Patient Care / Intake Coordinator LVN

This is an in-office only position in Alhambra.

Schedule: M-F 8:30am - 5pm

JOB DESCRIPTION SUMMARY

Responsible for coordinating hospice services for managed care patients which includes establishing and maintaining the patient’s plan of care, establishing and maintaining positive relationships with managed care customers and related referral sources, and negotiating service agreements.

ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES

1. Coordinates hospice services for managed care patients, assists with the establishment of the plan of care in coordination with the physician and insurance Case Managers, and ensures a seamless transition to hospice.

2. Collaborates with inpatient utilization review departments and managed care organizations to facilitate safe, early inpatient discharge.

3. Verifies insurance coverage and obtains initial authorizations for services and seeks reauthorization for ongoing or additional services.

4. Works with Clinical Supervisors and staff clinicians to gather, collate, and report patient care summary information to managed care Case Managers.

5. Maintains comprehensive working knowledge of managed care contractual relationships and ensures that patients are admitted and services are delivered in accordance with contract provisions.

6. Works with members of the billing team to ensure that managed care customers are billed according to managed care organization agreements.

7. Establishes and maintains positive working relationships with current and potential managed care customers.

8. Promptly responds to managed care customer’s requests and concerns.

9. Maintains comprehensive working knowledge in the field of managed care and shares information with appropriate organization personnel.

10. Maintains comprehensive working knowledge of community resources and assists customers in accessing community resources should services not be provided by Calstro Hospice Los Angeles .

11. Directs all daily patient referral and intake operations including partnering with Intake Manager to review all intake processes.

12. Participates in quality assessment performance improvement teams and activities.

13. Ensures seamless transition of patients to home care by providing direct oversight of patient education and preparation for home care, plan of care initiation, and coordination of care with multiple service providers.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Job Type: Full-time

Pay: $30.00 - $40.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid sick time
• Paid time off
• Vision insurance

Experience:

• Customer service: 1 year (Preferred)
• Intake: 3 years (Preferred)
• Patient Care Coordination: 3 years (Preferred)

Language:

• Spanish (Preferred)

Shift availability:

• Day Shift (Required)

Ability to Relocate:

• Alhambra, CA 91801: Relocate before starting work (Required)

Work Location: In person

Salary : $30 - $40