What are the responsibilities and job description for the Home Health Intake Clinician-LPN position at Franciscan Health?
WHO WE ARE
With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the communities we serve.
WHAT YOU CAN EXPECT
Assist billing and tracking non-paid claims, including researching information and documentation for these other insurance-related billing problems.
Investigates and determines initial patient benefits coverage for requested services, which includes Medicare, Medicaid, private insurance, HMO's, PPO's, grants, special contracts, charity, and fee structures.
Assists patients, families, physicians, and clinicians via telephone with clinical issues, problems, and questions.
Works collaboratively with referral sources including hospital, ECF and ACO discharge planners and care coordinators to facilitate continuity of care and appropriate care.
Acts as a liaison with pharmacy, medical supplies, DME and other vendors providing care to VNS patients.
Accepts and processes physician orders via telephone.
Communicates with all referral sources to gain the necessary information to facilitate continuity of care and appropriate care of patients and clients including demographics, diagnoses, surgeries, hospital/ECF dates, physician's orders, and reimbursement or insurance information.
Completes appropriate referral forms and enters information into the computer.
Develops and implements clinical review systems for all pay sources to include admissions, continued stay, and concurrent and retrospective reviews.
Documents interventions taken and orders received as indicated.
Obtains managed care and insurance authorizations to determine the applicable coordination of benefits.
Schedules patient visits for field staff to ensure that the frequency of visits are compliant with the plan of care.
QUALIFICATIONS
Associate's Degree or Diploma from Accredited Licensed Practical Nurse Program - Required
Licensed Practical Nurse (LPN) License - Required
2 Years Home Health Care Experience- Preferred
Driver's License- Required
Auto Insurance- Required
TRAVEL IS REQUIRED:
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
