently used links: New Facility Pedal/Paddle Battle Price Transparency Pay Your Bill Patient Portal Careers Contact us
