Licensed Practical Nurse (LPN), Patient Services Specialist

Hospice Buffalo • Buffalo, NY

12d • Onsite

About The Position

A Licensed Practical Nurse (LPN), Patient Services Specialist is responsible for coordinating the intake, scheduling, and care delivery process for patients. Conducts interviews with patients to compile intake information. Makes referrals to service providers based on patient needs and assessment. Works under the general supervision of the Admission Team Manager.

Requirements

• High School Diploma/GED preferred
• Current LPN licensure in the State of NY
• 1 year of nursing practice as a Licensed Practical Nurse preferred (Specific to Intake LPN)
• Experience in a healthcare environment preferred.
• Experience in Hospice & Palliative Care helpful.

Nice To Haves

• Graduate of an accredited School of Practical Nursing (Specific to Intake LPN)

Responsibilities

• Receives intake and informational calls.
• Directs department calls to the appropriate party; assists with phone calls to non-admitted patients to facilitate admissions.
• Assists in the day to day coordination of team clinical functions, facilitates, and schedules assessments.
• Obtains complete demographic and insurance information from appropriate source.
• Obtains medical certification and less than six-month prognosis for Hospice patients from the attending physician prior to assessment visit.
• Obtains and retrieves medical information pertinent to referral, prior to nursing assessment when possible.
• Notifies Team Manager or Director of scheduling concerns, documentation/ insurance requirements.
• Ensures nursing staff has current and accurate patient information attached to the patient chart.
• Understands and applies local coverage Determination Policies in order to assist in the identification of the best system of care for the prospect and assure eligibility for Hospice.
• Understands and applies Medicare, Medicaid, and third party requirements for eligibility and informs referral sources, as necessary.
• Participates in verification of insurance benefits.
• Follows up on third party insurance authorization when necessary.
• Acts as resource person for insurance information to all staff.
• Participates in special projects, statistical reporting, and analysis, as necessary.
• Demonstrates bias for action, acts on what is important, is proactive and creative, possesses a can-do attitude, ability to multi-task, has the ability to work under pressure and keep difficult situations in perspective.
• Performs necessary clerical tasks to include filing, mailing, record keeping, copying, and other tasks assigned to assure professionally organized medical and statistical records and to facilitate referral processing.
• Enters all patient information, telephone calls, prospect disposition into EMR System.
• Triage assistance (Specific to Intake LPN).

Benefits

• Employer 401k contribution regardless of employee participation
• Additional 401k contribution given as match with employee participation
• Health Insurance with vision component copayment plan, or high-deductible plan (FT status)
• HSA with high-deductible health plan twice annual Employer contribution (FT status)
• Dental Insurance (FT status)
• Flexible Spending Account (FT status)
• Paid Time Off
• PTO & NYS Sick Leave
• Tuition Assistance Program

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED