Intake Clinical Coordinator

Job Description Summary

Under the supervision of the Community Outreach Manager is accountable for facilitating the intake of referrals in central intake or as liaison at SSH. Determining initial appropriateness for homecare, creating positive relationships with outside referral sources and screening requests for information as needed and assigned. Responsible for the initiation of the Home Health Patient Record.

Job Description

ESSENTIAL FUNCTIONS

Essential functions are those tasks, duties and responsibilities that comprise the means of accomplishing the job's purpose and objectives. Essential functions are critical or fundamental to the performance of the job. They are the major functions that the person in the job is held accountable for. Following are the essential functions of the job.


1. Receives, creates positive relationship with referral and processes referral information for both VNA and Hospice patients that will initiate the admission process for home care services.

a. *Confirms physician licensure via web at the time of referral when physician is not in active Meditech databasWorks with Referral sources to question and collect accurate information for safe and appropriate Home Care Referrals.

b. *Completes intake screens for all referrals with 99% accuracy before time of admission

c. Coordinates visit date with clinical managers when appropriate.

d. *Knowledgeable regarding referral criteria and Agency policies regarding scope of services provided.
Identifies and prioritzes patients at community health care facilities who have requested home care services from SSVNA, Hospice of the South Shore or Home and Health Resources.

e. *Books laboratory test through appropriate lab when indicated on referral following protocol.

f. *Identifies at the time of referral patient need for specialty programs: Diabetic, Cardiac, and Enterostomal
Acts as a "point person" for organizations when a patient has identified home care services from SSVNA, Hospice of the South Shore or Home and Health Resources.

g. Works with case managers at hospital and/or facility and initiates and maintains communication with managers around potentially complex admission.

h. *Confirms equipment delivery with Durable Medical Equipment Vendors when appropriate to patient needs

i. *Determines appropriate physician of record for home care or hospice orders


j. Prepares appropriate information for distribution to teams/clinicians.

2. Assesses identified patients to determine home care needs, resources and care goals including insurance information on all referrals at the time of intake
a. Collects reimbursement information

b. *Maintains knowledge regarding scope of insurance contracts for home care services.

c. *Verifies client insurance status vis web for MassHealth.

d. Reviews health assessment data from medical record

e. When indicated, shares previous home care plan of care, and level of home care servies with SSH care manager or care manager assigned at the health care facility.

f. Identifies and coordinates all discharge planning goals with SSH care manager, facility case manager and appropriate home care manager.

g. Documents assessment and recommendations in medical record, or other resource as indicated by the health care facility.


3. *Assess patient data received and coordinates with apropriate VNA, Hospice and SSH staff regarding the potential discharge plan for appropriateness for admission to home care or hospice based on Agency scope of service and Medicare Guidelines

a. Establishes and maintains working relationships with physicians, social workers, care managers and health plan case managers

b. Works collaboratively with interdisciplinary staff internal and external to organization, including Central Intake, home care managers, as well as direct care providers

c. Provides education to hospital staff and other health careproviders regarding home care programs, resources and eligibility requirements as indicated.

d. Acts as consultant to SSH care managers/SSH staff regarding home care programs, community resources and alternative care settings.


4. Informs scope of Agency services to referral source at time of telephone contact and/or provides supporting documentation at time of referral to home care that reflects care and treatment and reqested home care services.
a. Promotes positive Agency image with professional telephone manner at all times.


b. *Maintains current knowledge of Agency programs and developments in home care field through study and attendance at meetings and seminars.


c. Acts as a Community Resource for both internal providers and external referral sources.


d. Facilitates referral process with ease of use for referral source


e. Provides current information regarding patient clinical status and anticipated home care goals.

f. Completes appropriate referral forms according to SSH and home care policies and procedures and relays information to the appropriate person

g. Recommends and assists the provider to access the appropriate area of service within the organization or community


5. Technology-Embraces technological solutions to work processes and practices.
a. *Demonstrates proficiency and competency in assigned assigned software programs

b. Initiates electronic record for VNA and Hospice programs

c. Utilizes information systems and telecommuncation services as instructed, this includes phones, mail boxes, pagers and email, wireless phones and paging applications as assigned.

d. Possesses base understanding of the appropriate use of various clinical equipment, e.g., IV pumps, enteral pumps, ventilators and their safe utilization in the home environment.

e. *Maintains current electronic admission roster of incoming actual and projected referrals for agency use.

f. *Removes patient referral when referral source notifies agency of cancellation.


g. Participates in the development and implementation of systems to facilitate efficient referral process.


6. Safety Awareness
Fosters a "Culture of Safety" through personal ownership and committment to a safe environment.
a. Utilizes proper body mechanics when performing all aspects of job.


b. Understands individual roles/responsibilities during emergency situations (ex. Fire drill, electrical blackout, etc.)

c. Adheres to patient identification policies/practices


d. *Operates office equipment safely.

e. Maintains a neat, organized work environment.


f. *Has reviewed material safety data sheet (MSDS) and all materials used to perform job.


g. Adheres to respiratory etiquette guidelines

h. Uses personal protective equipment apropriately

i. Works with patients and families to ensure safe transitions from facilities to home setting

j. *Follows Telephone order policy and procedure.



ESSENTIAL FUNCTIONS (Cont.)

Minimum Education - Preferred

Graduate of an NLN-approved school of nursing
Minimum Work Experience
One to two (1-2) years of professional nursing experience is required.
One to two (1-2) yeas of Community Health Public Health experience is preferred.
Experience with homecare admission/intake processes preferrred
Use of computerized systems preferred.
Preferred (not required) Licenses / Registrations
RN License

Typing skills, excellent telephone skills, IDC-9 Home Care Coding experience