RN - Referral Intake Nurse

EvergreenHealth•Kirkland, WA

About The Position

The Referral Intake Nurse initiates, screens, and triages Home Health, Hospice, and Palliative Care referrals. The role maintains relationships with referral sources and insurance companies, educates referral sources about the types of patients served and eligibility requirements, and oversees and reviews referrals taken by Intake Support Specialists. The nurse receives and documents referrals submitted by phone or fax from hospitals, clinics, other facilities, and families. The nurse assesses patients’ clinical needs using information from referral sources and available medical records; determines eligibility against program criteria; verifies skilled-care orders with physicians and obtains histories and physicals as needed; and gathers insurance information for the Business Office insurance verifier. The nurse also obtains authorization for initial visits when appropriate and required by the insurer. Candidates must live in Washington State. The posted wage range is $48.21–$87.11 per hour. Job offers are determined based on relevant experience, education, and internal equity. Some positions may offer additional premiums based on shift, certifications, or degrees. This position is covered by a collective bargaining agreement between EvergreenHealth and the Washington State Nurses Association; union membership is optional.

Requirements

Current Washington State professional nursing license.
Current BLS Healthcare Provider certification by date of hire.
Two years of Home Health, Hospice, or other Home Care experience.
Prior marketing, sales, and/or community outreach experience.
Current Washington State driver’s license and proof of insurability, if the position requires regular driving.
Working knowledge of Medicare COP and JC Standard.
Familiarity with third-party insurance and Medicare HMOs.

Nice To Haves

Master’s degree in nursing.

Responsibilities

Receive and document Home Health, Hospice, and Palliative Care referrals submitted by phone or fax from outside sources, including hospitals, clinics, other facilities, and families.
Assess patients’ clinical needs using information from referral sources and available medical records.
Determine patient eligibility for Home Health, Hospice, and Palliative Care services against program criteria.
Verify skilled-care orders with physicians as needed and obtain histories and physicals from physicians as needed.
Obtain insurance information from referral sources and forward it to the Business Office insurance verifier.
Obtain authorization for initial visits when appropriate and required by the insurer.
Maintain relationships with referral sources and insurance companies.
Educate referral sources about the types of patients served and eligibility requirements for services.
Oversee and review referrals taken by Intake Support Specialists.