Clinical Admission Coordinator

4 weeks ago

Lynn, Massachusetts, United States Nurta Home Healthcare Full time
Job Summary

We are seeking a skilled LPN to join our team as a Clinical Admission Coordinator at Nurta Home Healthcare. This role is responsible for managing the daily operations of our office and providing overall supervision of our Staffing Coordinators.

Key Responsibilities
  • Coordinate referrals from hospitals, physicians, and other health facilities between patient account center and the clinical nursing team.
  • Demonstrate advanced knowledge of home health and Hospice eligibility criteria and COP for purposes of appropriate referral coordination.
  • Prepare and maintain on-call schedule and serve as a backup for on-call.
  • Assist with marketing activities as required.
  • Serve as a liaison for branch office when dealing with billing, payroll, and collection resolution.
  • Primary responsibility for all training (new hires and existing employees).
  • Responsible for tracking and reporting all prior approvals for Medicaid and Managed Care contracts.
  • Responsible for intake of all private pay and insurance cases along with all appropriate paperwork.
  • Serve as a liaison between nursing staff, coordinators, and corporate regarding client care and payment issues.
  • Responsible for coordinating weekly staff meetings with all office staff.
  • On a weekly basis, review non-compliance reports and remove from cases, all field personnel who are out of compliance with regulatory requirements.
  • Participate as required in contract meetings, team meetings, and client case conferences.
  • Communicate 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.
  • Triages incoming clinical phone calls from patient's families and referral sources.
  • Collaborate with clinical staff and evaluates patient information/clinical documentation to ensure patient is appropriate for home care and will be services on the perfect pathway to optimize clinical care.
  • Performs thorough clinical assessment of the referral and ensures patient is placed on the perfect pathway and coordinates back with referral source any recommendations.
  • Makes preliminary arrangements for any special medical supplies/equipment or for other community services which a patient may require upon admission.
  • Communicates with appropriate pod staff to share patient referral information.
  • Communicates with pod staff regarding daily capacity and is able to coordinate/communicate that with the patient admissions coordinator.
  • Documents and obtains MD orders as appropriate.
  • Provides 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.
  • Communicate with referral sources, families, and physicians to confirm the plan for admission.
  • Provides for special customer service referral arrangements with hospitals and physician offices and works closely with liaison staff.
  • Participates in the orientation of new staff.
  • Assists with liaison functions as necessary.
  • Actively participates in activities to attain department goals.
  • Participates in ICD-9 coding of referrals.
  • Assists in referral entry as needed.
  • Upholds the compliance objectives and policies and procedures of the Foundation and Subsidiaries.
  • Performs other related duties of a similar nature and complexity as directed.
Requirements
  • Graduate of a School of Nursing or College with an accredited L.P.N. Program.
  • LPN Licensed to practice in Massachusetts.
  • Minimum 3 years of related experience including Home Health care setting, medical/surgical and community health, and/or experience with a managed care organization.
  • Previous home healthcare, intake, liaison, or discharge planning experience is preferred.
  • Knowledge of home health care standards and practices required.
  • Knowledge of medical terminology and treatment modalities of patient diagnoses required.
Benefits
  • Flexible schedule
  • Medical specialties: Geriatrics, Home Health, Medical-Surgical, Wound Care
  • Standard shift: Day shift
  • Weekly schedule: Choose your hours, Monday to Friday

Salary: $70,000/year

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