RN - Referral Intake Nurse

EvergreenHealth•Kirkland, WA

4d•Onsite

About The Position

The Referral Intake Nurse is responsible for the initiation, screening and triage of all Home Health and/or Hospice referrals. This position is responsible for maintaining relationships with referral sources and insurance companies. Additionally, the Referral Intake Nurse is responsible for the education of referral sources as to types of patients served and eligibility requirements for service. This position is responsible for oversight/ review of all referrals taken by Intake Support Specialist (ISS).

Requirements

Current State of Washington professional nursing license.
Current BLS Healthcare Provider certification by date of hire.
2 years of Home Health, Hospice or other Home Care experience.
Must have prior marketing, sales and/or community outreach experience.
Current Washington State Driver’s license and proof of insurability, if the position requires regular driving.
Must have working knowledge of Medicare COP, JC Standard
Must be familiar with Third party insurance and Medicare HMO’s.
All candidates must live in WA state to be considered for role.

Nice To Haves

Master's degree in nursing

Responsibilities

Receives and documents Home Health and/or Hospice, Palliative Care referrals called or faxed to the department from all outside sources, including hospitals, clinics, other facilities or families.
Assesses clinical needs of patients interpreting and utilizing data obtained from referral sources and medical records as available.
Determines patient eligibility for Home Health and/or Hospice, Palliative Care services as measured against program criteria.
Verifies skilled care orders with physicians’ as needed, obtains history and physical from physician as needed.
Obtains insurance information from referral source and forwards information to Business Office insurance verifier. Obtains insurance authorization for initial visits when appropriate and required by insurer.