Home Health Clinical Referral Coordinator

Company:

Compassus

 

Position Summary

The Home Health Clinical Referral Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Clinical Referral Coordinator is responsible for managing and processing referrals for home health services. They serve as the primary point person in the referral process, ensuring that all necessary documentation and information is collected in order for home health services to be initiated or resumed. This position requires clinical knowledge in additional to technical skills to provide clinical support through the home health referral process. They ensure compliance with regulatory requirements and maintain accurate patient records. Quality, accuracy, and timeliness are critical components to the success of this position.

Position Specific Responsibilities

• • Reviewing, processing, and verifying all referral elements are present for an admission.
  
  • Coordinates referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete.
  
  • Maintains consistent knowledge of program referral capacity including daily, weekly, and monthly admission targets. Ability to collaborate with program teams to manage these targets on a daily, weekly, and monthly basis.
  
  • Collaboration with internal teammates, referral sources, and patient/family on the referral, admission, and resumption of care process.
  
  • Drives clinical decisions in collaboration with program teammates to support referral and eligibility decisions.
  
  • Supports clinical and non-clinical teammates by teaching, coaching, and guiding teammates.
  
  • Engages with referral portals for effective referral management.
  
  • Participates in agency quality improvement programs as necessary.
  
  • Participates in regularly scheduled daily stand-up meetings for coordination of services, exchange of information and problem solving, and to receive staff support and education as requested.
  
  • Applies the policies and procedures of the home health program and the rules and regulations of Federal and State regulatory agencies, including HIPAA, and other certifying agencies in performing duties.
  
  • Maintains confidentiality of necessary information.
  
  • Utilizes Best Practices shared by the program and support teams to drive an efficient referral to admission process.
  
  • Manages patient records through the referral process and updates systems with accurate and current information.
  
  • Participates in training courses/sessions as required.
  
  • Participates in program meetings as needed.
  
  • Prepares reports and data as required and requested.
  
  • Organizes and prioritizes large volumes of information.
  
  • Displays exceptional customer service to patients/families/referral sources.
  
  • Handles confidential and non-routine information.
  
  • Triages incoming calls and inquires to the appropriate teammate.
  
  • Provides home health information to patients/families as needed.
  
  • Captures required information through the referral and intake process.
  
  • Performs other duties as assigned.
  
  • Obtains orders and documentation needed for admission and/or resumption of care.
  
  • May need to work in the field to support clinical needs of a program. This may require carrying a patient load expectation.
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Education and/or Experience

• High school diploma or GED required.
• Associate or Bachelor's degree preferred.
• Two (2) to three (3) years of related experience and/or training strongly preferred. An equivalent combination of education and experience will be considered.
• Experience in insurance and Medicare/Medicaid billing and reimbursement preferred

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 communicat