We are a Medicare and Medicaid certified Home Health agency located in Lynn, MA. We are currently looking for an LPN who will be in charge of our Home healthcare.
The LPN will function as a Clinical and Admissions Coordinator. The nurse is to manage the daily operations of the office and provide overall supervision of the Staffing Coordinators.
Position Summary : Reviews and coordinates all needed clinical information prior to patient admission to ensure the perfect pathway for new patients. Communicates with branches and teams regarding new patients.
- Availability needs to include weekdays, evenings, and weekends.
- Current LPN License required.
Qualifications : Educational :
Graduate of a School of Nursing or College with an accredited L.P.N. Program.LPN Licensed to practice in Massachusetts.Experience :
Minimum 3 years of related experience including Home Health care setting, medical / surgical and community health, and / or experience with a managed care organization.Previous home healthcare, intake, liaison, or discharge planning experience is preferred.Knowledge of home health care standards and practices required.Knowledge of medical terminology and treatment modalities of patient diagnoses required.'Functions & Responsibilities :
Coordinates referrals from hospitals, physicians, other health facilities, community agencies, and patients and their families between patient account center and the clinical nursing team.Demonstrates advanced knowledge of home health and Hospice eligibility criteria and COP for purposes of appropriate referral coordination.Prepare and maintain on-call schedule and serve as a back up for on-callAssist with marketing activities as required.Serve as a liaison for branch office when dealing with; billing, payroll and collection resolution.Primary responsibility for all training (new hires and existing employees). This includes Staffing Coordinators and Administrative Support Coordinators, specific to their job descriptions.Responsible for tracking and reporting all prior approvals for Medicaid and Managed Care contracts and to coordinate all activities with Corporate Billing personnel.Responsible for intake of all private pay and insurance cases along with all appropriate paperwork.Serve as a liaison between nursing staff, coordinators and corporate regarding client care and payment issues.Responsible for coordinating weekly staff meetings with all office staff.On a weekly basis review non-compliance reports and remove from cases, all field personnel who are out of compliance with regulatory requirements.Participate as required in contract meetings, team meetings and client case conferences.Communicates with the patient's physician, family and others to obtain complete referral information and to assist in organizing resources necessary for patient care prior to admission.Triages incoming clinical phone calls from patient's families and referral sources.Collaborates with clinical staff and evaluates patient information / clinical documentation to ensure patient is appropriate for home care and will be services on the perfect pathway to optimize clinical care.Performs thorough clinical assessment of the referral and ensure patient is placed on the perfect pathway and coordinates back with referral source any recommendations.Makes preliminary arrangements for any special medical supplies / equipment or for other community services which a patient may require upon admission.Communicates with appropriate pod staff to share patient referral information.Communicates with pod staff regarding daily capacity and is able to coordinate / communicate that with the patient admissions coordinator.Documents and obtains MD orders as appropriate.Provides support for Utilization Review and Quality Assurance activities as requested.Maintains records and reports of referrals and admissions.Provides support for the process of obtaining insurance verification and initial authorization for services.Communicate with referral sources, families, and physicians to confirm the plan for admission.Provides for special customer service referral arrangements with hospitals and physician offices and works closely with liaison staff.Participates in the orientation of new staff.Assists with liaison functions as necessary.Actively participates in activities to attain department goals.Participates in ICD-9 coding of referrals.Assists in referral entry as needed.Upholds the compliance objectives and policies and procedures of the Foundation and Subsidiaries.Performs other related duties of a similar nature and complexity as directed.Job Types : Full-time, Part-time, PRN, Per diem
Salary : $70,000 - 75,000 / year
Benefits : Flexible schedule
Medical specialties :
Geriatrics
Home Health
Medical-Surgical
Wound Care
Standard shift : Day shift
Weekly schedule : Choose your hours
Monday to Friday
Salary : $70,000 - $75,000
