LPN Admissions Nurse | Home Health & Hospice

Wesley Hospice & Palliative•Federal Way, WA

1d•Hybrid

About The Position

Enrich the lives of older adults through community, choice, and continuing care in the LPN Admissions Nurse role. The LPN Admissions Nurse is responsible for completing comprehensive start-of-care assessments for patients referred to home health or hospice services. This role evaluates patient eligibility, reviews clinical pieces of referral, obtains verbal CTI’s, reviews documentation for accurate coding requirements, and ensures compliance with Medicare Conditions of Participation, Washington State regulations, and agency policies. The Clinical Admissions Nurse serves as a critical clinical gatekeeper and liaison between referral sources, physicians, and the interdisciplinary care team. Find your sense of belonging at Wesley!

Requirements

Current Licensed Practical Nurse (LPN) license in Washington State or out-of-state MSL
If MSL, follow the Washington Nurse Practice Act.
If MSL, complete Suicide Prevention Training in advance of hire per state regulations.
If MSL, complete Washington State Board of Nursing (WABON) MSL demographic survey in advance of hire per state regulations.
Experience with admissions or case management.
Ability to work independently in community settings
Strong clinical assessment and critical-thinking skills
Excellent written and verbal communication skills
Time management and organizational skills
Cultural competence and sensitivity to diverse populations
Able to lift 25lbs on a regular basis.
Ability to use a computer keyboard or touch screen to document resident records.
Ability to listen to and comprehend information and ideas provided through conversation, email, and text.
Ability to focus and concentrate throughout shift.

Responsibilities

Review referrals to determine home health eligibility, including skilled need and homebound status
Validate physician orders, diagnoses, and supporting clinical documentation
Identify patients who may require a higher or alternative level of care and escalate concerns appropriately
Coordinate services with physical therapy, occupational therapy, speech therapy, medical social work, and home health aides
Provide clear clinical handoff to the admission and case-managing nurse
Educate patients and caregivers on diagnoses, medications, symptom management, safety, infection prevention, and emergency procedures
Assess patient and caregiver learning readiness and support systems
Promote patient rights, informed consent, and self-determination
Ensure all documentation meets: Medicare Conditions of Participation (42 CFR Part 484), Washington State home health licensing rules (WAC 246-335), Agency policies and payer requirements
Obtain required consents, notices, and acknowledgments (e.g., patient rights, advance directives, financial responsibility)
Maintain accurate, timely, and legally defensible clinical records
Communicate effectively with physicians, referral sources, intake staff, and clinical leadership
Participate in interdisciplinary case conferences as required
Serve as a professional representative of the agency in the community
Communicate with coding team on appropriate admissions documentation and questions
Identify high-risk patients and initiate appropriate interventions or escalation
Comply with infection control, patient safety, and emergency preparedness standards
Maintain patient confidentiality in accordance with HIPAA and Washington State privacy laws
Participate in quality improvement initiatives and required trainings

Benefits

medical insurance (full time and ACA eligible)
dental (full time)
vision (full time)
group life (employee only coverage - full time)
combined paid time off (PTO) policy
6 Paid Holidays
1 Personal Holiday of Choice per year
403(b) plan that includes a generous 100% company match on the first 4% of earnings an employee contributes
on-demand pay through Dayforce Wallet
Employee Assistance Program (EAP)
Wesley Community Foundation provides grants to qualifying employees for both emergency assistance and educational advancement
food and beverage discount of 50% is available to all employees at any Wesley bistro and marketplace
recognition and reward platform, Inspire