Company

HumanaSee more

addressAddressSalisbury, NC
CategoryAccounting/Finance

Job description

Become a part of our caring community and help us put health first
 

The Patient Services Coordinator is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care.  The role also assists with day-to-day office and staff management

  • Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely.  Updates agent unavailability in worker console.
  • Initiates infection control forms as needed, sends the HRD the completed “Employee Infection Report” to upload in the worker console.
  • Serves as back up during the lunch hour and other busy times including receiving calls from the field

Become a part of our caring community and help us put health first
 

The Patient Services Coordinator is directly responsible for scheduling visits and communicating with field staff, patients, physicians, etc. to maintain proper care coordination and continuity of care.  The role also assists with day-to-day office and staff management

  • Manages schedules for all patients. Edits schedule for agents calling in sick, ensuring patients are reassigned timely.  Updates agent unavailability in worker console.
  • Initiates infection control forms as needed, sends the HRD the completed “Employee Infection Report” to upload in the worker console.
  • Serves as back up during the lunch hour and other busy times including receiving calls from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary.
  • Maintains the client hospitalization log, including entering coordination notes, and sending electronic log to all office, field, and sales staff.
  • Completes requested schedule as task appears on the action screen. Ensures staff are scheduled for skilled nurse/injection visits unless an aide supervisory visit is scheduled in conjunction with the injection visit. 
  • Completes requested schedules for all add-ons and applicable orders:
    • Schedules discharge visit / OASIS Collection or recert visit following case conference when task appears on action screen.
    • Schedules TIF OASIS collection visits and deletes remaining schedule.
    • Reschedules declined or missed (if appropriate) visits.
    • Processes reassigned and rescheduled visits.
    • Ensures supervisory visits are scheduled.
  • Runs all scheduling reports including Agent Summary Report and Missed Visits Done on Paper Report.
  • Prepares weekly Agent Schedules. Performs initial review of weekly schedule for productivity / geographic issues and forwards schedule to Branch Director for approval prior to distribution to staff.
  • Verifies visit paper notes in scheduling console as needed.
  • Assists with internal transfer of patients between branch offices.
  • If clinical, receives lab reports and assesses for normality, fax a copy of lab to doctor, make a copy for the Case Manager, and route to Medical Records Department. Initiate Employee / Patient Infection Reports as necessary.
  • If clinical, may be required to perform patient visits and / or participate in on-call rotation.

Required Experience/Skills: 

  • Must possess excellent communication skills, the ability to interact well with a diverse group of individuals, strong organizational skills, and the ability to manage and prioritize multiple assignments.
  • Must have at least 1 year of Home Health experience.
  • Prior packet review / QI experience preferred.
  • Coding certification is preferred.

The Clinical Assessment Advisor directly completes and oversees development/ of the plan of treatment as approved by physician, performs ongoing evaluation of patient needs and coordinates team of professionals and other licensed clinicians and Home Health aides to ensure optimal clinical outcomes. Works with physician and/or referral source to obtain all pertinent clinical information for optimal assessment generation. Ensures consistent team care scheduling and dissemination of updated clinical information. Coordinates assigned care team members and resources. Maintains focus on all healthcare quality and affordability initiatives (HCQAI’s). Established productivity standards and performance will be monitored and measured under general supervision of the Clinical Field Staff Supervisor (CFSS) or above.

Essential Functions:

  • Performs or delegates the initial and ongoing evaluation of patient needs within their scope of practice
  • Routinely complete Start of Care/Resumption of Care/Recertification/Discharge of OASIS visits and may occasionally need to provide routine visits based on individual patient needs and branch expectations
  • Ensures plan of care incorporates and guides appropriate teaching related to health maintenance, prevention and safety
  • Coordinates available resources to manage care plan and ensures stated outcomes are achieved
  • Periodically reassesses or delegates the reassessment of patient needs and revises care plan as necessary
  • Assures appropriate care of patient is met through the start of care assessment completion.
  • Promotes/coordinates communication between team members, attending physicians, appropriate administrative staff, referral sources and external case managers to ensure appropriateness of care
  • coordination and communicates any necessary changes to the plan of care
  • Ensures patient needs are identified and qualified caregivers are assigned to all cases within their scope of practice
  • Participates in special projects and performs other duties as assigned

Use your skills to make an impact
 

Required Experience/Skills:

  • Bachelor of Science degree in Nursing (BSN) preferred
  • At least 2 years clinical home care experience with minimum one year experience in a clinical management role is preferred
  • Current CPR certification
  • Excellent verbal and written communication skills
  • Excellent interpersonal skills
  • Knowledge of state and federal Home Health agency regulations and compliance standards and regulations
  • Knowledge of clinical policies and procedures and ability to implement
  • Knowledge of clinical structure of PDGM
  • Must read, write and speak fluent English.
  • Must have good and regular attendance.
  • Approximate percent of time required to travel: 60%
  • Performs other related duties as assigned.
  • A valid driver’s license, auto insurance, and reliable transportation are required.

Additional Information

Would like Certified Medical Assistant or Certified Nursing assistant for the role.

Would like the hours/days to be Sunday, Monday, Tuesday, Thursday, Friday.

Scheduled Weekly Hours

40

Pay Range

The compensation range below reflects a good faith estimate of starting base pay for full time (40 hours per week) employment at the time of posting. The pay range may be higher or lower based on geographic location and individual pay will vary based on demonstrated job related skills, knowledge, experience, education, certifications, etc.

 

$37,200 – $51,200 per year

 

Description of Benefits

Humana, Inc. and its affiliated subsidiaries (collectively, “Humana”) offers competitive benefits that support whole-person well-being. Associate benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also knowing your life extends outside of work. Among our benefits, Humana provides medical, dental and vision benefits, 401(k) retirement savings plan, time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.

About Us
 

About CenterWell Home Health: CenterWell Home Health specializes in personalized, comprehensive 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  Humana to 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.

Read more about this job
Refer code: 9254233. Humana - The previous day - 2024-05-14 12:32

Humana

Salisbury, NC
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