Cayuga Health (CHS) has two hospitals, Cayuga Medical Center and Schuyler Hospital, as well as a multi-specialty group, Cayuga Medical Associates. Combined employment, including affiliated organizations, is over 2,800 employees. CH is clinically affiliated with Mayo Medical Laboratories, Rochester Regional Health for cardiac services, and the University of Rochester for neurosciences. Visit www.cayugahealth.org for more information. TRANSFER CENTER REGISTERED NURSE (RN)Summary: The Transfer Center Registered Nurse utilizes acute care hospital experience to facilitate hospital to hospital transfers, while adhering to EMTALA and CMS guidelines. They collaborate with physicians, hospital/medical office staff, Administrative Supervisors, and EMS agencies to manage incoming and outgoing patient transfer requests. They ensure all transfer requests are triaged through a standardized process, proper insurance authorization is in place (when applicable), and that a physician who is eligible to provide the services the patient requires legally accepts a transferring patient. For patients departing an in-system facility, the Transfer Center RN facilitates appropriate inter-facility transportation resources, and for all patient transfers, they ensure all required documents are present and complete. They also oversee a process designed to capture patient demographic information, pertinent clinical data, financial and payer information, and all transfer request events in the patient's electronic medical record. Roles and Responsibilities: (Tasks)
- Establishes and maintains trusting and professional relationships with referring parties by providing excellent customer service.
- Utilizes empathy and compassion to fully understand a referring party's needs, remaining aware they are seeking help for a patient they are not resourced to care for
- Completes all daily assignments in the Transfer Center; ensures all requests triaged & prioritized
- Coordinates transfers from external facilities for ED to ED, ED to inpatient, and inpatient to inpatient; ensures legal requirements & proper level of care is maintained
- Secures clinical information for all transfer requests from external facilities to ensure the inbound facility has the capacity & capability of meeting the patient's medical needs
- Collaborates with appropriate Administrative Supervisor & Patient Access teams to ensure the patient has a proper bed assignment & initiated registration before transfer occurs
- Ensures adherence to EMTALA laws, CMC guidelines & all hospital policies and procedures for patient transfers are followed to avoid regulatory, compliance, or legal issues
- Coordinates with Case Management & Utilization Review resources; applies working knowledge of InterQual/MCG criteria to determine medical necessity & proper level of care required to place patient in the correct status
- Ensures strict documentation of each transfer request; captures patient demographics, reason for transfer, referring facility, referring physician, accepting physician, & payer information in the electronic medical record
- Collaborates with Physicians and Nurses at both the transferring and receiving facility to facilitate a telephonic hand-off report prior to the transfer
- Secures authorization from payer for the transfer (as warranted)
- Coordinates patient ground/air transport for all outgoing health system transfers
- Collaborates frequently with emergency departments & Administrative Supervisors to ensure bed boards are updated & departments are aware of admissions/transfers
- Collaborates & troubleshoots issues with bed availability, patient needs, & resource allocation with the Administrative Supervisor, Clinical Managers, & Transfer Center Medical Director as needed
- Keeps sending & receiving providers aware of changing information that may impact the bed request, pick-up or arrival time, or resources needed upon the patient's arrival
Required Skills and Experience:
- New York RN Licensure
- American Heart Association BLS
- Three (3) years of nursing experience in an acute care environment
- Strong organizational and time management skills
- Understanding of EMTALA law and CMS guidelines to ensure compliance with legal standards
- Strong customer service skills
- Strong verbal & written communication skills; ability to establish trust & form professional relationships
- Ability to document clearly and accurately in an electronic medical record to ensure accurate record keeping & reporting
- Previous knowledge or ability to learn payer authorization processes
- Strong interpersonal communication & teamwork skills
Preferred Skills and Experience:
- Certification in nursing leadership preferred
- Experience in application of InterQual or MCG to determine level of care preferred
- BSN Degree preferred
- Nurse call center experience
- Experience as a lead/charge nurse, triaging emergency/critically ill patient needs
Physical Requirements: Repetitive use of hands and fingers (e.g., Use of computer keyboard); may require lifting and carrying light loads (up to 40 pounds), including boxes, equipment, IV solutions and stooping and kneeling (e.g., to pick up items from the floor, to remove and replace items on lower shelves and to file documents in lower file drawers); sitting, walking, or standing for long periods of time may be necessary; must be able physically to operate the equipment used for the job. Location and Travel Requirements:
- Onsite at Cayuga Medical Center in Ithaca, NY to begin program
- Future site planned in Montour Falls, NY
- Opportunity to work from home after 1 year being considered
Pay Range Disclosure:
Cayuga Health System and its affiliates are committed to treating all patients, providers, staff and volunteers equitably and with dignity, ensuring the highest levels of safety, care and respect, and striving to recognize and overcome biases and policies that contribute to disparities in healthcare access, equitable care and positive health outcomes for all. We are proud to be an Equal Employment Opportunity employer, supporting the growth and health of our employees and community by embracing the rich diversity, needs and circumstances of all peoples and prioritizing opportunities to build a diverse and inclusive workplace. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable protected characteristics. If you require reasonable accommodation to complete a job application, pre-employment testing, and a job interview, or to otherwise participate in the hiring process, please contact the Cayuga Health Talent Acquisition team at .