Clinical Coordinator- Administrative Assistant

3 weeks ago

Washington, United States Human Touch Home Health Care Full time $21 - $25
Job DescriptionJob Description

PHP Inc. dba ASAP Services is a DC based Home Health Agency. ASAP is a community-based home health care agency that has been providing quality home health care needs for many years. Our mission is to provide independence and enhance quality of life at home. Full-time employees are eligible for company car.

Job Title: Clinical Coordinator

Reports to: Director of Nursing and Agency Administrator

Summary

Responsible for managing all aspects of the patient intake process including managing the members of the intake team, establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and managing the insurance verification and authorization processes. Evaluates patients referred to the Organization; identifies insurance coverage, negotiates payment or per diem rates; plans and coordinates referrals for home care services. Also responsible for staffing and tracking of clinical visits, ensuring all documents are signed and received by agency according to state and federal regulations

Job description

  • Directs all daily patient referral and intake operations including providing implementation of intake policies.
  • Implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
  • Establishes and maintains positive working relationships with current and potential referral sources.
  • Evaluates hospitalized patients referred for home care.
  • Identifies and verifies insurance coverage of home health care services.
  • Obtains and documents prior authorization for home care services from insurance providers.
  • Negotiates per diem or per visit payment rates for creative bundling of home care services.
  • Collaborates with the hospital's and SNF's discharge planning personnel, utilization review department and insurance Case Managers to establish a coordinated home plan of care and facilitate safe, discharge.
  • Consults with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care.
  • Interviews the patient, family, and caregiver and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan of care is completed and signed in accordance with regulatory body requirements.
  • Ensures maximum third-party reimbursement through direct review of insurance verification and authorization processes.
  • Gathers, collates, and reports referral statistics including key customer referral trends.
  • Maintains relationship with hospital and insurance personnel, providing information and education on Organization services, coverage issues and related areas.
  • Assist Front desk, HR, Agency Administrator and Director of Nursing with assigned projects

Requirements

  • Licensed Practical Nurse with current licensure to practice professional nursing in the state preferred.
  • Associate's degree in nursing from an accredited program by the National League for Nursing. Bachelor's degree in health care preferred.
  • At least 3 to 5 years of experience in health care, preferably in home care operations.
  • Knowledge of corporate business management, governmental regulations, Joint Commission standards, and private payer practices.
  • Demonstrates good communication, negotiation, and public relations skills.
  • Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.

Benefits:

  • Dental insurance
  • Health insurance
  • Paid time off
  • Referral program
  • Vision insurance


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