St. Charles Health System
RN Intake and Referral Specialist
St. Charles Health System, Bend, Oregon, United States, 97701
Intake And Referral Specialist
St. Charles Health System Job Title: Intake And Referral Specialist Reports To Position: Manager, Home Health Department: Home Health 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. Coordinates referrals to Home Health and clarifies needed information. 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 organization's 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 patient's 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. Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies Calculates dosages and administers medications accurately in accordance with the organization's 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 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.
St. Charles Health System Job Title: Intake And Referral Specialist Reports To Position: Manager, Home Health Department: Home Health 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. Coordinates referrals to Home Health and clarifies needed information. 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 organization's 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 patient's 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. Documents all patient care with proficiency in compliance with hospital policies and regulatory agencies Calculates dosages and administers medications accurately in accordance with the organization's 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 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.