Part-Time, Days

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Intake and Referral Specialist

REPORTS TO POSITION: Manager, Home Health

DEPARTMENT: Home Health

DATE LAST REVIEWED: September 5, 2017

OUR VISION: Creating Americas healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY: St Charles Home Health Services provides skilled nursing, physical therapy, occupational therapy, speech therapy, medical social work and home health aide services to patients in their homes. Services are provided by interdisciplinary team based on patients needs to maximize patients outcomes and to prevent hospitalizations.

POSITION OVERVIEW: The Intake and Referral Specialist maintains daily contact with physicians, case managers, social workers, discharge planners, patients, families, caregivers, home health and hospice agencies and other referral sources in the hospital and the community regarding potential referrals to home health services. Markets the services of the home health department. Develops relationships with physicians, providers, skilled nursing facilities, payers and others in Central Oregon. Prepares patients and families for admission to the home health department, and facilitates that process. This position does not directly manage any other caregivers

ESSENTIAL FUNCTIONS AND DUTIES:

Accepts service referrals and clarifies needed services where possible (via fax, telephone, or direct contact).

Coordinates referrals to Home Health and clarifies needed information (e.g., patient/family home health needs/expectations, diagnoses, appropriate demographic information, addresses, contact information, initial supply needs, special instructions, insurance information, etc.).

Meets directly with patients in the hospital or local skilled nursing facilities to educate on home health services and to assist with determining patients level of need.

Provides education about Home Health Services to potential referrals and referral sources.

Evaluates prospective patient situations, including homebound status, to determine if appropriate for Home Health services.

Timely documentation review to ensure accuracy of diagnosis coding, sequencing of coding, and completion of OASIS.

Communicates with patient, family, and referral sources the progress and disposition regarding referral status.

Assists with payer verification and authorization for patient care.

Knowledgable regarding the home health benefit with commonly encountered insurance companies.

Coordinate ETO and the general monthly schedule for Intake and Referral Specialists requesting coverage where needed.

Initial diagnosis review (providing a couple of pertinent "working" diagnostic codes at the time of intake or acceptance of a referral).

Identify patients on admission that may be appropriate for Lifeline Services.

Markets the services of the Home Health department directly to patients, familys, the hospital, local Skilled Nursing Facilities, physicians and other referral sources

Establish and maintain relationships with patients, referral sources and staff through consistent professional/informational communication.

Meet departmental standards and deadlines for timely completion of educational/CBL requirements (specific to department and specific to discipline).

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organizations corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

Participates in creating a healing environment that supports all aspects of the care environment and the wholeness of each individual, patient and caregiver.

Participates in creating intentional relationships and demonstrates focus attitudes and behaviors that enhance the care experience.

Provides a therapeutic presence in service to others by purposefully responding to the needs of patients in a caring way, including introducing oneself and explaining role in patients care,asking the patient his or her preferred name, sitting with the patient to determine his or her care goals, active listening, and communicating effectively and appropriately through touch, eye contact, etc.

Provides and maintains a safe environment for caregivers, patients and guests

Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies

Calculates dosages and administers medications accurately in accordance with the organizations policies and procedures for medication administration.

EDUCATION:

Required: As required for licensure.

Preferred: BSN

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Current RN licensure with the Oregon State Board of Nursing

Valid Oregon driver's license and ability to meet St. Charles Health System driving requirements

Preferred: N/A

EXPERIENCE:

Required: Minimum of 3 years experience as a staff nurse; one year experience in home health care or public health nursing.

Preferred: Home health experience

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Position Specific:

Thorough knowledge of home health care, community resources, the insurance authorization system and nursing practice

required. Proficient in utilizing Microsoft programs and able to access a variety of EMR platforms.

Ability to follow verbal and written communications in order to complete duties and assignments

Skills:

General:

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Strong team working and collaborative skills

Ability to multi-task and work independently

Attention to detail

Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions

Demonstrated ability and experience in computer applications, use of electronic medical record keeping systems and MS Office

PHYSICAL REQUIREMENTS:

Continually (75% or More): Use of clear and audible speaking voice and the ability to hear normal speech levels.

Frequently (51% - 75%): Standing, sitting, walking, lifting 1-10 lbs and keyboard operation.

Occasionally (26% - 50%): Bending, climbing stairs, reaching overhead, carrying 1-10 lbs, pushing/pulling 1-10 lbs and grasping/squeezing.

Rarely (10% - 25%): Stoop/kneel/crouch, lifting 11-25 lbs, carrying 11-25 lbs, pushing/pulling 11-25 lbs and operation of motor vehicle.

Never (Not Included): Climbing ladder/step-stool, lifting 25-50 lbs, carrying 25-50 lbs, pushing/pulling 25-50 lbs and the ability to hear whispered speech levels.

Exposure to Elemental Factors

Frequently (51%-75%): Heat, cold, wet/slippery areas, noise, dust, vibration and uneven surfaces.

Never (0%): Chemical solutions.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

This position is 32 hours a week including occasional weekend and Holiday Coverage.

Schedule Weekly Hours:

32

Caregiver Type:

Regular

Shift:

First Shift (United States of America)

Is Exempt Position?

No

Job Family:

REGISTERED NURSE HOME HEALTH AND HOSPICE

Scheduled Days of the Week:

As Scheduled (may include weekends and holidays)

Shift Start & End Time:

0800-01630

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