RN - Referral Intake Nurse

EvergreenHealth•Kirkland, WA

5d•$48 - $87

About The Position

The Referral Intake Nurse initiates, screens, and triages Home Health, Hospice, and/or Palliative Care referrals. The role maintains relationships with referral sources and insurance companies and educates referral sources about the types of patients served and eligibility requirements. The nurse also oversees and reviews referrals handled by Intake Support Specialists (ISS).

Requirements

Current State of Washington professional nursing license.
Current BLS Healthcare Provider certification by the 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.
Must live in Washington State to be considered.

Nice To Haves

Master’s degree in nursing.

Responsibilities

Receive and document Home Health, Hospice, and Palliative Care referrals received 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 according to program criteria.
Verify skilled care orders with physicians as needed and obtain a history and physical from the physician 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 service eligibility requirements.
Oversee and review referrals handled by Intake Support Specialists (ISS).