Job Description Summary

Responsible for initiating the registration process, determining the appropriateness for home care, creating positive relationships with outside referral sources, and responding to requests for information.

Job Description

Essential Functions

1. Receives, creates positive relationship with referral sources 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 EPIC. Collaborates 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.

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, Enterostomal, etc

g. 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. Obtains 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 via web for MassHealth.

3. Assess patient data received from referral source for appropriateness for admission to home care or hospice based on Agency scope of service and Medicare Guidelines

4. Informs scope of Agency services to referral source at time of telephone contact.

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. 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. Able to access 485/Recertification EPIC screens to identify incoming referral status as admission or resumption of care

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

e. Removes patient referral when referral source notifies agency of cancellation.

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

g. Utilizes information systems, telecommunication services and office machine as instructed, this includes automated call distribution phone system, email, paging systems, fax machines, and copiers.

6. Safety Awareness
Fosters a "Culture of Safety" through personal ownership and commitment to a safe environment.

a. Utilizes proper body mechanics when performing all aspects of job.

b. Operates office equipment safely.

c. Maintains a neat, organized work environment.

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

e. Understands appropriate and proper action to be taken in the event of an emergecny. (Fire , power outgage)

f. Documentation reflects use of approved abbreviations only

g. Follows Telephone order policy and procedure.

h. Adheres to National Patient Safety Goals

7. Assists referrer with alternative services when assessed patient needs fall outside of scope the VNA or Hospice Scope of service.


I. Technology and Learning

a. Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization.

b. Embraces technological advances that allow us to communicate information effectively and efficiently based on role.

Use of electronic documentation systems, typing and telephone skills required. Home care coding and intake processes preferred.