Clinical Intake Coordinator RN
Association for Home & Hospice Care of North Carolina, Kansas City, MO, United States
Overview
The Clinical Intake Coordinator facilitates the home health and hospice referral process by receiving referrals from multiple referral sources within and outside the Saint Luke's Health System. The role performs initial evaluation of referrals for home health appropriateness under Medicare, Medicaid, and commercial insurance regulations, determines the need for additional information from referral sources, communicates agency acceptance or decline of referrals, and processes accepted referrals.
Work / Responsibilities
Facilitates the home health and hospice referrals.
Provides specialized support for the Patient Accounting and Finance departments.
Serves as liaison between the patient and facility/physician and the third-party payer.
Prepares and defends the level of care and medical necessity for the assigned case.
Collaborates with the physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status, and ensures compliance with Utilization Review standards and regulations.
Occasionally covers to ensure compliance with home health face-to-face requirements and county reporting for hospice.
Why Saint Luke’s?
We value our nurses’ knowledge, experience, and expertise to improve patient outcomes and provide quality care. We offer competitive salaries and benefits packages to all eligible employees.
Medical health plans
Continuing Education Assistance and Tuition Reimbursement
Leave of Absence, PTO, and various welfare plans
Retirement contributions
Employee Assistance Program
Clinical Advancement Program — Shared Governance, Unit Based Projects, Career Advancement
Qualifications / Job Requirements
Applicable Experience: 2 years
Family Care Safety Registry - Missouri Department of Health & Senior Services, Registered Nurse (MO) Multi-State - National Council of State Boards of Nursing (NURSYS)
Associate Degree - Nursing
Job Details
Full Time
Day (United States of America)
Equal Opportunity Employer.
#J-18808-Ljbffr
The Clinical Intake Coordinator facilitates the home health and hospice referral process by receiving referrals from multiple referral sources within and outside the Saint Luke's Health System. The role performs initial evaluation of referrals for home health appropriateness under Medicare, Medicaid, and commercial insurance regulations, determines the need for additional information from referral sources, communicates agency acceptance or decline of referrals, and processes accepted referrals.
Work / Responsibilities
Facilitates the home health and hospice referrals.
Provides specialized support for the Patient Accounting and Finance departments.
Serves as liaison between the patient and facility/physician and the third-party payer.
Prepares and defends the level of care and medical necessity for the assigned case.
Collaborates with the physician advisor, payor representative and site case managers to facilitate appropriate level of care decisions and billing status, and ensures compliance with Utilization Review standards and regulations.
Occasionally covers to ensure compliance with home health face-to-face requirements and county reporting for hospice.
Why Saint Luke’s?
We value our nurses’ knowledge, experience, and expertise to improve patient outcomes and provide quality care. We offer competitive salaries and benefits packages to all eligible employees.
Medical health plans
Continuing Education Assistance and Tuition Reimbursement
Leave of Absence, PTO, and various welfare plans
Retirement contributions
Employee Assistance Program
Clinical Advancement Program — Shared Governance, Unit Based Projects, Career Advancement
Qualifications / Job Requirements
Applicable Experience: 2 years
Family Care Safety Registry - Missouri Department of Health & Senior Services, Registered Nurse (MO) Multi-State - National Council of State Boards of Nursing (NURSYS)
Associate Degree - Nursing
Job Details
Full Time
Day (United States of America)
Equal Opportunity Employer.
#J-18808-Ljbffr