Quality/Intake Coordinator - Home Health - Florence, SC

1. Maintains a professional image and exhibits excellent customer relations to patients, visitors, physicians, and co-workers in accordance with our Service Excellence Standards and Core Values.

2. Works directly with Intake Coordinator to receive referrals from physicians, facilities, staff via Navi Health and fax.

3. Ensures all pertinent orders are placed in EPIC for each referral accepted.

4. Responsible for the overall coordination of Home Health referrals.

5. Participates with the quality assurance and performance improvement program (QAPI) at the local level, maintaining consistency with the organizational structure and process.

6. Provides an open, positive climate for staff in which they can freely discuss concerns and / or receive feedback and direction.

Ensures a safe and efficient work environment for the local geographic area supervised.

7. Represents home health care to patients, families, team members, and to the community in a positive and professional manner.

8. Works all the DNB’s related to Intake.

9. Resource person for referral sources and works closely with other members of the Home Health team to ensure adequate coordination and transition occurs.

10. Follows-up and follows-through to make sure all information is in EPIC to ensure workflow progresses.

11. Ensure all demographic information is accurate on the referral form based on eligibility.

12. Follow up on automated eligibility alerts.

13. Communicates with the Home Health Intake team to ensure verification of benefits occurs.

14. Review and follow-up on entitlement verification issues.

15. Communicates acceptance of referrals clearly with referral sources.

16. Assist with OASIS and advances to lock OASIS.

17. Assist with OASIS / POC, send POC, and advance to lock OASIS.

18. Follow up with physician if face to face insufficient.

19. Review and send summary to providers.

20. Review content of F2F, POC, and home health eligibility.

21. Captures order-based deficiencies that have been set to status of On Hold

22. Reviews claim error prior to processing.

23. Supervised by the Administrator. Collaborates with Director of Operations, clinical staff, and office staff.

24. Must be knowledgeable of state licensure laws, the Conditions of Participation for Home Health Agencies (Part 405, Section 1201-1243).

JCAHO, and all other pertinent regulatory needs. Must have basic knowledge of managed care case management, quality improvement, and principles of staff and patient education.

Must have a thorough understanding of all agency services and referral systems.

25. Demonstrates expertise in communication and interpersonal relationships. Must possess excellent writing skills. Must be able to use a computer for word processing.

Must have excellent organizational and time management skills.

26. Must be highly adaptable and have the ability to exercise a high degree of initiative and judgement in carrying out work assignments.

Must have strong critical thinking and problem-solving skills.

27. Must be able to function in an office setting which includes standing, walking, sitting, etc. Must be able to use office equipment such as computer, copier, calculator, etc.

Must have very good manual dexterity in carrying out technical and physical aspects of the role. Must have good hearing and eyesight.

28. Moderate physical activity involved, with daily and frequent walking, standing, bending, lifting and carrying of objects weighing up to fifty pounds, sitting, and driving.

Full range of motion and strenuous movements necessary if performing patient care.

29. Working conditions in an office which is well ventilated, lighted and temperature regulated. In the home setting and related travel, conditions may be in climate, cramped, or require special accommodations for patient care.

In such conditions, safety must be the responsibility of the worker.

30. Adheres to department dress code. Presents a neat, clean, well-groomed appearance.

31. Works closely with other staff, physicians, other external agencies and groups.

32. High degree of maturity, self-motivation, creativity, initiative and independent judgement required

Job Requirements

Qualifications / Training :

• Minimum of 2 years of experience in home health clinical operations.
• Experience with intake and / or case management preferred.
• Typing, clerical and computer skill proficiency.
• Customer service and ability to communicate effectively with all stakeholders.
• Must possess knowledge of Medicare guidelines governing home health agency.
• Must be organized, detail-oriented, and possess effective communication skills both orally and in writing.

Licenses / Certifications / Registrations / Education :

• Graduate of an accredited school of nursing, RN and licensed in the state in which currently practicing in.
• Must possess a current valid South Carolina driver’s license and automobile insurance as required by law. Must be at least 21 years old to be covered under McLeod Health’s fleet vehicle insurance policy.

Must meet McLeod policy for driving eligibility. License and registration as required by state law. RN licensure. BLS Certification.