Care Coordinator

JOB SUMMARY:

A Care Coordinator is the agency’s referral sources’ first point of contact with the agency. The Care Coordinator is responsible for gathering necessary documents regarding proposed patients from referral source; and working with the Director of Clinical Services/Designee to determine the patient’s appropriateness for home health services. Once the patient is deemed appropriate for home health care services the Care Coordinator is responsible for identifying demographic location, scheduling visits in the agency’s software, and staffing ordered clinicians. This individual must be able to manage many tasks effectively under pressure and possess detail orientation to ensure accuracy of inputted information. This individual may also be required to determine insurance eligibility and negotiate terms. The Care Coordinator must be able to communicate effectively with physician’s offices, field clinicians, hospital case managers, insurance companies, and patients and their families.

QUALIFICATIONS:

1. LVN License.

2. Proficiency in computer skills including Microsoft Word, Excel, Outlook, and data entry.

3. One (1) year experience in home health or other clinical environment is preferred.

4. Acceptance of philosophy and goals of Agency.

5. Ability to exercise initiative and independent judgment.

6. Ability to work with individuals to enlist cooperation of many people to perform/achieve a common goal.

7. Communicate effectively via telephone and email.

RESPONSIBILITES:

1. Understands and adheres to established Agency policies and procedure.

2. Participates in the development of standards which ensure increased productivity in the intake department.

3. Ability to supervise, guide and develop subordinate intake employee’s skills and performances.

4. Consults with the Director of Clinical Services/ Administrator in determining processes which will accomplish stated objectives and promote a maximum level of utilization of Intake personnel.

5. Obtains necessary components of a new patient referral from referral source and puts together “Intake Packet” for clinical review.

6. Performs verification of primary care physician and the physician’s acceptance of following the patient for home health services. Documents verification on Intake Packet.

7. Performs verification of Medicare eligibility and/or insurance and/or negotiates terms of insurance reimbursement directly with the insurance companies.

8. Provides completed Intake Packet with insurance verification to the Director of Clinical Services/Designee for clinical review and approval.

9. Upon approval of referral, Care Coordinator notifies the referral source of acceptance and identifies the patient’s geographic location.

10. Staff and schedule the patient Oasis to the assigned clinicians based on orders and geographic location.

11. Serve as a liaison with the clinical staff members and the office in regards to status of patients including but not limited to hospitalizations, transfer to hospice, and discharges.

12. Communicate with Community Liaisons to assist with the referral process and tracking of liaison’s productivity.

13. Responsible for any ongoing schedule changes that are appropriately ordered.

14. Creates weekly schedules for each clinician, sends for verification to clinician, and makes appropriate changes to the Kinnser schedule.

15. Display a willingness to support policies and procedures and uses appropriate channels for changes of such policies.

16. Assists in the coordination of interdisciplinary team services.

17. Serves as a role model for all colleagues by setting an example of high standards in dress, conduct, cooperation and job performances.

18. Observes confidentiality and safeguards all patient related information (PHI).

19. Accepts responsibility for regular attendance and punctuality; fulfills job related requirements without regard to time involved.

20. Develops a cooperative relationship and communicates effectively and professionally with physicians, physician offices, case managers, clinicians, administration, and insurance company representatives.

21. Assists with the Agency’s ongoing performance improvement (PI) program.

22. Attends pertinent continuing education programs other than routine in-services and shares information with clerical staff.

23. Monitor the efficiency levels within the Office.

24. Available to share on-call with Intake personnel.

25. Ensures that documentation is completed in accordance with Agency policy and scanned in to the medical record as needed.

26. Other duties as assigned by the Director of Clinical Services/Administrator.

WORKING ENVIRONMENT:

Works indoors in Agency office

JOB RELATIONSHIPS:

1. Supervised by: Director of Clinical Services/Administrator

2. Workers Supervised: Intake

Job Type: Full-time

Benefits:

Dental insurance

Health insurance

Medical specialties:

Home Health

Standard shift:

Day shift

Weekly schedule:

Monday to Friday

Ability to commute/relocate:

Burbank, CA: Reliably commute or planning to relocate before starting work (Required)

License/Certification:

LVN (Required)

BLS Certification (Preferred)

LPN (Preferred)

Work Location: In person

Closed

Job Types: Full-time, Per diem

Pay: $35.00 - $45.00 per hour

Schedule:

• Monday to Friday

Work setting:

• In-person

Experience:

• Customer service: 1 year (Preferred)

Work Location: In person