Clinical Intake Coordinator - Registered Nurse
Saint Luke's, Kansas City, MO, United States
Job Summary
The Clinical Intake Coordinator facilitates the home health and hospice referral process by receiving referrals from multiple referral sources within and without the St. Luke's Health System, performing initial evaluation of referral for home health appropriateness under Medicare, Medicaid, and commercial insurance regulations, determining need for additional information from referral sources, communicating agency acceptance or decline of referral to varied referral sources, and processing accepted referrals.
Key Responsibilities
Facilitate home health and hospice referrals.
Provide specialized support for the Patient Accounting and Finance departments.
Serve as liaison between the patient, facility/physician, and third‑party payer.
Prepare and defend level of care and medical necessity for assigned case.
Collaborate with physician advisor, payer representative, and site case managers to facilitate appropriate level of care decisions and billing status, ensuring compliance with Utilization Review standards and regulations.
Occasionally cover to ensure compliance with home health face‑to‑face requirements and county reporting for hospice.
Qualifications & Requirements
Registered Nurse with Missouri (MO) and Kansas (KS) licensure.
2 years of applicable experience.
Family Care Safety Registry – Missouri Department of Health & Senior Services, Registered Nurse (MO) and Multi‑State – National Council of State Boards of Nursing (NURSYS) credentials.
Associate Degree in Nursing.
Experience in home health or hospice preferred.
Experience with referral acceptance and appeals preferred.
Benefits & Working Conditions
Full Time , day shift (United States of America).
Schedule: Monday to Friday 9:00 a.m. – 5:30 p.m., alternating weekday and weekend shifts every 4–6 weeks, holiday rotation.
Hybrid role: remote 2–5 days per week.
Work/life balance.
Innovation and continuous improvement emphasis.
Collaborative environment where all voices are heard.
Professional development and goal support.
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 without the St. Luke's Health System, performing initial evaluation of referral for home health appropriateness under Medicare, Medicaid, and commercial insurance regulations, determining need for additional information from referral sources, communicating agency acceptance or decline of referral to varied referral sources, and processing accepted referrals.
Key Responsibilities
Facilitate home health and hospice referrals.
Provide specialized support for the Patient Accounting and Finance departments.
Serve as liaison between the patient, facility/physician, and third‑party payer.
Prepare and defend level of care and medical necessity for assigned case.
Collaborate with physician advisor, payer representative, and site case managers to facilitate appropriate level of care decisions and billing status, ensuring compliance with Utilization Review standards and regulations.
Occasionally cover to ensure compliance with home health face‑to‑face requirements and county reporting for hospice.
Qualifications & Requirements
Registered Nurse with Missouri (MO) and Kansas (KS) licensure.
2 years of applicable experience.
Family Care Safety Registry – Missouri Department of Health & Senior Services, Registered Nurse (MO) and Multi‑State – National Council of State Boards of Nursing (NURSYS) credentials.
Associate Degree in Nursing.
Experience in home health or hospice preferred.
Experience with referral acceptance and appeals preferred.
Benefits & Working Conditions
Full Time , day shift (United States of America).
Schedule: Monday to Friday 9:00 a.m. – 5:30 p.m., alternating weekday and weekend shifts every 4–6 weeks, holiday rotation.
Hybrid role: remote 2–5 days per week.
Work/life balance.
Innovation and continuous improvement emphasis.
Collaborative environment where all voices are heard.
Professional development and goal support.
Job Details
Full Time
Day (United States of America)
Equal Opportunity Employer.
#J-18808-Ljbffr