Clinical Referral Coordinator (LPN) (10860)

Location: 100 E Business Way, Suite #320, Cincinnati, OH 45241

Work Setting: On-Site 5 days/week & hybrid opportunity after 6 months

About the Role

Summit Home Care and Hospice is searching for an experienced and motivated LPN to join our Referral team as a Clinical Referral Coordinator. At Summit, we believe healthcare should be personal, compassionate, and delivered where it matters most—at home.

Schedule

• Monday - Friday; standard business hours (40 hours/week)
• Weekend/holiday rotation

Pay

$24.00 - $30.00/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 our company’s Acceptance to Service Policy.
• Assist in interpreting operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues, or expenses.
• Collaborate with multiple teams, both internal and external, to ensure patient success in the homecare setting.
• Demonstrate professional assertiveness when communicating with external referral resources.
• Report and/or 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 if a new contract is needed.
• Call for, follow up on, track, and obtain verbal orders for admissions.
• Fax written orders for signature for admissions when verbal order is unable to be obtained.
• Track, trend, and maintain accept/decline reports.
• Identify primary and secondary billable diagnosis.
• Understand and adhere to Face-to-Face (F2F) requirement regulated by CMS.
• Maintain Pre-Claim Review (PCR) of no less than 97% (while participating in PCR as an agency).
• Utilize office and other patient care software, including Microsoft Word, Excel, Adobe, and E-Fax.
• Maintain confidentiality of information related to patients and the organization.
• Perform interdepartmental and external communication.
• Engage in team meetings and provide feedback.
• Develop and implement organization policies and procedures under guidance of supervisor(s).
• Attend in-person training and meetings when necessary.
• 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 member of a team.
• Strong computer skills in data entry, Microsoft Excel, and Word applications; must type 50 WPM.
• Strong attention to detail, problem-solving, time management, verbal, and written communication skills.
• Able 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 each year, plus a bonus day to celebrate your birthday.
• Paid sick time.
• Free continuing education (CEUs) for full-time and part-time staff.
• AI-assisted clinical documentation to help streamline charting and reduce administrative time.

Pre-Employment Requirements

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