Registered Nurse Intake Coordinator - Home Care, Full-Time

Health First Melbourne, FL

About the Job

Description:

To be fully engaged in providing Quality/No Harm, Customer Experience, and Stewardship by facilitating admission/ access to HF Homecare services by coordinating the admission process.

Primary Accountabilities

  • Adheres to all Health First Inc. and HF Homecare Policies and Procedures.
  • Reviews appropriateness of services with every referral.
  • Closes out non-admit referrals per policy.
  • Utilizes knowledge of regulatory (JCAHO, AHCA, CMS) as it applies to the admission process.
  • Maintains knowledge of clinical applications (such as SCM, Horizon Homecare, Curaspan).
  • Coordinates admission process by facilitating communication between physician, insurance companies, pharmacies, staff and other ancillary services.
  • Evaluates staff workload with input as needed from PI Supervisor, and assigns referrals as indicated. Assigns field staff to patient.
  • Assures that pending referrals are updated with written documentation.
  • Responds to community information calls as needed.
  • Participates in weekend/holiday rotation for referral/office coverage.
  • Coordinates the care of the patient through the admission process and advises Inter-Disciplinary Team of patient admission needs.
  • Assigns appropriate staffing level to referral.
  • Coordinates case management with insurance company representatives to ensure eligibility for services and pre-authorization of care as required by insurance company to facilitate payment of claims.
  • Other duties as directed by supervisors/managers.
Qualification:
  • Graduate of an accredited school of Professional Nursing, BSN preferred.

  • Preferred minimum of 1-year Home Health Nursing experience since OASIS inception.

  • Current AHA CPR certification.

  • Current licensure in the State of Florida as a Registered Nurse.

  • Two years acute care experience as a RN.

  • Preferred knowledge of Medicare/JCAHO Regulations.

  • Preferred knowledge of ICD9 / ICD 10 codes and Medicare/Medicaid admission criteria.

  • Criminal History Screening.

  • Excellent Typing/Computer skills including Word and Excel.

  • Current Florida Driver’s License, automobile insurance and reliable transportation.

  • Excellent communication skills.