Clinical Referral Coordinator (LPN) (10859)

Summit Home Care and Hospice delivers personal, compassionate healthcare where it matters most—at home.

About the role

We are looking for an experienced and motivated LPN to join our Referral team as a Clinical Referral Coordinator.

Schedule

• Monday – Friday, standard business hours (40 hours/week)
• Weekend and holiday rotation

Location

800 Yard St. Suite 300, Columbus, OH 43212

Work setting: on-site 5 days/week; hybrid opportunity after 6 months

Pay

$24.00 – $28.00/hour

Responsibilities

• Receive, review, and monitor new referrals to determine ability to accept or decline
• Accurately determine and anticipate homecare needs and accept or decline based on clinical appropriateness and company’s Acceptance to Service Policy
• Assist in interpreting operational indicators to detect census changes and volume fluctuations that could impact staffing levels, revenues, or expenses
• Collaborate with multiple internal and external teams to ensure patient success in the homecare setting
• Demonstrate professional assertiveness when communicating with external referral resources
• Report and troubleshoot missing or incomplete documentation or visit notes needed for new admissions
• Work with Authorizations and clinical management team when new insurances are identified to determine reimbursement, ability to bill, and contract needs
• Call for, follow up on, track, and obtain verbal orders for admissions
• Fax written orders for signature when verbal orders cannot be obtained
• Track, trend, and maintain accept/decline reports
• Identify primary and secondary billable diagnosis
• Understand and adhere to Face-to-Face (F2F) requirements regulated by CMS
• Maintain Pre-Claim Review (PCR) compliance of no less than 97% while participating as an agency
• Utilize office and patient-care software, including Microsoft Word, Excel, Adobe, and E-Fax
• Maintain confidentiality of patient and organizational information
• Perform interdepartmental and external communication
• Engage in team meetings and provide feedback
• Develop and implement organization policies and procedures under supervisor guidance
• Attend in-person training and meetings as necessary
• Perform all other duties as assigned by supervisor(s)

Requirements

• Active multi-state LPN license
• 2 years’ experience in healthcare data entry or customer service preferred
• Ability to work independently or as an active team member
• Strong computer skills in data entry, Microsoft Excel, and Word; must type 50 WPM
• Strong attention to detail, problem-solving, time management, and verbal/written communication skills
• Ability to navigate multiple EMR systems (EPIC, Alis, Kinnser) for patient information with ease
• Ability to multitask, prioritize, delegate, and handle constant changes in workflow

Benefits

• Medical, dental, and vision coverage
• Life and disability insurance
• FSAs/HSAs
• Telehealth services
• 401(k) with company match
• Paid time off, six standard holidays plus a birthday holiday, and paid sick time
• Free continuing education (CEUs) for full-time and part-time staff
• AI-assisted clinical documentation to streamline charting and reduce administrative time

Pre-employment requirements

• Must successfully pass a fingerprint-based background check in accordance with state and federal regulations