Clinical Intake Coordinator

Hebrew SeniorLife•Dedham, MA

4d•$59,122 - $88,684•Onsite

About The Position

The Clinical Intake Coordinator coordinates incoming referrals and performs intake and referral functions for a home care agency. The role screens referral information to confirm that appropriate orders and discharge documentation have been received, enters patient details and relevant clinical information into the EMR, verifies primary insurance, and works with the Billing Department to obtain initial and ongoing authorizations. The coordinator communicates referral details and status changes to Clinical Managers and the Scheduling Coordinator and helps triage patient and family inquiries and coordinate staff scheduling. The position also supports the agency’s Telehealth Program, including enrolling eligible patients, preparing equipment and documentation, monitoring daily readings, and communicating clinical concerns to clinical staff. Additional duties include assisting with patient medical records, notifying Home Care Liaisons about hospitalizations, supporting compliance with agency and regulatory requirements, communicating respectfully with patients, families, and health professionals, and rotating holiday intake coverage as required. The role is on-site.

Requirements

Must be an RN or LPN.
One to two years of Certified Home Care experience, including working knowledge of Medicare regulations for Certified Home Care.
Experience identifying and coding primary and secondary home care diagnoses.
Experience obtaining insurance authorizations.
Proficient computer skills.
Experience with data entry in an EMR.
Good verbal and written communication skills.
Motivation to learn and flexibility to change.
Strong customer service skills.

Nice To Haves

Telehealth experience.
Prior experience as an Intake or Office Nurse.

Responsibilities

Assist in answering and directing calls to the main home care line.
Triage patient inquiries and assist Clinical Managers and the Scheduling Coordinator with communication and staff scheduling.
Obtain referral information from referral sources, including through direct phone calls, 4Next, and the Allscripts referral management system using e-fax.
Communicate with the Home Care Liaison Team to ensure notification of all referrals.
Capture accurate patient information and enter referral information, relevant medical history, current orders, and primary home care diagnosis coding into the EMR.
Obtain initial face-to-face documents and patient discharge paperwork from referral sources according to agency and regulatory standards.
Verify patients’ primary insurance and communicate information to the Billing Department for initial authorization requests.
Work with the Billing Department to provide clinical information needed for initial authorizations.
Track insurance authorizations, provide clinical information for ongoing authorizations, and communicate authorization information to clinical staff.
Notify Clinical Managers and the Scheduling Coordinator of referrals and pertinent clinical issues, and communicate referral status changes.
Assist agency management and office staff in maintaining patient medical records, including EMR and paper files, according to agency policy and protocol.
Notify Home Care Liaisons when active patients have been hospitalized.
Enroll identified patients in Telehealth, submit enrollment information to the monitoring company, ensure equipment and required documentation are available for clinician pickup, and communicate when Telehealth visits should be scheduled.
Monitor Telehealth readings daily and communicate clinical concerns to Clinical Managers and Clinicians; notify the Scheduling Coordinator when a clinical visit may need to be scheduled.
Provide other related duties as required or directed by home health administration.
Maintain compliance with policies, procedures, and regulatory matters.
Participate in personal and professional growth and development, including staff meetings and in-service education.
Promote and maintain an agency environment compliant with federal, state, and local regulatory agencies.
Communicate with patients, families, and other health professionals in a respectful, caring, and sensitive manner.
Provide the answering service with on-call details during closed office hours.
Rotate to cover intake responsibilities on holidays as required.