RN Intake Specialist

2 weeks ago

Fremont, California, United States Methodist Health System Full time
Job Summary

We are seeking a skilled RN Intake Specialist to join our team at Methodist Health System. As a key member of our care coordination team, you will play a vital role in ensuring seamless transitions of care for our patients.

Responsibilities
  • Triage calls and coordinate referrals from all service lines, providing support and coordination of service to new and existing clients.
  • Obtain and verify third-party policy information with the patient and/or referral source.
  • Gather core clinical records necessary for insurance authorization, including current diagnosis, medications, and H&P, face-to-face documentation.
  • Document appropriate referral information and support agency financial and quality goals by completing and submitting required documentation within 24 hours of services provided.
  • Assess the needs of clients referred to Home Health Care and Hospice, determining appropriate service, department, and discipline based on regulatory guidelines and funding.
  • Coordinate and facilitate new referrals and re-admissions related to post-facility stays.
  • Advise physicians, nurses, social workers, clients, and their families on policies regarding admission criteria and obtain physician orders for initiation of services as required.
  • Communicate and coordinate with management about a potential client's clinical condition, those requiring immediate attention, those with unique needs, and those with complex treatment plans.
  • Document doctor's orders, lab notes, case conference notes, and other information into the computer.
  • Facilitate positive outcomes by providing education regarding client's role in working toward independence.
  • Provide information about Home Health Care and Hospice services to patients, families, and referral sources, including funding options and community programs.
  • Triage and respond to calls concerning all Home Health Care and Hospice clients, including intermittent home care, maternal/child, mental health, health services, hospice, pharmacy, and IV departments and service lines.
  • Effectively communicate/coordinate incoming patient information to the appropriate staff to ensure a customer-focused environment for both internal and external customers.
Requirements
  • Graduation from an accredited School of Nursing required.
  • Bachelor's of Science in Nursing (BSN) preferred.
  • Current valid Registered Nurse (RN) License, valid compact multistate license, or a temporary permit while awaiting licensure required.
  • Must maintain current driver's license and auto insurance coverage within the limits specified by MFH's liability insurance carrier and stated in the MFH employee handbook.
  • Must provide proof of license and insurance upon request and have access to reliable transportation.
  • Must maintain an acceptable driving record as set forth in MFH's policies and procedures.
  • Current American Heart Association or American Red Cross Basic Life Support (BLS) strongly preferred at time of hire, required within 3 months of hire.
  • Minimum 3 years clinical experience required.
  • Home Health Care experience preferred.
About Methodist

Nebraska Methodist Health System is a comprehensive healthcare organization dedicated to providing exceptional care to our communities. We are committed to delivering high-quality, patient-centered care and are seeking a skilled RN Intake Specialist to join our team.

We are an Affirmative Action/Equal Opportunity Employer and do not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state, or local law.

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