Qureos Mentor

Jethro Health System

<div><h2 class="jobSectionHeader">Are you looking for a rewarding career in home healthcare? If so, we invite you to join our team at Jethro Health System. We are a Medicare and Medicaid certified Home Health agency located in Massachusetts. Our culture and people are what set us apart from other post-acute care providers. We're dedicated to the growth and development of our team to set them up for success. We CARE for our patients like they are our own FAMILY.</h2><h2 class="jobSectionHeader">
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Job description</h2>
We are currently looking for a Registered Nurse (RN) or Licensed Practical Nurse (LPN) who will help us with daily operations and serve as an admission coordinator for our home health agency.
Position Summary:<ul><li>
The RN or Licensed Practical Nurse (LPN) will function as a Clinical and Admissions Coordinator.</li><li>
The nurse will help manage the daily operations of the agency and coordinate patient intake/ admissions.</li><li>
Reviews and coordinates all needed clinical information before patient admission to ensure the perfect pathway for new patients.</li><li>
Communicate with Nurse manager and teams regarding new patients.</li></ul>
Current RN or Licensed Practical Nurse (LPN) License required
Qualifications:
Educational:<ul><li>
Licensed Practical Nurse (LPN) or RN Licensed to practice in Massachusetts.</li><li>
Graduate of a School of Nursing or College with an accredited L.P.N. Program.</li></ul>
Experience:<ul><li>
Minimum 2 years related experience including home healthcare, medical/surgical, and community health and/or experience with a managed care organization.</li><li>
Previous intake, liaison or discharge planning experience is preferred.</li><li>
Knowledge of home health care standards and practices (preferred)</li><li>
Knowledge of medical terminology and treatment modalities of patient diagnoses required</li><li>
Knowledge of Medicare, Medicaid and other insurance payers.</li></ul>
Functions &amp; Responsibilities:<ul><li>Coordinates referrals from hospitals, physicians, other health facilities, community agencies, and patients and their families between patient account center and the clinical nursing team.</li><li>Demonstrates advanced knowledge of home health and Hospice eligibility criteria and COP for purposes of appropriate referral coordination.</li><li>Prepare and maintain on-call schedule and serve as a back up for on-call</li><li>Assist with marketing activities as required.</li><li>Serve as a liaison for branch office when dealing with corporate on; billing, payroll and collection resolution.</li><li>Primary responsibility for all training (new hires and existing employees). This includes Staffing Coordinators and Administrative Support Coordinators, specific to their job descriptions.</li><li>Responsible for tracking and reporting all prior approvals for Medicaid and Managed Care contracts and to coordinate all activities with Corporate Billing personnel.</li><li>Responsible for intake of all private pay and insurance cases along with all appropriate paperwork.</li><li>Serve as a liaison between nursing staff, coordinators and corporate regarding client care and payment issues.</li><li>Responsible for coordinating weekly staff meetings with all office staff.</li><li>On a weekly basis review non-compliance reports and remove from cases, all field personnel who are out of compliance with regulatory requirements.</li><li>Participate as required in contract meetings, team meetings and client case conferences.</li><li>Communicates with the patient&rsquo;s physician, family and others to obtain complete referral information and to assist in organizing resources necessary for patient care prior to admission.</li><li>Triages incoming clinical phone calls from patient&rsquo;s families and referral sources.</li><li>Collaborates with clinical staff and evaluates patient information/clinical documentation to ensure patient is appropriate for home health care and will be services on the perfect pathway to optimize clinical care.</li><li>Performs thorough clinical assessment of the referral and ensure patient is placed on the perfect pathway and coordinates back with referral source any recommendations.</li><li>Makes preliminary arrangements for any special medical supplies/equipment or for other community services that a patient may require upon admission.</li><li>Communicates with appropriate pod staff to share patient referral information.</li><li>Communicates with pod staff regarding daily capacity. Able to coordinate/communicate that with the patient admissions coordinator.</li><li>Documents and obtains MD orders as appropriate.</li><li>Provides support for Utilization Review and Quality Assurance activities as requested.</li><li>Maintains records and reports of referrals and admissions.</li><li>Provides support for the process of obtaining insurance verification and initial authorization for services.</li><li>Communicate with referral sources, families, and physicians to confirm admission.</li><li>Provides for special customer service referral arrangements with hospitals and physician offices and works closely with liaison staff.</li><li>Participates in the orientation of new staff.</li><li>Assists with liaison functions as necessary.</li><li>Actively participates in activities to attain department goals.</li><li>Participates in ICD-9 coding of referrals.</li><li>Assists in referral entry as needed.</li><li>Upholds the compliance objectives, policies, and procedures of the Foundation and Subsidiaries.</li><li>Performs other related duties of a similar nature and complexity as directed.</li></ul>
Job Types: Full-time, Part-time, PRN, Per diem
Pay: $37.00 - $55.00 per hour
Expected hours: 24 &ndash; 32 per week
Benefits:<ul><li>
Flexible schedule</li><li>
Paid time off</li></ul> 
Medical Specialty:<ul><li>
Geriatrics</li><li>
Home Health</li><li>
Medical-Surgical</li><li>
Wound Care</li></ul> 
Work Location: In person</div>

RN/ Licensed Practical Nurse (LPN) Clinical/Admissions Coordinator Home Healthcare

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Jethro Health System

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RN/ Licensed Practical Nurse (LPN) Clinical/Admissions Coordinator Home Healthcare