Job Location : Carson City,NV, USA
We are so glad you are interested in joining Sutter Health!
Organization:
SCAH-Sutter Care at Home - UT
Position Overview:
Position Overview: The Home Health Clinical Referral Nurse serves as the initial point of contact for potential home health patients, working closely with our clerical home health coordinators. This role is pivotal in managing new referrals and ongoing follow-ups, acting as a liaison between patients, families, and referral sources. This position is eligible for mobile/remote work if you meet eligibility requirements.
Remote/Mobile Work: Eligible for work from home with reliable power and internet services and if you meet eligibility to work remote (example, dedicated office with door that closes, cannot be a primary care-giver during business hours.
On-Site Requirements: Occasional on-site work may be required for training or other purposes if within driving distance to the center.
Key Responsibilities:
Referral Management: Receive and process referrals for patient care, ensuring timely and consistent admissions.
Communication: Make and take calls for new referrals and follow-ups, maintaining clear communication with patients, families, and referral sources.
Collaboration: Work closely with referring hospitals, physicians, board and care facilities, skilled nursing facilities, and other healthcare providers.
Data Entry: Enter referral information into the Electronic Medical Records (EMR) system and create initial orders to facilitate the start of care. This is a fast-paced work environment that requires our nurses to be able to work in 2 separate charting systems, manage emails, communicate with multiple teams and leaders, and operate Excel documents.
Customer Service: Utilize and promote excellent customer service skills in all interactions.
Team Interaction: Collaborate with referral center staff, home health, Advanced Illness Management (AIM), and hospice staff across offices.
Job Description:
JOB ACCOUNTABILITIES:
Primary Job Responsibilities:
* Acts as the clinical liaison that represents the agency via telephone with referrals for patient care from physicians, hospitals, insurance case managers and other sources in the community
* Provides clinical oversight to the processing of home care referrals in accordance to regulatory and payor requirements
* Ensures appropriate physician orders are obtained and input in the medical record to support identified patient care needs
* Facilitates timely and appropriate Start of Care visits with schedulers and patients/families to meet patient acuity and business needs
* Summarizes clinical information from referral documentation material in a concise and thorough Referral Information note to support the field clinician's ability to conduct an effective and efficient Start of Care visit.
* Accurately completes referral documentation, including all appropriate insurance reimbursement needs, as necessary to facilitate the admissions process
* Processes and documents referrals that are not accepted for admission, indicating specific reason for non-acceptance, according to department policy and procedure
* Assigns diagnosis codes to admissions and/or validates diagnosis codes identified by clerical staff
* Accepts additional clinical support assignments as designated by the Administrator and/or designee
* Appropriately escalates to Administrator for staffing problems or difficulties accepts clinical assignments as designated by the supervisor
Customer Service and Communication with Internal and External Customers:
* Responds promptly to phone calls, electronic transmissions (Epic/Allscripts/Curaspan referrals) and faxes regarding potential referrals for home care services
* Demonstrates a high level of service orientation to all internal and external customers at all times
* Ensures consistent and timely communication regarding new admissions with local teams
* Attends department meetings and serves on committees and project teams as requested
Quality Management:
* Participates in the development of policies and procedures and actively assists in problem solving with and between departments to ensure the intake function is collaborative and effective
* Maintains positive professional relations with support personnel through appropriate and timely responses for information or paperwork necessary for the key clinical and billing functions of the agency
* Meets Intake productivity goals and maximizes capacity for patient needs by assessing clinical and operational needs
EDUCATION:
Graduate of an accredited school of nursing
CERTIFICATION & LICENSURE:
RN-Registered Nurse of California (within 90 days of hire)
Current RN-Registered Nurse license for state of residence
DEPARTMENT REQUIRED CERTIFICATION & LICENSURE
Department, non-patient facing/care: BLS-Basic Life Support Healthcare Provider not required
PREFERRED EXPERIENEC AS TYPICALLY ACQUIRED IN:
2 years recent relevant experience.
SKILLS AND KNOWLEDGE:
Must have the clinical knowledge and critical thinking skills to effectively plan and provide coordination of patient care consistent with standards and regulations
Must have exceptional interpersonal and customer services skills
Must be able to effectively solve unique problems as they arise or identify when to consult the supervisor
Must have knowledge of current Hospice/Home Health admission criteria; Medicare, Medi-Cal, Commercial, State and Federal regulations
Familiarity with ICD-10 coding preferred but not essential
Must be able to demonstrate problem-solving abilities as well as telephone, interpersonal, verbal and written communication skills in english
Commitment to teamwork and customer service, both internally and externally, is required
Must have proven /proven data entry and general computer skills
Must be able to demonstrate proficiency (after training and introductory period) in efficient use of electronic medical record systems
Must be able to flex with the increased workflow when census is higher and recognize urgency of each task
Must be flexible with schedule including, but not limited to, the ability to participate in department rotation for weekend coverage if needed
Must be able to drive to designated SCAH location(s) for meetings, training, and needs as designated by business needs.
Job Shift:
Days
Schedule:
Full Time
Shift Hours:
8
Days of the Week:
Variable
Weekend Requirements:
Rotating Weekends
Benefits:
Yes
Unions:
No
Position Status:
Non-Exempt
Weekly Hours:
40
Employee Status:
Regular
Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
Pay Range is $34.55 to $45.95 / hour
The salary range for this role may vary above or below the posted range as determined by location. This range has not been adjusted for any specific geographic differential applicable by area where the position may be filled. Compensation takes into account several factors including but not limited to a candidate's experience, education, skills, licensure and certifications, department equity, training and organizational needs. Base pay is just one piece of the total rewards program offered by Sutter Health. Eligible roles also qualify for a comprehensive benefits package.