Nursing Coordinator

JOB SUMMARY:
The Nursing Coordinator is responsible for handling every day administrative tasks that focus on scheduling nursing visits for pending/active patients, entering patient and nursing data in the EMR systems, reviewing nursing billing codes for each patient, timely processing of nursing visit notes within EMR system, revising nurse schedules in EMR, coordination of outsourced nursing visits with team.

MAJOR DUTIES AND RESPONSIBILITIES:
1. Coordinates the sourcing and scheduling of nurses for patient visits for the assigned office(s).
2. Tasks include ensuring authorizations are documented, completed visits are verified in EMR, submission of confirmed KabaFusion visit codes to billing and outsourced nursing invoices to accounting, manages the plan of treatment/nursing order tracking for prescriber signature.
3. Sends referral data and associated orders for new patients to assigned nurse or outsourced agency.
4. Creates service codes for new patients in EMR, processes visit verifications, correct failed verifications, and review rejected verifications.
5. When a payor change occurs, update new services in EMR, add new authorization number, new service, new payor on the new service code, and correct bill codes.
6. Tracks timely submission of outsourced nursing agency notes and submits invoices weekly to accounting.
7. Reviews outsourced notes and invoices for accuracy of time and billing rates against contract.
8. Enters data into EMR in a timely manner and ensures that data is accurate and complete.
9. Maintains the medical records in an organized manner following established procedures.
10. Electronically records data for collection, storage, analysis, retrieval, and reporting.
11. Identifies any missing documentation in the EMR and reports to supervisor.
12. Ensures timely reimbursement for skilled nursing and ancillary services by making sure all provided services are authorized by payor.
13. Oversees the initiation and renewal of nursing visit authorizations, processing of outsourced nursing agency documentation and invoices.
14. Notifies clinical staff of number of visits authorized by payor and works with reauthorization team to obtain additional completes re-authorization as needed.
15. Tracks plan of treatment after development by RN as well as other nursing orders for prescriber signature. Utilizes sales team to obtain timely signatures as needed. Protect patients’ health information for confidentiality, authorized access for treatment, and data security.
16. Manage time effectively and efficiently through software applications via computers, mobile technology, and other technology platforms in order to fulfill job responsibilities.
17. Participates as an active team member in the operations of the branch.
18. Works as a part of the company team by communicating effectively with all departments.
19. Assists other departments when needed to meet patient care goals.
20. Other related duties as assigned.
 

SKILLS AND ABILITIES:
• Good written and verbal communication skills
• Good general computer software knowledge and keyboarding skills
• Detail oriented with ability to work in an organized and methodical manner
• Ability to work in a fast-paced team environment
• Ability to travel to the job site
• Excellent analytical skills, ability to proactively manage multiple priorities
 

EDUCATION AND/OR EXPERIENCE:
• Minimum of an associate degree preferred or three plus years of relevant experience in lieu of a college degree.
• Minimum of at least two years’ experience working in a home health or other health care setting in an administrative support role such as scheduler, biller, or other relevant title.