Intake Coordinator LVN - Infusion - Centralized Pharmacy; Ruffin Road

Hours:

Shift Start Time: 8:30 AM Shift End Time: 5 PM AWS Hours Requirement: 8/40 - 8 Hour Shift Additional Shift Information:
Weekend Requirements:
As Needed On-Call

Required:

No Hourly Pay Range (Minimum
- Midpoint
- Maximum): $30.370 - $37.950 - $42.510 The stated pay scale reflects the range that Sharp reasonably expects to pay for this position. The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant's years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

Organizes and coordinates daily intake/referral processes for the home health agency to ensure that the initiation of care is timely and according to physician orders and within regulatory guidelines. Acts as the key linkage between hospital case management services, medical group physicians and office staff, hospice agencies and home infusion services. Responsible for the coordination of complex patient issues related to home care services.

California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing & Psychiatric Technicians
-REQUIRED

• 1 Year Home health experience
• Experience as a home health liaison or community outreach coordinator

Completes insurance verification and authorizations

Verifies patient's eligibility and coverage by calling their insurance company.

Notifies each family/patient of their co-pay

Contacts insurance case managers for negotiation of rates.

Obtains initial authorization on all managed care and private insurance cases.

Communicates with staff regarding follow up for continued authorization.

Communicates with the insurance prebillers by relaying pertinent information.

Completion of service requests

Follow up with physicians for specific treatment orders

Informs patients/families of scheduled assessment visits.

Establishes courteous rapport with patient Calls each referral to confirm address, telephone number, spelling of their name, Primary Care Physician (PCP) and informs them that the discipline will be calling to set up the appointment.

Exhibits flexibility and adaptability by meeting the changing needs of the agency.

Coordinates referral process with home health liaisons.

Ensures that all patients are appropriately documented on the log, including pertinent information for staffing purposes.

All inquiries are screened and converted to home health referrals when appropriate based on agency admission criteria.

Refers all other callers to the appropriate community resource based on the information obtained.

Knowledge and experience of overall home health management including admission criteria, nursing process, insurance limitations, referral process, etc. is preferred. Must have experience with handling difficult situations applying empathy, courtesy and compassion. Experienced with using different approach when working with co-workers, staff and the public. Must assume a position in the weekend rotations. Basic knowledge of insurances including Medicare/Medi-Cal and HMO limitations is required.

Sharp Health Care is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Sharp Health Care is a not-for-profit health care system based in San Diego, California, with four acute care hospitals, three specialty hospitals, three medical groups and a health plan. We provide medical services in virtually all fields of medicine, including primary care, heart care, cancer, orthopedics, women's health, rehabilitation, robotic surgery and bariatric surgery. Sharp sets the community standard for exceptional care.

Sharp Grossmont Hospital and Sharp Memorial Hospital have received prestigious Magnet recognition by the American Nurses Credentialing Center for excellence in nursing practices and quality patient care. At the heart of our organization are more than 18,000 affiliated physicians, nurses, staff and volunteers who are on a journey to make health care better for our…