Promotes and fosters ongoing collaborative communication with healthcare professionals and VNS Health to establish coordinated VNS Health services. Functions as a liaison between external customers, patients, families and VNS Health. Builds relationships, obtains referrals and reviews patient information referred to VNS Health to determine initial appropriateness of admission. Facilitates the safe and timely transfer of patients from a hospital, skilled nursing facility, physician office, or other Home Care site to the care of VNS Health. Works under moderate supervision.

$23.17 - $28.96 Hourly

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 20 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities
• Interdisciplinary network of colleagues through the VNS Health Social Services Community of Professionals.

What You Will Do

• Obtains and processes referrals based on the Enterprise's admission criteria.
• Obtains and confirms demographic and other medical and social patient information. Works within intake related electronic platforms to gather proper information to generate a new referral/resumption of patient's care and ensures accurate documentation.
• Establishes and promotes an ongoing collaborative relationship between VNS Health and/or other facilities, direct care givers, physicians, nurses, discharge planners, case managers, social workers, etc. to facilitate adequate patient care transition.
• Provides patient and family members with information related to how to contact VNS Health between period of referral and initial home visit.
• Works closely with, and escalates necessary issues to the Supervisor/ Manager in a timely fashion.
• Coordinates and shares information with patient's other health care providers as appropriate.
• Assists in the order processing for supplies, durable medical equipment, laboratory work and other appropriate items needed for the patient. Confirms that appropriate supplies and/or medical equipment are readily available in patient's homes prior to their discharge.
• Determines customer needs and provides accurate and responsive intake to ensure customer satisfaction. Provides appropriate handoff of information to team members to support a safe and effective transition of care.
• Builds and maintains a positive relationship with referral sources. Provides general information about all VNS Health services to referrers and the community.
• Creates and follows up on pending referrals using established guidelines with internal and external parties via phone, emails, fax, etc.
• Completes relevant follow-up documentation in patient's chart in HCHB in a timely manner.
• Performs and submits weekly and monthly Pending Referrals reports and statistics to the VP of Operations.
• Participates in the Daily Intake management huddles.
• Presents pending cases that require management review and approval for next steps.
• Coordinates with CCSS ICs for assistance in scheduling Start of Care.
• Knowledge of the Community Medicaid process, including eligibility for managed long term care and the relevant coverage codes set by NYS MMIS
• Coordinate effective date of community Medicaid and the eligibility deadlines for member enrollment in a health plan
• Understanding the authorization process and ability to follow up on authorizations
• Knowledge of Managed Long Term Care and NYS Departments of Health regulations and required forms (M11Q, Independent Assessor)
• Participates in special projects and performs other duties as assigned.

Education:

• Bachelor's Degree in Health Care, Business or a related field or the equivalent work experience required

Work Experience:

• Minimum of two years' experience in a business, operational or customer service role in a healthcare industry (i.e. hospital, long term care, home care setting, or medical office) required
• Ability to understand medical terminology required
• Experience entering data, navigating and retrieving information through a mainframe or similar computer system required
• Ability to adapt to change and work in a team based environment required
• Ability to be persuasive, negotiate to win-win outcomes and demonstrate exceptional customer service skills required
• Demonstrated capability to gain commitment, build rapport with others (patients, families, physicians, clinicians, institutions etc.) required
• Strong follow up skills required, as well as the ability to manage multiple priorities. required
• Knowledge of managed care, Medicare/Medicaid and insurance authorization/billing helpful but not required. preferred
• Bilingual skills may be required, as determined by operational needs preferred