Referral Coordinator

BJC HealthCare • Creve Coeur, MO

9d • Onsite

About The Position

BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs. BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country. The Central Referral Center (CRC) for BJC Home Care Services is where the patient referral process starts. There are Intake Coordinators in each BJC hospital who coordinate services for those patients that need home care. The patients who choose BJC Home Care Services are then channeled through the CRC. The CRC also consists of nurses who take physician office referrals for patients not currently hospitalized. There is someone on-call 24/7 for the CRC to facilitate home care coordination for patients in emergency rooms, etc. The Intake Coordinator (HCS) is responsible for processing home care referrals accurately and efficiently in accordance with established agency policies and admission criteria ensuring timely and safe transmission to operational areas. This non-clinical role works in a non-hospital environment and serves as a resource liaison for all product lines and promotes customer satisfaction.

Requirements

• High School Diploma or GED
• 2-5 years experience
• Must be able to multitask and prioritize job duties

Nice To Haves

• Experience in home care is a plus!
• Associate's Degree
• 5-10 years experience
• Supervisor Experience

Responsibilities

• Screens referrals to ensure patients meet agency admission criteria and comply with state and federal regulations.
• Verifies insurance benefits, obtains pre-authorizations as necessary, assists billing department, and interprets company services, admission criteria and medical policies to referral sources and individuals seeking information.
• Tracks current clients that are either hospitalized, placed in a short-term skilled facility or in a rehabilitation facility.
• Communicates and coordinates discharge planning; educates internal and external customers about Home Care Services and/or outpatient services; coordinates pre-scheduling with BJC Home Care service lines and assures patient has all necessary post-acute care or non-acute care.
• The ability to work in a constant state of alertness and in a safe manner is an essential function of this job.

Benefits

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

What This Job Offers

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