Overview:
Are you looking for a place where you can make a genuine difference in our patients’ lives?
With over 25 locations and growing, Our culture of love for our patients and employees is the top priority.
Our commitment to our Core Values allows us to be the provider and employer of choice.
We embrace a diverse workforce and understand that our employees are key to providing quality care and our most important resource.
Join us today and grow with us!
Responsibilities:
Evaluates patients referred to the Organization; identifies insurance coverage, negotiates payment or per diem rates; plans and coordinates referrals for home health services.
ESSENTIAL JOB FUNCTIONS/RESPONSIBILITIES
1.
Evaluates hospitalized patients referred for home care.
2.
Attains a completed copy of the patient’s history and physical
3.
Identifies and verifies insurance coverage of home health care services.
4.
Obtains and documents prior authorization for home care services from insurance
providers.
5.
Assists in obtaining supplemental managed care orders under the direction of the HMO
Intake Manager.
6.
Negotiates per diem or per visit payment rates for creative bundling of home care services.
7.
Collaborates with the hospital's discharge planning personnel, utilization review department
and insurance Case Managers to facilitate safe, early discharge.
8.
Consults with physicians, nurses, social workers, discharge planners and other disciplines
to establish a coordinated home plan of care.
9.
Verifies the completion of a Face to Face.
10.
Interviews the patient, family, and caregiver and discusses the home situation, current
needs, and any psychosocial factors that are relevant to the plan of care.
11.
Completes referral information that includes intake data, essential background information,
hospital course, and the plan of care.
12.
Maintains liaison relationship with hospital and insurance personnel, providing information
and education on Organization services, coverage issues and related areas.
13.
Participates in patient care conferences and in-services.
14.
Collects and maintains statistical data on all referrals and submits them regularly as
required.
15.
Attends meetings and participates on committees as required.
16.
Informs Director of Patient Care Services and Intake Supervisor of all delays in clinical care.
17.
Performs other duties as assigned by the Administrator, Director of Patient Care Services,
Director of Contract Management, and HMO Intake Supervisor.
Qualifications:
1.
Minimum of two years of experience working in home health care, hospice, or managed
care preferred.
2.
Demonstrates an ability to work with other health care clinicians,
knowledge of third party reimbursement, and ability to negotiate payment rates.
3.
Self-directed and able to work with minimal supervision.
4.
Demonstrate excellent observation verbal and written communication skills.
5.
Participation in Quality Assurance/Performance Improvement Program and Bridge Hospice
sponsored training.
Additional Information:
We are invested in our employees and their well-being.
Benefits Include:
Competitive compensation
Fleet car program with insurance, maintenance coverage, and gas card.
Dynamic, fun, team-oriented work environment
Countless growth and development opportunities
Flexible Schedules
Medical, dental and vision insurance
Company Paid Life insurance
Mileage Reimbursement
PTO
Paid Holidays
Paid Sick Days
Employee Assistance Program
401K
FSA
And so much more!
We are committed to providing equal employment opportunities to all employees and applicants without regard to race, ethnicity, religion, color, sex (including childbirth, breast feeding and related medical conditions), gender, gender identity or expression, sexual orientation, national origin, ancestry, citizenship status, uniform service member and veteran status, marital status, pregnancy, age, protected medical condition, genetic information, disability or any other protected status in accordance with all applicable federal, state and local laws
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