Intake RN – Home Health

Intake RN – Home Health

Requirements

• Graduate of an accredited school of nursing
• Valid and unrestricted RN license in your state of residence
• Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations
• Must have exceptional interpersonal and customer services skills
• Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor
• Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations
• Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in English
• Must have proven data entry and general computer skills
• Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems
• Must be able to flex with the increased workflow when census is higher and recognize urgency of each task
• Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed
• Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs

Responsibilities

• Receive and process referrals for patient care, ensuring timely and consistent admissions
• Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources
• Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers
• Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care
• Utilize and promote excellent customer service skills in all interactions
• Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices
• Acts as the clinical liaison that represents the agency via telephone with referrals for patient care from physicians, hospitals, insurance case managers and other sources in the community
• Provides clinical oversight to the processing of home care referrals in accordance to regulatory and payor requirements
• Ensures appropriate physician orders are obtained and input in the medical record to support identified patient care needs
• Facilitates timely and appropriate Start of Care visits with schedulers and patients/families to meet patient acuity and business needs
• Summarizes clinical information from referral documentation material in a concise and thorough Referral Information note to support the field clinician’s ability to conduct an effective and efficient Start of Care visit
• Accurately completes referral documentation, including all appropriate insurance reimbursement needs, as necessary to facilitate the admissions process
• Processes and documents referrals that are not accepted for admission, indicating specific reason for non-acceptance, according to department policy and procedure
• Assigns diagnosis codes to admissions and/or validates diagnosis codes identified by clerical staff
• Accepts additional clinical support assignments as designated by the Administrator and/or designee
• Appropriately escalates to Administrator for staffing problems or difficulties accepts clinical assignments as designated by the supervisor
• Responds promptly to phone calls, electronic transmissions (Epic/Allscripts/Curaspan referrals) and faxes regarding potential referrals for home care services
• Demonstrates a high level of service orientation to all internal and external customers at all times
• Ensures consistent and timely communication regarding new admissions with local teams
• Attends department meetings and serves on committees and project teams as requested
• Participates in the development of policies and procedures and actively assists in problem solving with and between departments to ensure the intake function is collaborative and effective
• Maintains positive professional relations with support personnel through appropriate and timely responses for information or paperwork necessary for the key clinical and billing functions of the agency
• Meets Intake productivity goals and maximizes capacity for patient needs by assessing clinical and operational needs

Preferred Qualifications

• 2 years recent relevant experience
• Familiarity with ICD-10 coding preferred but not essential