Intake Coordinator (LPN)

About the role

The LPN Intake Coordinator/Educator is responsible for coordinating all new referrals made to the agency, ensuring that all new referrals meet the agency's policies and procedures as well as federal/state regulations and guidelines.

Responsibilities

• Maintains working knowledge of current home health coverage guidelines, admission criteria, documentation requirements, coding guidelines, and care planning with case conferences; manages patient care accordingly.
• Effectively manages initial home visit; introducing services, admission criteria, the process for determining patient eligibility, and obtaining required consents when eligibility is confirmed.
• Affects the patient/caregiver's willingness, ability, and barriers to learn patient care techniques and for achieving independence in care; documents patient and family response to teaching.
• Outlines aide care plan; performs ongoing home health aide oversight, revises aide care plan based on patient progress; evaluates home health aide care every 14 days or per state payer requirement and state regulations.
• Supervises CAN participation in patient's plan of care and performance of skilled interventions at intervals defined by state regulations.
• Initiates the plan of care and related nursing interventions; conducts goal-oriented visits; ensures other nursing team members have the information needed for continuity of care and continued progress.
• Provides patient/family teaching per POC; assesses and documents response to teaching.
• Advocates for the patient as required.
• Completes an accurate, initial comprehensive head to toe assessment. Completes for home health patients, an OASIS, and other assessments of patient and family to determine home care needs; obtains a history of current and previous illness(es).
• Uses health assessment data, input from agency team members, the physician, patient and family, to determine patient needs.
• Effectively manages patient and family expectations regarding agency services, outcomes/discharge goals and ability to achieve independence in care.
• Establishes appropriate primary and secondary diagnosis based on patient assessment and focus of home health care.
• Develops a care plan, incorporating appropriate skilled interventions, and necessary medical supplies/equipment and ancillary/specialty services, to achieve outcome/discharge goals.
• Protects realistic home health visits by discipline and medical supplies required per planned interventions and discharge goals. Write POC orders accordingly.
• Regularly evaluates home health patient's progress, in collaboration with team members; revises patient POC accordingly.
• Performs ongoing appropriate OASIS assessments and revises POC accordingly.
• Identifies home health patients' discharge planning needs when developing the plan of care; identifies and implements community referrals before patient discharge; determines patient readiness for discharge based on expected outcomes, goals, and coverage guidelines.
• Prepares clinical notes and other required documentation within the required timeframes.
• Obtains/receives physician orders as required for treatment changes; communicates new/changed orders to appropriate team members.
• Tracks all assigned cases, and organizes schedules to ensure all patients' needs are met per their individual POC.
• Maintains accurate and comprehensive client medical data throughout the intake process.
• Notifies the Branch Manager regarding proposed changes that may affect the intake process.
• Investigate and take appropriate actions on client/consumer complaints.
• Attends weekly Team Coordinator/Staffing Specialist meetings to ensure consistent lines of communication regarding new intakes and existing cases needing staffing coverage.
• Supervises Team Coordinators to ensure effective handling of clients' schedules.
• New referral coordination assures agency intake processes meet applicable local, state, and federal licensing/regulatory requirements in addition to agency policies and procedures.
• Directs the recertification process every sixty days by obtaining a roster of all patients with a plan of treatments that are to be recertified and establishing completion of this process timely.
• Reviews medical records and update treatment plan forms.
• Audits medical records on each patient at the time of recertification completes appropriate audits, and forwards to the Director of Patient Care Services.
• Reviews recertification treatment plan summaries for transcribing or typing errors before Registered Nurse review and submission for physician's signature.
• Correlates recertification audits with OASIS audits, quarterly chart audits, and adverse event audits.
• Assists Billing Coordinator with billing audits as necessary.
• Communicates effectively to obtain patient information for ordered services.
• Develops working relationships with hospital and insurance case managers to provide quality, compliant care.
• Ensures all needed clinical information is provided to insurance companies to obtain authorization of services.
• Maintains client dashboard for pending referrals requiring authorization.
• Uploads authorizations into patient's electronic chart
• Enter authorization information for patients into an electronic system
• Participates in team conferences to discuss patients needing authorization
• Maintains confidentiality of company and patient information
• Provides proper notification and/or advance notice of absence or tardiness without abuse

Qualifications

• Current LPN license in the state of Georgia.
• Experience in home health care or related field preferred.
• Strong organizational and communication skills.
• Ability to work independently and manage multiple tasks.
• Knowledge of home health care policies and procedures.