Company

HumanaSee more

addressAddressHuntsville, AL
type Form of workFull-Time
CategoryInformation Technology

Job description

Become a part of our caring community and help us put health first
Upon receipt of a referral, the Patient Care Coordinator conducts Home HealthPatient Care coordination, determines the patient's eligibility/need for services, coordinates care plan development, and assists branch operations in clinical coordination and communication with referral sources. The Patient Care Coordinator works to improve Patient Care and communication through the care continuum. Works under general direction.
Essential Functions:
  • Develops/maintains contact with key accounts as assigned. Promotes exemplary customer service to physicians, facility personnel, patient, and patient family at all times
  • Ensures effective communication and collaboration with branch staff and field sales resources via weekly meetings. Maintains market awareness and prepares competitive updates
  • Primarily conducts pre-discharge facility visits at the physicians' request to determine the need/eligibility for home care
  • Assist the branch in the timely processing of physician orders
  • Informs hospital personnel, patient, and/or patient family of case acceptance and documents all demographic, clinical, payer, and other information as required on company-approved forms to support diagnosis and Home Healthcare orders. Provides input to care plan development and informs the Company location clinical staff (e.g. Intake Specialist, Director Clinical Management, and/or Manager Clinical Practice) of patients' acceptance and ensures that patients' needs are appropriately matched.
  • Works collaboratively with Hospice Division counterparts as applicable, representing the Company's comprehensive Home Health and hospice deliverables
  • Abides by all operational compliance with internal controls and reporting
  • Participates in special projects, quarterly Customer Appreciation Week events, and specialty program launches and performs other duties as assigned.
  • Adheres to and participates in Company's mandatory HIPAA privacy program/practices, Business Ethics and Compliance programs/practices, and all Company policies and procedures
  • Abides by and demonstrates the company Mission - Vision - Values through both job behavior and job performance on a day-to-day basis.

Use your skills to make an impact
Required Experience/Skills:
  • Bachelors /Associates degree in Nursing or the equivalent.
  • Current RN or LPN/LVN license, plus a minimum of threeyears of clinical experience
  • Strong knowledge of Home Health regulations, Medicare requirements, and care coordination skills required.
  • Excellent customer service, organization, time management, problem-solving, and communication skills required
  • Demonstrates the ability to work independently.
  • Microsoft Office proficiency is required.
  • Ability to appropriately represent Company service capabilities to the patients, family, and referral source audience.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions
  • Registered nurse licensure required to perform patient assessments, secure physician orders, and other responsibilities that require the skills and abilities of a registered nurse per practice
  • Must read, write and speak fluent English.
  • Must have good and regular attendance.

Scheduled Weekly Hours
40
About us
About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive in-home care for patients managing a chronic condition or recovering from injury, illness, surgery or hospitalization. Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, Home Health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives.
About CenterWell, a Humana company: CenterWell creates experiences that put patients at the center. As the nation's largest provider of senior-focused primary care, one of the largest providers of Home Health services, and fourth largest pharmacy benefit manager, CenterWell is focused on whole-person health by addressing the physical, emotional and social wellness of our patients. As part of Humana Inc. (NYSE: HUM), CenterWell offers stability, industry-leading benefits, and opportunities to grow yourself and your career. We proudly employ more than 30,000 clinicians who are committed to putting health first - for our teammates, patients, communities and company. By providing flexible scheduling options, clinical certifications, leadership development programs and career coaching, we allow employees to invest in their personal and professional well-being, all from day one.
Equal Opportunity Employer
It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or because he or she is a protected veteran. It is also the policy of Humanato take affirmative action to employ and to advance in employment, all persons regardless of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information, disability or protected veteran status, and to base all employment decisions only on valid job requirements. This policy shall apply to all employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at all levels of employment.
Refer code: 7582072. Humana - The previous day - 2024-01-03 03:08

Humana

Huntsville, AL
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