Intake RN (San Juan)

Centers Home

San Juan, Puerto Rico

JOB DETAILS
SKILLS
Billing, Customer Relations, Discharge Plans, Documentation, Durable Medical Equipment, Federal Laws and Regulations, Healthcare, Healthcare Reimbursement, Home Care, Hospital, Insurance, Managed Care, Medicaid, Medical Billing, Medical Products, Medicare, Needs Assessment, Nursing, Patient Assessment, Patient Care, Patient Confidentiality, People Management, Performance Management, Quality of Care, Registered Nurse (RN), Service Delivery, State Laws and Regulations, Third-Party Payer, Time Management, Treatment Evaluation, Treatment Plan
LOCATION
San Juan, Puerto Rico
POSTED
30+ days ago

SUMMARY:

Responsible for assessing patient care needs and planning home health care services.

JOB DUTIES /KNOWLEDGE

  • Coordinates, screens and assesses home health care needs of patients referred to Agency
  • Completes intake process within established time parameters
  • Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency
  • Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan
  • Ensures that the needed DME, medical supplies and ancillary services are ordered and documented
  • Contacts managed care personnel when appropriate to obtain necessary initial authorizations
  • Notifies referring party if patient will require alternative discharge plan
  • Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care
  • Serves as a resource to all persons contacting the agency for information
  • Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner
  • Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers
  • Demonstrates cultural sensitivity
  • Maintains patient confidentiality at all times
  • Demonstrates working knowledge of State and Federal regulations
  • Participates in Quality and Performance Improvement activities and in the orientation process for agency staff
  • Performs other related duties as required
  • Demonstrates a high degree of commitment to customer relations and quality service
  • Utilizes community resources as appropriate to meet patient care needs

JOB PERFORMANCE

  • Demonstrates ability to perform quality and effective services.
  • Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task.
  • Completes work, and documentation with accuracy and within agency time frames.
  • Requires minimal supervision and is self-directed.
  • Understands the delivery of service within home care.
 

About the Company

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Centers Home