Referral Center RN/LPN, VNA Of Cape Cod

2 weeks ago


Plymouth, United States Cape Cod Healthcare Inc. Full time

1. Provide comprehensive clinical assessment/screening of patients for appropriate levels of homecare.

2. Collects and documents detailed, pertinent information relative to a prospective patient's health care needs utilizing knowledge of clinical standards, procedures, medications, coding standards and community health care principles.

3. Utilizes critical thinking skills to implement pathway appropriate for patient care.

4. Obtain required clinical information that will enhance the admitting clinician's ability to conduct patient centered assessment in the home.

5. Obtain and process MD orders for all referrals. Expedite requests for services appropriately adhering to criteria for admissions using professional discretion and independent judgment.

6. Works collaboratively and professionally with other members of the health care team to ensure quality of services and patient safety.

7. Maintains knowledge of current agency services and criteria for admission.

8. Maintains current knowledge of agency policies, procedures, objectives and current documentation requirements to meet regulatory standards.

9. Communicates effectively and professionally on e-discharge systems. Efficiently and accurately enters data into the EMR.

10. Completes Insurance Verification process for referrals entered, ascertains and documents coverage criteria.

11. Provides information and education regarding Agency services and programs to the public.

12. Triages telephonic requests for services as needed.

13. Participates in Agency, clinical, QI, liaison, clinical reimbursement and case conferences activities as required.

14. Other duties as assigned.

15. Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.

16. Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the

organization's culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

* RN currently licensed in Massachusetts (job code RNCT/RNCTPD) or LPN currently licensed in Massachusetts (job code 10611).
* 2 years' experience in healthcare, homecare experience preferred.
* Experience with EMR and E-Discharge platforms preferred.
* Ability to multi-task and manage multiple aspects of the referral process.


  • Referral Center RN/LPN

    15 hours ago


    Plymouth, MA, United States Cape Cod Healthcare Inc. Full time

    1. Provide comprehensive clinical assessment/screening of patients for appropriate levels of homecare. 2. Collects and documents detailed, pertinent information relative to a prospective patient's health care needs utilizing knowledge of clinical standards, procedures, medications, coding standards and community health care principles. 3. Utilizes critical...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Assesses patient and family needs, reports new or pertinent findings to RN and physician.* Follows prescribed plan of care as completed by the RN in order to address identified needs.* Adheres to daily patient assignments as directed by the Clinical Manager/RN Supervisor providing personal care, observation, procedures, and medication administration.*...


  • Plymouth, United States Cape Cod Healthcare Inc. Full time

    * Maintains open communication with LPN/Nurse Supervisor regarding the health, safety and environment status of patients. Reports all changes in a timely manner. * Provide physical, emotional, psychosocial, and spiritual care as part of the interdisciplinary team in the last phases of incurable disease so they may live as fully and comfortable as possible. *...


  • Plymouth, MA, United States Cape Cod Healthcare Inc. Full time

    * Participates in inter-disciplinary patient case conferences as needed. * Utilizes critical thinking skills to assess patients and assess critical changes and respond appropriately in all situations. * Utilizes organizational skills to manage time efficiently and prioritize differing patient needs and stages of health. * Demonstrates excellent communication...


  • Plymouth, MA, United States Cape Cod Healthcare Inc. Full time

    * Maintain annual HHRG values at the National Standard as appropriate.* Utilize HHRG values to establish visit frequency and to establish appropriate interdisciplinary utilization.* Annual outcomes meet National Benchmarks.* Refers to community resources as appropriate.* Evaluates the clinical needs of the patient; initiates, develops, implements and makes...


  • Plymouth, MA, United States Cape Cod Healthcare Inc. Full time

    * Participates in inter-disciplinary patient case conferences as needed. * Utilizes critical thinking skills to assess patients and assess critical changes and respond appropriately in all situations. * Utilizes organizational skills to manage time efficiently and prioritize differing patient needs and stages of health. * Demonstrates excellent communication...


  • Plymouth, MA, United States Cape Cod Healthcare Inc. Full time

    Sign on Bonus Eligible! * Participates in inter-disciplinary patient case conferences as needed. * Utilizes critical thinking skills to assess patients and assess critical changes and respond appropriately in all situations. * Utilizes organizational skills to manage time efficiently and prioritize differing patient needs and stages of health. *...


