Referral Center RN, VNA of Cape Cod

Cape Cod Healthcare•Hyannis, MA

About The Position

This role is responsible for providing comprehensive clinical assessment and screening of patients to determine appropriate levels of homecare. The position involves collecting and documenting detailed patient health information, utilizing clinical knowledge, and applying critical thinking to implement patient care pathways. The Referral Center RN will obtain necessary clinical information to support home-based assessments, process physician orders, and expedite service requests while adhering to admission criteria. Collaboration with the healthcare team is essential for ensuring quality care and patient safety. The role requires maintaining up-to-date knowledge of agency services, admission criteria, policies, and documentation standards to meet regulatory requirements. Effective communication on e-discharge systems and accurate data entry into the EMR are key responsibilities. Additionally, the position involves insurance verification, educating the public on agency services, triaging telephonic requests, and participating in various agency activities. The role also emphasizes service excellence and contributing to continuous improvement initiatives.

Requirements

RN currently licensed in Massachusetts (job code RNCT/RNCTPD) or LPN currently licensed in Massachusetts (job code 10611).
2 years’ experience in healthcare.
Ability to multi-task and manage multiple aspects of the referral process.

Nice To Haves

Homecare experience preferred.
Experience with EMR and E-Discharge platforms preferred.

Responsibilities

Provide comprehensive clinical assessment/screening of patients for appropriate levels of homecare.
Collect and document detailed, pertinent information relative to a prospective patient’s health care needs utilizing knowledge of clinical standards, procedures, medications, coding standards and community health care principles.
Utilize critical thinking skills to implement pathway appropriate for patient care.
Obtain required clinical information that will enhance the admitting clinician’s ability to conduct patient centered assessment in the home.
Obtain and process MD orders for all referrals.
Expedite requests for services appropriately adhering to criteria for admissions using professional discretion and independent judgment.
Work collaboratively and professionally with other members of the health care team to ensure quality of services and patient safety.
Maintain knowledge of current agency services and criteria for admission.
Maintain current knowledge of agency policies, procedures, objectives and current documentation requirements to meet regulatory standards.
Communicate effectively and professionally on e-discharge systems.
Efficiently and accurately enter data into the EMR.
Complete Insurance Verification process for referrals entered, ascertain and document coverage criteria.
Provide information and education regarding Agency services and programs to the public.
Triage telephonic requests for services as needed.
Participate in Agency, clinical, QI, liaison, clinical reimbursement and case conferences activities as required.
Consistently provide service excellence to all patients, family members, visitors, volunteers and co-workers.
Challenge current working practices; identify process improvement opportunities and present recommendations and solutions to management.
Engage and commit to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.
Other duties as assigned.