RN Hospice Adm/Benefits Coordinator - Hospice

Job Summary

Receives referrals and coordinates history and physical by completing intake information sheet, securing accurate demographics and directions; reviews information for appropriateness of referral and confirms insurance coverage; coordinates admission times; the core values are integrated comprehensively into the work environment; maintains current competency requirements, both initial and targeted.

Essential Functions

• Coordinates home services admission activities by: assisting in the gathering of appropriate authorization and medical criteria to meet CMS guidelines for Home Health and Hospice services; demonstrating clinical knowledge of appropriate cause for referral and criteria for admission by evaluating referrals for suitability/eligibility and discussing with physician; identifying patient's physical, psychosocial and cultural needs in conjunction with referring source; providing resources appropriate to patient's age; setting up ancillary services, supplies and equipment needed to maintain patient's safety at home.
• Provides care planning/coordination to include: coordinating and confirming insurance coverage; effectively planning with appropriate members of the care team; recommending alternative plan of care to physician and discharge planner if appropriate; maintaining communication with patient care team to facilitate problem-solving about patient issues.
• Performs effective communication and documentation by: communicating and documenting in accordance with standards; utilizing SBAR communication format; keeping abreast of and complying with departmental and organizational changes and events through reading appropriate communications and attending unit and assigned meetings.
• Provides education if appropriate to new employees, volunteers, physicians, families, patients and nurses regarding Home health and Hospice services utilizing available education resources.
• Performs general duties to include: supporting cost containment and financial viability of the department by meeting productivity standards and by appropriate utilization of supplies and resources; maintaining a working knowledge of infection control, risk management and emergency preparedness plans; actively participating in performance improvement initiatives; demonstrating knowledge of hospital, interdepartmental and unit goals, standards and operations.
• Performs other duties as assigned.

Qualifications

• Accredited School of Nursing - Required
• Bachelor of Science in Nursing - Preferred
• Minimum of 1 year hospice or home health experience (or may have equivalent combination of education and/or experience) - Required
• Registered Nurse in state of practice - Required
• Upon Hire Basic Life Support - Required

Skills

• Strong verbal, written and interpersonal communication skills - Required
• Strong analysis/problem solving skills - Required
• Strong organization skills with the ability to work independently or as part of an interdisciplinary team - Required
• Computer skills - Required
• Ability to teach - Required
• Knowledge of nursing processes and practices - Required
• Knowledge of patient care needs in a Home environment - Required
• Knowledge of CMS conditions of participation related to Home Health and Hospice - Required

Working Conditions

• Lifting: Patient handling no greater than 35 lbs. without the use of assistive equipment and/or devices (NIOSH).
• Fine motor skills to be able to grasp and control medical equipment and perform precise procedures.
• Push/Pull: Frequently up to 45 lbs. force (i.e., WOW, medical carts).
• Perform hands on CPR at least 20 mins using 100-125 lbs. of force (National Assoc. of EMS Physicians and AHA) - Frequency should be seldom or occasionally.
• Ability to move around area with frequent sitting.
• Bending/stopping/squatting/reaching/kneeling - Frequently.
• Lifting (non-patient) up to 20 lbs. occasionally and 5 lbs. frequently.
• Environmental Conditions: Exposure to biohazard, body fluids and airborne particles.
• Must be able to complete tasks in a noisy environment.
• Mental/Visual: Vision and hearing required within normal limits (glasses, contacts, hearing aids permitted).
• Ability to communicate and exchange accurate information.

Benefits

403b retirement plan for caregiver contributions; wellness benefits, discount program, and expanded EAP and mental health program.