Hospice Triage RN

Company:

Providence at Home with Compassus

 

Position Summary

The Hospice Central Intake and Triage Department is the main access point for all Providence Hospice customers (to include, but not limited to: current patients, current patient's family members, physicians, physician office staff, Inquiries, etc.). With new referrals, the Central Intake and Triage Nurse may arrange prescribed services with the physician, payor, patient/caregiver, and provider to ensure that services are provided in a timely and coordinated fashion. This position will also process triage calls from existing patients/caregivers, addressing clinical issues when appropriate and forwarding to individual team supervisors as necessary.


MAJOR CHALLENGES:

1. To efficiently utilize multiple computer on-line applications to complete referrals.

2. To establish and maintain positive working relationships with all Hospice Services customers.

3. To prioritize multiple tasks and work in a demanding, fast-paced active setting.



Patient Population Served: Adult, Geriatric

Consequently, the employee must be competent in the interpretation of a patient's self-report or behavior, and this information must be interpreted with an understanding of the cognitive, physical, emotional/psychosocial and chronological maturation process. The treatment of patients should be individualized and should reflect an understanding of the developmental needs and range of treatment needs for each patient.

Position Specific Responsibilities

• • Effectively represents the mission of Providence Health and Services in all aspects of the home services' central intake and coordination functions.
  
  • Takes referral information on-line and accesses other necessary information on-line (e.g. history and physicals, inpatient notes/summaries, and labs, and physician names and addresses) to complete the referral.
  
  • If a patient is deemed to require other services offered by Providence Home Services, the Central Intake and Triage Nurse will take the additional information and coordinate with the appropriate HS Department.
  
  • Identifies by telephone, patients that most like require hospice services and schedules an intake or assessment visit.
  
  • Works closely Hospice Insurance coordinator to investigate and document insurance eligibility and benefits and required authorizations for all referrals.
  
  • Communicates information to patients/caregivers, physicians, and providers and assists in making alternative arrangements as dictated by insurance coverage and benefits.
  
  • At time of referral, obtains complete insurance information on-line including name of insurance, name of insured person and relationship to patient, group and ID number of insurance, place of employment for insured member, and contact information for verification of insurance eligibility and benefits.
  
  • Works with hospital and extended care facility care managers and discharge planners, physician offices, and other referral sources to plan and organize home services for patient discharges in the local and regional service area.
  
  • Maintains accurate daily referral and on-call logs by referral and insurance source for tabulation of monthly referral/intake and productivity statistics.
  
  • Establishes and maintains positive working relationships with home care providers, payors/case managers, physicians and their office staff, hospital and extended care facility care managers and discharge planners, and Providence Home Services departments.
  
  • Focuses on being customer service oriented at all times.
  
  • Attends scheduled staff meetings twice per month and participates in department quality improvement initiatives and inservice education.
  
  • Performs other duties as assigned.
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Education and/or Experience

• Preferred - Bachelor's Degree Nursing or Social Work.
• Degree in related field may be considered.
• Preferred - Call Center experience.

Skills

• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Computer Skills: Competency in keyboarding.
• Computer Skills: Knowledge and