RN/ Licensed Practical Nurse (LPN) Clinical/Admissions Coordinator Home Healthcare

Job Description

We are currently looking for a Registered Nurse (RN) or Licensed Practical Nurse (LPN) who will help us with daily operations and serve as an admission coordinator for our home health agency. The nurse will help manage the daily operations of the agency and coordinate patient intake/ admissions. Reviews and coordinates all needed clinical information before patient admission to ensure the perfect pathway for new patients. Communicate with Nurse manager and teams regarding new patients.

Qualifications

• Current RN Or Licensed Practical Nurse (LPN) License Required
• Educational: Licensed Practical Nurse (LPN) or RN Licensed to practice in Massachusetts. Graduate of a School of Nursing or College with an accredited L.P.N. Program.
• Experience: Minimum 2 years related experience including home healthcare, medical/surgical, and community health and/or experience with a managed care organization. Previous intake, liaison or discharge planning experience is preferred. Knowledge of home health care standards and practices (preferred).
• Knowledge of medical terminology and treatment modalities of patient diagnoses required. Knowledge of Medicare, Medicaid and other insurance payers.

Functions & Responsibilities

• Captures referrals from hospitals, physicians, other health facilities, community agencies, and patients and their families between patient account center and the clinical nursing team.
• Demonstrates advanced knowledge of home health and Hospice eligibility criteria and COP for purposes of appropriate referral coordination.
• Prepares and maintains on-call schedule and serves as a back up for on-call.
• Affords support for Utilization Review and Quality Assurance activities as requested.
• Maintains records and reports of referrals and admissions.
• Provides support for the process of obtaining insurance verification and initial authorization for services.
• Communicates with the patient’s physician, family and others to obtain complete referral information and to assist in organizing resources necessary for patient care prior to admission.
• Trips incoming clinical phone calls from patient’s families and referral sources.
• Collaborates with clinical staff and evaluates patient information/clinical documentation to ensure patient is appropriate for home health care and will be services on the perfect pathway to optimize clinical care.
• Makes preliminary arrangements for any special medical supplies/equipment or for other community services that a patient may require upon admission.
• Communicates with appropriate pod staff to share patient referral information.
• Communicates with pod staff regarding daily capacity. Able to coordinate/communicate that with the patient admissions coordinator.
• Documents and obtains MD orders as appropriate.
• Provides support for ICD-9 coding of referrals.
• Assists in referral entry as needed.
• Upholds the compliance objectives, policies, and procedures of the Foundation and Subsidiaries.