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.
Numbers & Facts
Location
San Juan, Puerto Rico
Skills
Billingunmatched
Customer Relationsunmatched
Discharge Plansunmatched
Documentationunmatched
Durable Medical Equipmentunmatched
Federal Laws and Regulationsunmatched
Healthcareunmatched
Healthcare Reimbursementunmatched
Home Careunmatched
Hospitalunmatched
Insuranceunmatched
Managed Careunmatched
Medicaidunmatched
Medical Billingunmatched
Medical Productsunmatched
Medicareunmatched
Needs Assessmentunmatched
Nursingunmatched
Patient Assessmentunmatched
Patient Careunmatched
Patient Confidentialityunmatched
People Managementunmatched
Performance Managementunmatched
Quality of Careunmatched
Registered Nurse (RN)unmatched
Service Deliveryunmatched
State Laws and Regulationsunmatched
Third-Party Payerunmatched
Time Managementunmatched
Treatment Evaluationunmatched
Treatment Planunmatched
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