  • Plymouth, United States Cape Cod Healthcare Inc. Full time

    * Participates as a frontline care giver to patients in the Emergency Center. * Provides direct patient care and collects physical, psychological and social patient data under the direction of the Registered Nurse. * Participates in development of the patient care plan under the direction of the Registered Nurse. * Assists in the timely, complete and proper...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Participates in inter-disciplinary patient case conferences as needed.* Utilizes critical thinking skills to assess patients and assess critical changes and respond appropriately in all situations.* Utilizes organizational skills to manage time efficiently and prioritize differing patient needs and stages of health.* Demonstrates excellent communication...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    Sign on Bonus Eligible!* Participates in inter-disciplinary patient case conferences as needed.* Utilizes critical thinking skills to assess patients and assess critical changes and respond appropriately in all situations.* Utilizes organizational skills to manage time efficiently and prioritize differing patient needs and stages of health.* Demonstrates...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Participates in inter-disciplinary patient case conferences as needed.* Utilizes critical thinking skills to assess patients and assess critical changes and respond appropriately in all situations.* Utilizes organizational skills to manage time efficiently and prioritize differing patient needs and stages of health.* Demonstrates excellent communication...


  • Plymouth, United States Cape Cod Healthcare Inc. Full time

    * Work closely with the Clinical Team Managers and the Home Care Utilization Navigator in the following: a. Ensure all clinicians on team consistently meet productivity expectations. b. Visit utilization/coordination of patient-centered care. c. Coordination/scheduling of IDTs. 2. Review initial admission information to provide required clinical...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Maintains open communication with LPN/Nurse Supervisor regarding the health, safety and environment status of patients. Reports all changes in a timely manner.* Provide physical, emotional, psychosocial, and spiritual care as part of the interdisciplinary team in the last phases of incurable disease so they may live as fully and comfortable as possible.*...


  • Plymouth, MA, United States Cape Cod Healthcare Inc. Full time

    * Work closely with the Clinical Team Managers and the Home Care Utilization Navigator in the following: a. Ensure all clinicians on team consistently meet productivity expectations. b. Visit utilization/coordination of patient-centered care. c. Coordination/scheduling of IDTs. 2. Review initial admission information to provide required clinical...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Responsible for direct patient care for assigned patients* Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly.* Utilizes clinical grouping guidelines including guidelines for appropriate...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Responsible for direct patient care for assigned patients* Evaluates the clinical needs of the patient; initiates, develops, implements and makes necessary revisions to the patient's plan of care; addresses all problems in the plan of care and documents accordingly.* Utilizes clinical grouping guidelines including guidelines for appropriate...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Maintain annual HHRG values at the National Standard as appropriate.* Utilize HHRG values to establish visit frequency and to establish appropriate interdisciplinary utilization.* Annual outcomes meet National Benchmarks.* Refers to community resources as appropriate.* Evaluates the clinical needs of the patient; initiates, develops, implements and makes...


  • Plymouth, United States Cape Cod Healthcare Inc. Full time

    Sign-on Bonus Eligible! * Coordinates Coumadin and Lovenox anticoagulation for new and established clinic patients * Gathers information from provider to obtain anticoagulation needs, diagnosis, desirable range and length of treatment. * Monitors and coordinates lab testing and dosage instructions with the patient * Obtains and enters lab orders in...


  • Plymouth, MA 02361, USA, United States Cape Cod Healthcare Inc. Full time

    * Maintain annual HHRG values at the National Standard as appropriate.* Utilize HHRG values to establish visit frequency and to establish appropriate interdisciplinary utilization.* Annual outcomes meet National Benchmarks.* Refers to community resources as appropriate.* Evaluates the clinical needs of the patient; initiates, develops, implements and makes...


  • Plymouth, United States Cape Cod Healthcare Inc. Full time

    * Slices meats and cheeses; prepares and assembles foods including but not limited to fruits, salad type vegetables, salad mixes (veg. & meat), between meal nourishments, tube feedings, gelatins, salads, sandwiches, juices, coffee for the Nutrition & Food Service facilities. * Services patient meals including between meal snacks, tube feedings, floor...