No more applications are being accepted for this job
- 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.
- Utilizes critical thinking skills to implement pathway appropriate for patient care.
- Obtain required clinical information that will enhance the admitting clinician's ability to conduct patient centered assessment in the home.
- Obtain and process MD orders for all referrals. Expedite requests for services appropriately adhering to criteria for admissions using professional discretion and independent judgment.
- Works collaboratively and professionally with other members of the health care team to ensure quality of services and patient safety.
- Maintains knowledge of current agency services and criteria for admission.
- Maintains current knowledge of agency policies, procedures, objectives and current documentation requirements to meet regulatory standards.
- Communicates effectively and professionally on e-discharge systems. Efficiently and accurately enters data into the EMR.
- Completes Insurance Verification process for referrals entered, ascertains and documents coverage criteria.
- Provides information and education regarding Agency services and programs to the public.
- Triages telephonic requests for services as needed.
- Participates in Agency, clinical, QI, liaison, clinical reimbursement and case conferences activities as required.
- Other duties as assigned.
- Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
- Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management. Engages and commits to the
- RN currently licensed in Massachusetts (job code RNCT/RNCTPD) or LPN currently licensed in Massachusetts (job code
- 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