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Job Summary
To coordinate internal referrals and intake procession of patient's being referred from institutional facilities and clinics. Acts as a liaison between hospitals, medical offices, home health agencies, and medical suppliers.
Accountabilities
Assessment: Collects and submits patient data to be evaluated for appropriateness of homecare services. Completes required forms and documents per agency/hospital policy and procedures. 10%
Referral and Intake: Keeps Homecare staff informed of possible referrals from hospital. Accurately accepts patient referrals and manages those referrals through the appropriate home care service line process. Provides comprehensive communication to family, patients, hospital case management, physicians and providers, home care leadership, home care clinicians and other members of the care team such as pharmacies and DMEs to ensure the patient is properly navigated through the referral and intake process. 10%
Initiates appropriate referrals and specialty services. Communicates and implements change appropriately. Presents home health, hospice, hospital at home, monitored at home services to family members, patients, case management, and providers. Communicates and implements change appropriately. Explains homecare services to patient/family/caregiver including admission criteria. 10%
Completes intake accurately and properly to ensure seamless discharge from facility or hospital and admission to home care service. 10%
Ongoing communication with hospital case management and other case management services, attending providers, and clinical staff to facilitate continuity of care. Communicates with staff involved in patient's care (may include physician, social worker, nurse, therapist.) Acts as an educational resource for other team members. Acts as a liaison with physicians, hospital, insurance, medical equipment companies and clinical areas. 10%
Demonstrates active participation as a liaison with physician's office, hospital and medical support services. Assists with orientation and training seminars for agency staff and community education programs. Endeavors to work well with team members and hospital staff. Complies with hospital and agency policies addressing safe working condition, recognizes inappropriate patient care referrals and refers to immediate supervisor. Completes tasks specified as leadership role responsibilities with appropriate documentation. 10%
Conducts routine visits and various types of telehealth visits in home care services. Supports medication management and medication pick-up and delivery and education to patients. Triages and facilitates calls to appropriate discipline. Schedules F2F clinician visits, attending physician visits and admissions, coordinating visits with regulatory requirements, IDG, ensures visits are conducted at proper intervals per home care service line. Assists with IDG prep, case conf prep, patient discharge and record closure. 10%
Completes QA audits as requested. 10%
S upports assistant managers, RNs, CNAs, and office staff. 10%
Assists at Cottingham House and other facilities with medication administration and patient rounds. 10%
Supervisory/Management Responsibilities
This is a non-management job that will report to a supervisor, manager, director or executive.
Minimum Education Graduate of an accredited school of nursing.
Minimum Experience 1 year experience in Home Care
Required Certifications/Registrations/Licenses Licensed to practice as a LPN or RN in South Carolina
SC Driver's license
Work Shift
Weekend Shift (United States of America)
Location
Hospice Of The Foothills
Facility
1067 Hospice - Upstate
Department
Administrative and General
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