Intake Coordinator

ModivCare • Clarks Summit, PA

3d • $16 - $19 • Onsite

About The Position

CareGivers America - NEPA , a Modivcare Personal Care Service, is looking for an Intake Coordinator who reports directly to the Branch Manager. Responsibilities include evaluating patients referred to the Organization; identifies insurance coverage, negotiates payment or rates; plans and coordinates referrals for home care services. Pay: $16.00-$18.50/Hourly based on experience Schedule: M-F 8:30AM-5:00PM Office Address: 718 S State St, Clarks Summit, PA 18411 Benefits and Perks… Medical, Dental & Vision Insurance 401(k) with a 6% match Paid Time Off Employee Assistance Program Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!) Voluntary Term Life and AD&D Insurance Legal Services Insurance Short-Term and Long-Term Disability Accident, Critical Illness & Hospital Indemnity Insurance You will... Evaluate patients referred for home health services. Identify and verifies insurance coverage of home health care services. Obtain and documents prior authorization for home care services from insurance providers. In collaboration with a clinical manager, negotiate payment rates for creative bundling of home care services. Collaborate with the discharge planning personnel, utilization review department and insurance Case Managers to facilitate safe discharge to home health. Consult with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care. Interview the patient, family, and caregiver and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan. Complete referral information that includes intake data, essential background information, hospital course, and the plan of care. Maintain liaison relationship with hospitals, facilities, physician offices and insurance personnel, providing information and education on Organization services, coverage issues and related areas. Responsible for collaborating and coordinating with the management team regarding: Employee orientation Employee retention Staff education needs (clinical services, clinical skills, policies, procedures, etc.) Collaborate with clinical management staff to ensure proper staffing of qualified, competent personnel. Responsible to attend staff meetings and other clinical meetings to facilitate coordination of care; provide input as needed. Participate in the administrative/back-up on-call schedule and in the first call rotation when needed. Participate in Quality Assurance Performance Improvement (QAPI) reviews and projects as requested. Ensure accuracy, completeness, and timeliness of clinical documentation in accordance with Agency policies and procedures, regulatory requirements, and industry standards. Provide support and direction to Agency staff, other health care professionals, clients, and families related to appropriate and available health care resources. Facilitate problem-solving sessions to enable nurses and other staff to resolve client and/or reimbursement source issues. Stay current on available community resources, health care costs, and industry trends through self-education and access to outside educational opportunities. Develop working relationships with other health care professionals in the community and families to identify resources available and to ensure access of information to clients. Follow Agency guidelines for disciplinary actions. Documents all disciplinary actions in accordance with policy. Promote personal safety and a safe environment for clients and co-workers. Takes the initiative to help prevent accidents and promote safety. Demonstrate knowledge of safety/infection control practices by compliance with policies and procedures and regulatory requirements. Perform other duties as assigned.

Requirements

• High School Diploma/GED or equivalent experience
• Minimum of two (2) years of experience in home care or home health setting preferred.
• Experience with prior authorization processes.
• Excellent verbal and written communication skills and strong interpersonal skills.
• Demonstrates an ability to work with other health care clinicians, development of home plan of care, knowledge of third party reimbursement, and ability to negotiate payment rates.

Responsibilities

• Evaluate patients referred for home health services.
• Identify and verifies insurance coverage of home health care services.
• Obtain and documents prior authorization for home care services from insurance providers.
• In collaboration with a clinical manager, negotiate payment rates for creative bundling of home care services.
• Collaborate with the discharge planning personnel, utilization review department and insurance Case Managers to facilitate safe discharge to home health.
• Consult with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care.
• Interview the patient, family, and caregiver and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan.
• Complete referral information that includes intake data, essential background information, hospital course, and the plan of care.
• Maintain liaison relationship with hospitals, facilities, physician offices and insurance personnel, providing information and education on Organization services, coverage issues and related areas.
• Responsible for collaborating and coordinating with the management team regarding: Employee orientation Employee retention Staff education needs (clinical services, clinical skills, policies, procedures, etc.)
• Collaborate with clinical management staff to ensure proper staffing of qualified, competent personnel.
• Responsible to attend staff meetings and other clinical meetings to facilitate coordination of care; provide input as needed.
• Participate in the administrative/back-up on-call schedule and in the first call rotation when needed.
• Participate in Quality Assurance Performance Improvement (QAPI) reviews and projects as requested.
• Ensure accuracy, completeness, and timeliness of clinical documentation in accordance with Agency policies and procedures, regulatory requirements, and industry standards.
• Provide support and direction to Agency staff, other health care professionals, clients, and families related to appropriate and available health care resources.
• Facilitate problem-solving sessions to enable nurses and other staff to resolve client and/or reimbursement source issues.
• Stay current on available community resources, health care costs, and industry trends through self-education and access to outside educational opportunities.
• Develop working relationships with other health care professionals in the community and families to identify resources available and to ensure access of information to clients.
• Follow Agency guidelines for disciplinary actions. Documents all disciplinary actions in accordance with policy.
• Promote personal safety and a safe environment for clients and co-workers. Takes the initiative to help prevent accidents and promote safety.
• Demonstrate knowledge of safety/infection control practices by compliance with policies and procedures and regulatory requirements.
• Perform other duties as assigned.

Benefits

• Medical, Dental & Vision Insurance
• 401(k) with a 6% match
• Paid Time Off
• Employee Assistance Program
• Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
• Voluntary Term Life and AD&D Insurance
• Legal Services Insurance
• Short-Term and Long-Term Disability
• Accident, Critical Illness & Hospital Indemnity Insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees