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Clinical Review Nurse
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- The PAC Nurse is a telephonic position responsible for recommending discharge plans, assisting with transition of care, and managing the length of stay (LOS) for Long Term Acute Hospital (LTACH), Skilled Nursing Facility (SNF), and Institutional Rehab Facility (IRF) for their assigned and non-assigned post-acute care (PAC) facilities through collaboration.
- You will act as a clinical resource for unlicensed Post-Acute Care Coordinators, providing clinical expertise and helping to clarify referral source directives.
- You will also act as the primary contact to the post-acute facility or facilities to which you are assigned to obtain all clinical information required and to proactively obtain patient status updates.
- You will communicate customer service/provider issues to your supervisor and conduct scheduled telephonic touch points with each facility point person to review each member within that facility and confirm appropriateness for continued stay.
- You will authorize continued stay at SNF, IRF, LTACH, and Home Health care (if delegated) using approved medical care guidelines and collaboration with key facility personnel within the healthcare setting.
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