Referral Coordinator

Pasco SW Home HealthGrand Junction, CO
20d$24 - $30

About The Position

R espons i b l e fo r a ss i st i ng c li n i c a l te a m i n a ll a spe c ts of the p a t i ent i nt a ke p r o c ess i n c l ud i ng r ev i ew i ng r efe rr a l s, est a b li sh i ng a nd m a i nt a i n i ng pos i t i ve r e l a t i onsh i ps w i th c ustome r s a nd r efe rr a l sources and r espond i ng to c ustome r r equests a nd c on c e r ns . T he a bove st a tements a r e on l y me a nt to be a r ep r esent a t i ve summ a r y of the m a jo r dut i es a n d r espons i b ili t i es pe r fo r med by the emp l oyee of th i s job. T he emp l oyee m a y be r equested to pe r fo r m job- r e l a ted t a sks othe r th a n those st a ted i n th i s des c r i pt i on.

Requirements

  • Med i c a l Ass i st a nt Ce r t i f i c a t i on o r equ i v a l ent; r e l ev a nt a sso c i a te deg r ee
  • At l e a st th r ee to f i ve ye a r s of expe r i en c e i n he a l th c a r e ope r a t i ons.
  • Know l edge of med i c a l te r m i no l ogy, E H R systems, a nd i nsu r a n c e p r oto c o l s.
  • Know l edge of c o r po r a te bus i ness m a n a gement, gove r nment a l r egu l a t i ons, a nd p r i v a te p a ye r p r a c t i ces.
  • D emonst r a tes good c ommun i c a t i on, o r g a n i z a t i on a l a nd p r ob l em-so l v i ng sk ill s
  • D emonst r a tes a utonomy, o r g a n i z a t i on, a sse r t i veness, f l ex i b ili ty, a nd c oope r a t i on i n pe r fo r m i ng job r espons i b ili t i es.

Responsibilities

  • Ass i sts a nd p a r t i c i p a tes i n a ll d a il y p a t i ent r efe rr a l a nd i nt a ke ope r a t i ons i n c l ud i ng c li n i c a l a ssessment.
  • E nsu r es c omp li a n c e w i th a ll st a te a nd fede r a l r efe rr a l / i nt a ke r egu l a to r y r equ i r ements .
  • D i r e c ts the i mp l ement a t i on of i mp r oved wo r k methods a nd p r o c edu r es to ensu r e p a t i ents a r e a dm i tted i n a cc o r d a n c e w i th po li c y.
  • E st a b li shes a nd m a i nt a i ns pos i t i ve wo r k i ng r e l a t i onsh i ps w i th c u rr ent a nd potent i a l r efe rr a l sou r c es.
  • E nsu r es se a m l ess t r a ns i t i on of p a t i ents to home o r hosp i c e c a r e by p r ov i d i ng d i r e c t ove r s i ght of p a t i ent edu c a t i on a nd p r ep a r a t i on fo r home c a r e, p l a n of c a r e i n i t i a t i on, a nd c oo r d i n a t i on of c a r e w i th mu l t i p l e se r v i c e p r ov i de r s.
  • B u il ds a nd mon i to r s c ommun i ty a nd c ustome r pe r c ept i ons of P a s c o / SW a s a h i gh-qu a li ty p r ov i de r of se r v i ces.
  • G a the r s, c o ll a tes, a nd r epo r ts r efe rr a l st a t i st i c s i n c l ud i ng key c ustome r r efe rr a l t r ends .
  • P a r t i c i p a tes i n st r a teg i c p l a nn i ng i n c l ud i ng i dent i fy i ng oppo r tun i t i es fo r a dd i t i on a l o r i mp r oved se r v i c es to meet unmet c ustome r needs.
  • M a i nt a i ns c omp r ehens i ve wo r k i ng know l edge of P a s c o / SW c ont r a c tu a l r e l a t i onsh i ps a nd ensu r es th a t p a t i ents a r e a dm i tted a cc o r d i ng to c ont r a c t p r ov i s i ons.
  • P a r t i c i p a tes i n qu a li ty a ssessment, pe r fo r m a n c e i mp r ovement te a ms, a nd a c t i v i t i es.
  • M a i nt a i ns c omp r ehens i ve wo r k i ng know l edge of c ommun i ty r esou r c es a nd a ss i sts r efe rr a l sou r c es i n a cc ess i ng c ommun i ty r esou r c es shou l d se r v i c es not be p r ov i ded by P a s c o / SW Ho m e He a l t h a nd Hospi c e.
  • P a r t i c i p a tes i n c a se c onfe r en c e meet i ngs a nd c li n i c a l t r a i n i ngs
  • Co ll a bo r a te d i r e c t l y w i th c li n i c a l supe r v i so r s a nd D i r e c to r of c li n i c a l se r v i c es
  • Mon i to r C a r e T ypes
  • HH Int a ke wo r kf l ow
  • H osp i c e Int a ke wo r kf l ow
  • Che c k F a x a nd p r o c ess i n c om i ng r efe rr a l s, o r de r s
  • M a i nt a i n SOC pend i ng list daily
  • Mon i to r de l a yed SOC o r de r s a nd uns i gned o r de r s
  • Suppo r t to HH c li n i c a l te a m ( a nd H osp i c e)
  • C li n i c a l a nd F i n a n c i a l a pp r ov a l fo r HH r efe rr a l s
  • O r g a n i ze a nd M a i nt a i n supp l y c l oset to ensu r e supp li es a r e not exp i r ed
  • T r a c k supp li es a nd send supp l y o r de r s to HH D CS a s needed.
  • T r i p l e Che c k- C li n i c a l
  • F i n a n c i a l a nd C li n i c a l r efe rr a l r ev i ew
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