Admissions Nurse-RN

Position Summary / Main Purpose

The Admission Nurse is primarily responsible for pre-assessments and the admission of patients. Benefits include a comprehensive benefits package for eligible full-time employees.

Essential Functions

• Completes the admission and initial assessment for patients that meet admission criteria into the appropriate program.
• Initiates a plan of care following assessment of the patient, collaborating with the patient, family, caregiver, and/or facility staff as needed, so that their goals are reflected in the plan of care.
• Communicates identified patient needs to appropriate discipline via verbal and written reports of the status of the patient.
• Affordably decides what DME, medications, supplies CHC will be responsible for providing, collaborating with Pharmacy and/or IDT as needed.
• Collaborates with attending physician regarding the plan of care and new orders needed at the time of admission.
• Sets up the ECF/hospice chart in facilities for ECF patients.

Productivity

Productivity is 7.5 admits or 3 admits and 3 PA/Admits per week. Expected to complete an extra admission on a rotating basis to efficiently serve our patients as needed.

Documentation

• Completes Matrix charting in the home or facility which includes but is not limited to admitting patient, medication entry, and starting of admission assessment.
• Admits patients in Matrix using the Matrix Hospice or Matrix Home Health Checklist as a guide.
• Doubles documents all medications, the plan of care, Hospice Determination of Terminal Status, and the Hospice Initial Assessment (OASIS for Home Health).
• Doubles documents any care interventions, results and teaching done at the admission in the admission assessment, Hospice Initial Assessment (OASIS for Home Health).
• Doubles documents all physician orders and IDT notes in Matrix.
• Completes Medicaid hospice and home health paperwork accurately, and forwards to admissions and the billing department.
• Sends NEW ADMIT email report of admission to appropriate services sight email group, uploads consents, legal documents, emergency plan, POST into Matrix.
• Scans paperwork for appropriate staff on the day of the admission via email.

Pre-Assessment

• Performs pre-assessments for patients interested in either home health care, hospice, or In-Patient Unit.
• Edits patients, families, caregivers, referral sources about hospice services and philosophy.
• Gathers sufficient information to determine eligibility of prospective patients for hospice/homecare services using knowledge of state and federal regulations and makes sure that appropriate admission paperwork is completed correctly.
• Verifies patient information in Matrix with patient/caregiver while in home or facility.
• This includes, but not limited to, name, birthdate, SSN, pharmacy, caregiver name, address, and phone number.
• Able to use equipment as provided by CHC to print and/or scan in paperwork or insurance cards.
• Works with the billing department when necessary to verify patient insurance prior to the pre-assessment.
• Completes and completes and submits LCD, gathers appropriate staff (medical director, RN, social worker) for an IDT and presents the patient, past medical history, diagnosis from referring doctor, and symptoms to determine patient’s appropriateness for hospice, In-Patient Unit, or home health.
• Accurately documents the pre-assessment and IDT in Matrix on the day they occurred.
• Accurately fills out all consents needed for admission and gets patient/caregiver signature as appropriate.
• These include but are not limited to: Notice of Election of Hospice benefit, Patient Notification of Hospice Non-Covered Items, Services, Drugs, General Consents and Release of Information, and insurance verification and explanation, fee assessment, OASIS Privacy Statement.
• Complete follow-up as needed.

Additional Functions

• Committed to Agency resolution against fraud and abuse.
• Knowledgeable in hospice philosophy and state and federal rules and regulations.
• Arrives to work and meetings on time and ready to work.
• Respects confidentiality of patients/families and other Agency employees.
• Attends educational meetings/conferences for professional growth as required.
• Sees change as an opportunity and maintains a level of flexibility which allows for adaptation to new ways of performing.
• Follows directions and policies that allow for an organizational commitment to working under time pressures without sacrificing quality.
• Performs other duties that may be assigned.

Qualifications

• Maintains current R.N. nursing licensure in Indiana.
• Previous home health / hospice care experience is preferred.
• Excellent communication skills required.