Intake Coordinator

MEDICA HEALTH MANAGEMENT INC•Lubbock, TX

2d•Hybrid

About The Position

S/he is responsible for maintaining the quality of client care in accordance with the agency's objectives and policies, through effective planning, coordination, implementation and evaluation of the home health services provided.

Requirements

Current and valid LVN in the state(s) practicing preferred but not required.
Graduation from an accredited School of Practical/Vocational Nursing preferred but not required.
Knowledgeable of Medicare and Medicaid guidelines.
Skillful in organization of work and in principles of time management.
Ability to contribute to the quality of care being rendered through constructive communication with nursing managers and nursing staff.
Good communication skills and ability to establish good rapport with other staff members.
Working knowledge of home health and/or hospice care and the principles and techniques of professional nursing and required documentation thereof.
Demonstrated ability to work with patients and employees.
Demonstrated ability to work in a proactively diverse and inclusive organization.
Must have excellent written communication by writing clearly and informatively, edits work and able to read and interpret legal written information.
Demonstrates accuracy thoroughness and follows through on commitments.
Must practice a high level of confidentiality and be able to effectively response to questions from employees, managers and outside entities.
Must have excellent communication skills, both verbal and written.
Must be able to work with others to resolve issues and maintain composure in an environment of changing priorities.
Must have knowledge of all company policies and procedures.
Must be able to work on a timetable, follow instructions, responds to management direction and solicits feedback to improve performance.
Should have excellent character references and solid work background.
Must be able to read, write and speak English.
Must have knowledge and proficiency of office computer equipment and software.
Demonstrate ability to multi task and work in a fast-paced office setting.
Proven ability to cope with conflict, stress and crisis situations.
Must have and maintain a valid state driver license, have a registered and reliable vehicle that meets state law standards, and meets the insurance standards of company.
Position requires travel between company sites as well as the community.
Traveling by car or airplanes to local or out-of-town meetings, seminars, and conferences.

Nice To Haves

1-2 years of clinical experience
Spanish is preferred.

Responsibilities

Receives referrals from physicians, clinics, hospitals, social workers, and/or internal referrals and completes Agency intake process.
Completes the benefit check to verify eligibility and, if required, obtains authorization for requested services on all insurance and non-Medicare patients.
Obtains the admission order, the face-to-face documentation (including physicians process note for F2F encounter), history and physical (if available), and HgbA1C results within the last 90 days prior to admission for all patient referrals with a diagnosis of diabetes.
Provides referral information to the Director of Nursing who will assign clinician to conduct evaluation visit.
Notify clinician of impending evaluation visit.
Coordinates all services as a result of the admission visit.
When add-on services are identified, obtains orders for all paraprofessional/additional services.
Coordinates referrals of all PT, OT, ST, and MSW as well as home health aide and DME.
Participates in case conference and takes note of patients for discharge and recertification.
Ensures ongoing authorization is obtained timely for all services provided to all patients with managed care plans.
Prints Expiring Authorization report at least weekly, more often as necesary.
Participates in federal and/or state regulatory audits, QAPI team conferences and represents agency in the community as requested.
Follows-up with hospitalized patients to ensure continuity of care.
Assists in coordinating services provided to patients.
Assists Director of Nursing with ordering of medical supplies and monitoring of inventory.
Attends case conferences as requested by the immediate supervisor.
Develops a positive rapport with all staff members and community resources affiliated with home health care services.
Demonstrates knowledge of federal, state and local rules and regulations.
Responsible for the completion, keeping, and submission of all the reports and records as required.
Establishes and maintains effective channels of communication.
Ensures confidentiality and reliability of agency's data, records, proprietary information and intellectual property.
Demonstrates flexibility and willingness to work on other duties as assigned.