Community Home Health Care is seeking an organized and dependable LPN to join our nursing department as a Clinical Coordinator/Office Nurse. This office-based position supports daily clinical operations, manages nursing-related calls, assists with referrals and admissions, and coordinates prior authorizations to help ensure clients receive timely, high-quality care.
Key Responsibilities
- Receive and respond to nursing-related office calls from clients, caregivers, physicians, and other healthcare professionals.
- Assess concerns within the nurse’s scope of practice and communicate urgent or unresolved matters to the appropriate clinical leader.
- Apply for and submit prior authorization requests with Medicaid, insurance companies, and other payers.
- Follow up on pending authorizations and troubleshoot delays, missing information, denials, and other authorization issues.
- Maintain accurate authorization records and communicate approval status, service dates, and authorized hours to nursing, scheduling, and billing staff.
- Take new referrals and assist the nursing team with the admission process.
- Collect and review required clinical and referral documentation.
- Maintain tracking systems for supervisory visits, comprehensive assessments, recertifications, and OASIS documentation.
- Provide timely information and updates to case management staff.
- Monitor missed-visit reports and assist with required physician notifications and orders.
- Communicate and cooperate with other departments to support clients and employees.
- Maintain accurate and timely documentation in the agency’s electronic medical record system.
- Follow HIPAA requirements and all applicable federal, state, payer, and agency regulations.
- Assist other departments and complete additional duties assigned by management that are appropriate to the employees’ training, licensure, and skills.
Qualifications
- Current Indiana LPN license in good standing.
- Home health care experience preferred.
- Experience with prior authorizations, insurance verification, referrals, or clinical coordination preferred.
- Knowledge of medical terminology.
- Strong organization, communication, follow-up, and problem-solving skills.
- Ability to manage multiple priorities and meet important deadlines.
- Comfortable communicating by telephone with clients, families, staff, physicians, and payer representatives.
- Experience with electronic medical record systems preferred.
Work Environment
- Office-based nursing position.
- Requires prolonged sitting and regular computer and telephone use.
- Must be able to communicate clearly, maintain confidentiality, and work effectively in a busy environment.
Community Home Health Care is an equal opportunity employer. Qualified applicants will be considered without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other status protected by applicable law.