Per Diem Home Health Intake Nurse

Advocate Health and Hospitals Corporation•Milwaukee, WI

1d•Remote

About The Position

This is a Per Diem Home Health Intake Nurse position within the Patient Access department. The role is remote and requires availability Monday through Friday from 8 am to 6 pm, with weekend and holiday rotations. New hires will need to work 32-40 hours per week for the first 2-3 months during orientation. The position involves screening referrals to ensure patients meet agency admission criteria and comply with regulations, providing customer service, and coordinating patient transitions. The nurse will explain services, determine eligibility for Medicare-certified agencies, and refer to other community agencies when appropriate. Responsibilities also include identifying risk management situations, documenting the initial plan of care, and communicating with patients, families, physicians, and referral sources telephonically. The role requires knowledge of agency payors, Medicare, Medicaid, and contracted commercial insurance reimbursement guidelines, and providing education on services like DME, Hospice, Palliative Care, Pediatrics, and Home Infusion Therapy. The nurse may also participate in precepting new hires and suggesting improvements to current practices.

Requirements

Registered Nurse - License issued by the state in which the team member practices.
Min ADN
Typically requires 2 years of experience in clinical nursing.
Computer technology skills
Excellent interpersonal and critical thinking skills necessary to interact with both internal and external clients.
Strong verbal and written communication skills
Ability to adapt to a changing environment
Must be detail-oriented and have excellent organizational skills

Nice To Haves

BSN Preferred
Home Care/Intake experience preferred

Responsibilities

Responsible for the screening and accurate completion of all referrals to ensure patients meet agency admission criteria and comply with State and Federal Regulations
Provides quality customer service, promoting collaboration and coordination with referral sources and home care for smooth transition of patient to appropriate next level of care.
Maintains clinical skills and competency by attending assigned training.
Adapts to changing business needs, conditions and work responsibilities.
Responds to inquiries regarding Advocate/Aurora Health at Home services and programs.
Explains programs and services, in addition to determining if patients meet criteria for Centers for Medicare & Medicaid Services (CMS) certified agency, admission policies and/or referring requests to other community agencies when appropriate.
Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines.
Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information.
Documents the initial plan of home health care and initiates interdisciplinary communication.
Interacts with patients/families, physicians and referral sources telephonically to assess and evaluate patient for home care appropriateness.
Acts as a resource to physicians, physician offices, patients and families, hospital and designated skilled nursing facility staff (i.e. care management, discharge planners, social workers, nursing) regarding types of services available and the criteria for home care, including Medicare guidelines.
Maintains knowledge of agency payors: Medicare, Medicaid and contracted commercial insurance reimbursement guidelines.
Provides education to care team as requested on services that may enhance the transition of care for patients including DME, Hospice, Palliative Care, Pediatrics and Home Infusion Therapy.
May participate in precepting new hire training and orientation
Provides suggestions or improvements in current practices (i.e. process, documentation, etc.) to improve quality, productivity and customer satisfaction.
Performs other duties and responsibilities as assigned.