Fisher-Titus proudly serves the greater Huron County area’s 70,000-plus residents by providing a full continuum of health and wellness care from heart and cancer care to outpatient services such as lab, imaging, and physical rehabilitation.
Vision: Be the first choice for healthcare and employment within our community
Mission: Deliver compassionate and convenient care to the highest level of excellence that promotes lifelong health and wellness for our community
General Summary:A Clinical Resource Manager is a member of the multidisciplinary team and works closely with social workers, financial counselors, decision support specialists, and ancillary staff to actively facilitate those functions associated with moving the patient through an acute episode of care and linkages to community resources, internal resources, and the payer community.
Essential Functions: Identify trends/problems related to delivery of care delays and potentially avoidable days through consistent data capture. Issue Medicare adverse determination letters when deemed appropriate. Round on patients with a multidisciplinary team to determine discharge needs. Intervene with ancillary department leadership when timely service is critical to patient's immediate needs. Identity patients in need to intensive post-acute services. Make referrals to community partners when patient or family needs psychosocial intervention or has screened positive for a Social Determinants of Health to facilitate transition planning. Collaborate with team members to develop a transition plan appropriate to the patient's needs and ability to pay. Patient's eligibility for post-acute services is determined within 24 hours of inpatient admission. Serve as consultant and educator to patient and family regarding post-acute service recommendations. Serve as liaison to community resources. Make daily rounds with assigned physician based on priorities of patient needs. Confirm doctor's treatment plan and intended goals. Collaborate with attending physician to establish treatment milestones to prepare patient and family for transition to lower level of care. Initiate referrals to the appropriate areas to expedite care, treatment and services. (The Medical Staff by-laws grants authorization to professional Clinical Resource Managers to make independent referrals to PT/OT/ST, nutrition counselors, respiratory therapy, clinical nurse specialist, financial counselor, risk manager, rehab, SNF, hospice/palliative care, and ome care for the sole purpose of assessment of needs. Any subsequent clinical interventions must be indorsed by the attending physician). Utilized medical staff approved evidence based clinical protocols when patient's diagnosis warrants. Question interventions that seem contrary to protocol and offer acceptable alternatives. Collaborate with physician, patient and family, and nurse to identify probable post-acute needs. During point-of-service rounds with the physician, offer suggestions for more accurate and complete documentation.