Patient Intake Specialist

2 months ago

Fayetteville, Georgia, United States Sanzie HealthCare Services Inc Full time
Job Overview

The LPN Admissions Coordinator is tasked with overseeing all incoming referrals to the organization, ensuring compliance with both internal policies and external regulations.

Patient Management:

  • Maintains a thorough understanding of current home health coverage standards, admission criteria, documentation necessities, coding protocols, and care planning through case discussions; manages patient care accordingly.
  • Effectively conducts initial home visits, introducing services, clarifying admission criteria, and guiding the process for confirming patient eligibility while obtaining necessary consents.
  • Evaluates the patient and caregiver's readiness and capacity to learn care techniques, documenting their responses to educational efforts.
  • Develops and oversees the aide care plan, adjusting it based on patient progress and ensuring regular evaluations of home health aide care as per state requirements.
  • Supervises the Certified Nursing Assistant's involvement in the patient's care plan and skilled interventions as dictated by state regulations.
  • Initiates the care plan and associated nursing actions; conducts goal-oriented visits to ensure continuity of care among nursing team members.
  • Provides education to patients and families in accordance with the plan of care, assessing and documenting their responses.
  • Acts as an advocate for the patient as necessary.
  • Completes a comprehensive initial assessment, including OASIS and other evaluations to identify home care needs and patient history.
  • Utilizes health assessment data and input from the healthcare team to determine patient requirements.
  • Effectively manages expectations of patients and families regarding agency services and discharge goals.
  • Establishes primary and secondary diagnoses based on thorough patient assessments.
  • Formulates a care plan that includes skilled interventions and necessary medical supplies to achieve desired outcomes.
  • Ensures that home health visits and medical supplies align with planned interventions and discharge objectives.
  • Regularly reviews patient progress in collaboration with team members, adjusting the plan of care as needed.
  • Conducts ongoing OASIS assessments and revises the plan of care accordingly.
  • Identifies discharge planning needs during care plan development and implements community referrals prior to discharge.

Coordination Responsibilities:

  • Prepares clinical documentation and notes within required timelines.
  • Obtains physician orders for treatment modifications and communicates changes to relevant team members.
  • Tracks assigned cases and organizes schedules to meet individual patient needs as outlined in their plan of care.
  • Meets productivity standards set by the agency.
  • Requests time off in accordance with agency policies.
  • Communicates with the Clinical Supervisor regarding care plan coordination and staffing needs.
  • Ensures availability of necessary equipment and supplies to support care plans, documenting usage per agency policy.
  • Provides guidance to other team members.
  • Updates primary physicians as necessary and at least every sixty days.
  • Facilitates ongoing discussions regarding patient goals and care needs, adjusting plans to enhance progress toward discharge.
  • Plans and coordinates clinical staff assignments with input from management and physicians.
  • Collaborates with staff to ensure effective patient care services.
  • Acts as a liaison between clinical staff and community healthcare providers, communicating changes in patient status.
  • Evaluates potential referrals by reviewing facility documentation.
  • Gains knowledge of home care level of care issues and insurance reimbursement processes.
  • Participates in case conferences and training sessions as needed.
  • Coordinates with agency staffing specialists to ensure adequate coverage for new referrals.
  • Works with RN Case Managers to facilitate efficient admissions of new referrals.
  • Ensures timely completion of documentation and data entry for new intakes, transferring essential medical information to relevant parties.
  • Maintains accurate client medical data throughout the intake process.
  • Informs management of any proposed changes affecting the intake process.
  • Addresses client complaints appropriately.
  • Attends meetings to ensure consistent communication regarding new intakes and existing cases.
  • Supervises Team Coordinators to ensure effective management of client schedules.
  • Ensures that intake processes comply with local, state, and federal regulations as well as agency policies.
  • Oversees the recertification process every sixty days, ensuring timely completion.
  • Reviews medical records and updates treatment plans as necessary.
  • Conducts audits of medical records during recertification and forwards findings to the Director of Patient Care Services.
  • Checks recertification treatment plan summaries for errors before submission for physician approval.
  • Correlates audits with OASIS and other quality assessments.
  • Assists with billing audits as required.
  • Communicates effectively to gather patient information for services.
  • Builds relationships with hospital and insurance case managers to ensure quality care.
  • Ensures all clinical information is provided to insurance companies for service authorization.
  • Maintains a dashboard for pending referrals requiring authorization.
  • Uploads authorization documents into patient electronic charts.
  • Enters authorization data into electronic systems.
  • Participates in team discussions regarding patients needing authorization.
  • Maintains confidentiality of patient and company information.
  • Provides timely notification of absences or tardiness without misuse.

Additional Responsibilities:

  • Engages in personal and professional development, maintaining current licensure and seeking learning opportunities.
  • Contributes to the Quality Assurance and Performance Improvement (QAPI) program.
  • Attends all required training sessions and in-service programs.
Job Posted by Sanzie HealthCare Services Inc

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