Qureos Mentor

Summit Home Care and Hospice

<div>Summit Home Care and Hospice is searching for an experienced and motivated Clinical Referral Coordinator to join our team! At Summit we&rsquo;re committed to providing comprehensive healthcare services in the comfort of our patients' homes to positively impact quality of life by redefining the delivery of care.
Clinical Referral Coordinator:<ul><li>
Shift: Dayshift, Monday &ndash; Friday (40 Hours/Week) &amp; Weekend/Holiday Rotation</li><li>
Pay Rate: $24.00 - $28.00 per Hour</li><li>
Location: 800 Yard St. Suite 300 Grandview Heights, OH 43212</li><li>
Work Setting: On-Site with Remote Opportunity After 6 Months</li></ul>
Responsibilities:<ul><li>
Receive, review, and monitor new referrals to determine ability to accept or decline.
</li><li>Accurately determine and anticipate homecare needs and accept and decline on clinical appropriateness.</li><li>
Assists in interpreting operational indicators to detect census changes and increases or decreases in volume, which could impact staffing levels, revenues, or expenses.</li><li>
Adheres to the agency&rsquo;s Acceptance to Service Policy.</li><li>
Collaborate with multiple teams, both internal and external, to ensure patient success in the homecare setting.</li><li>
Demonstrate professional assertiveness when communicating with external referral resources.</li><li>
Report and/or troubleshoots missing or incomplete documentation or visit notes needed for new admissions.</li><li>
Works with Authorizations and clinical management team when new insurances are identified to determine reimbursement, ability to bill and if new contract is needed.</li><li>
Call for, follow up on, track and obtain verbal orders for admissions.</li><li>
Fax written orders for signature for admissions when verbal order unable to be obtained.</li><li>
Ability to track, trend and maintain accept/decline reports.</li><li>
Ability to identify primary and secondary billable diagnosis.</li><li>
Understand and adhere to F2F requirement regulated by CMS.</li><li>
Ability to maintain Pre-Claim Review (PCR) of no less than 97% (While participating in PCR as an agency).</li><li>
Utilize office and other patient care software, including Microsoft Word, Excel, Adobe, and E- Fax.</li><li>
Maintain confidentiality of information related to patient and organization.</li><li>
Perform interdepartmental and external communication.</li><li>
Engage in team meetings and provide feedback.</li><li>
Develop and implement organization policies and procedures under guidance of supervisor(s).</li><li>
Attend in-person training and meetings when necessary.</li><li>
All other duties as assigned by supervisor(s).</li></ul>
Qualifications:
<ul><li>High school diploma required.</li><li>
Active Ohio nursing license required (LPN or RN).</li><li>
Must obtain an Indiana nursing license within 120 days (about 4 months) of employment.</li><li>
Ability to work independently or as an active member of a team.</li><li>
Strong computer skills in data entry, Microsoft Excel, and Word applications, must type 50 WPM.</li><li>
Strong attention to detail and problem-solving skills.</li><li>
Strong time management skills.</li><li>
Excellent verbal and written communication skills.</li><li>
Able to navigate multiple EMR systems (EPIC, Alis, Kinnser) for patient information with ease.</li><li>
Ability to multitask, prioritize, delegate, and handle constant changes in workflow.</li></ul>
Benefits:
<ul><li>Health Insurance</li><li>
Dental Insurance</li><li>
Vision Insurance</li><li>
401(k)
</li><li>401(k) Matching</li><li>
Flexible Spending Account</li><li>
Paid Time Off
</li><li>Paid Sick Time
</li><li>Referral Program</li></ul></div>

Clinical Referral Coordinator (RN/LPN)

Join Summit Home Care and Hospice and explore 1   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Summit Home Care and Hospice

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Clinical Referral Coordinator (RN/LPN)