The CAREtinuum Liaison is responsible for appropriately receiving and coordinating Home Health referrals from CCS, Skilled, and Hospice Divisions. The CAREtinuum Liaison performs an initial screening to determine suitability for admission to Home Health Care according to Medicare, Medicaid and third party payer guidelines.
DUTIES, RESPONSIBILITIES & COMPONENT PROPORTIONS:
Work Flow Necessary to Ensure Clinical and Financial Success
- Integrates the Elara Caring Mission, Vision, and Values into each of the responsibilities of this position and daily communication with our customers and co-workers.
- Completes the referral/intake process including but not limited to initial contact with the patient/caregiver, securing physician orders, and coordination/documentation with sister departments as well as other referral sources.
- Coordinates the acceptance of all new patient referrals with the Branch, Marketing Representative, and any other department/entity as needed.
- Communicates with Director of CAREtinuum, Administrator, Director of Nurses, Branch Manager, and Marketing Representative before refusing any referral.
- Disseminates the intake information to appropriate sources.
- Ensures timely processing of intake information and documentation of daily follow-up.
- Triages & evaluates patient related care issues.
- Develops cooperative relationships and communicates effectively and professionally with patients, families, co-workers, and referral sources.
- Obtains/receives physician orders, discharge summaries and other pertinent information.
- Initiates F2F process and coordinates with the patient, family/caregiver, Branch, Physician/support staff, and marketing if needed.
- Enters referral and other appropriate information into HCHB including request for services, pertinent history, patient notes, financial notes and insurance information.
- Attends in-services and continuing education programs when appropriate and assigned. Remain current on innovations, developments, new procedures, and techniques in nursing care as it may pertain to clinical referral information.
QAPI Activities/Home Health Compare Results
- Reports any client complaints or occurrence events to RN Branch Manager when appropriate.
- Participates in the QAPI process of agency, seeking to identify opportunities for performance improvement.
- Reports significant patient findings to the RN Branch Manager and collaborates on actions or interventions to be taken if needed.
Program Administration Coordination
- Responsible for the appropriate use of agency resources including but not limited to supplies and/or personnel to ensure financial success.
- Works to maintain positive, collaborative relationships with patients, caregivers, referral sources, CCS, Hospice, Skilled and/or physicians.
- Maintains current knowledge of nursing practice and is responsible for personal continuing education required by the BNE.
- Participates in internal staff meetings and training activities, as assigned.
- Collaborates with members of the marketing team to assist in identifying potential referral sources and patients appropriate for home care.
- Performs all other duties as assigned.
KNOWLEDGE, SKILLS, ABILITIES, AND OTHER CHARACTERISTICS:
In accordance with licensing regulations, must be a Licensed Vocational Nurse (LVN) in the state of practice or in accordance with the Board of Nurse Examiners rules for Nurse Licensure Compact (NLC).
- Minimum of two (2) years of active experience as an LVN.
- Previous intake and computer experience preferred.
- Possession of a working knowledge of Medicare/Medicaid home health care benefits and policies and procedures preferred.
Skills & Abilities
- Has a positive attitude and willingness to learn throughout employment.
- Self-starter with excellent verbal and written communication skills.
- Ability to work with both clinical and non-clinical staff members.
- Willingness to learn and utilize software solution, inclusive of departmental work flow tasks.
- Must be organized and have the ability to manage multiple tasks & priorities at any given time.
- Possess a firm foundation of basic nursing skills.
- Willingness to learn home health regulatory standards related to job-specific duties, including but not limited to: OASIS, Conditions of Participation, State-specific licensing rules, diagnosis coding, and internal policies.
- Must have satisfactory references from previous employers.
- Must be able to pass a background check which may include criminal history check and OIG sanction screening.
- Must be willing to submit to and be able to pass a random drug screening.
- Must have a dependable vehicle, a valid driver’s license, and maintain vehicular insurance in accordance with laws of the State.
Risk Exposure (blood borne pathogens, etc.)
- Low to Moderate Risk
- Heavy Lifting.
- Ability to participate in physical activity.
- Ability to do extensive bending, lifting and standing on a regular basis.
- Ability to work for extended period of time while standing and being involved in physical activity.