Intake Coordinator - Home Health

Overview
Responsible for coordinating home health services for managed care patients, which includes establishing and maintaining the patient's plan of care, establishing and maintaining positive relationships with managed care customers and related referral sources, and negotiating service agreements

Duties

• Coordinates home care services for managed care patients, assists with the establishment of the plan of care in coordination with the physician and insurance Case Managers, and ensures a seamless transition to home care.
• Collaborates with inpatient utilization review departments and managed care Case Managers to facilitate safe, early inpatient discharge.
• Verifies insurance coverage and obtains initial authorizations for services and seeks reauthorization for ongoing and additional-services.
• Works with Clinical Supervisors/Nursing Supervisors and staff clinicians to gather, collate, and report patient care summary information to managed care Case Managers.
• Promotes maximum third party reimbursement through price negotiations with managed care Case Managers, within the established financial, credit, and contractual parameters.
• Maintains comprehensive working knowledge of managed care contractual relationships and ensures that patients are admitted and services are delivered in accordance with contract provisions.
• Works with members of the billing team to ensure that managed care customers are billed according to Case Manager agreements.
• Establishes and maintains positive working relationships with current and potential managed care customers.
• Promptly responds to managed care customer's requests and concerns.
• Assists in building community, customer, payer and patient perceptions of LUXE HOMECARE, IN.C.. as a high quality provider of services.
• Maintains comprehensive working knowledge in the field of managed care and shares information with appropriate organization personnel.

Qualifications

• Current California LVN license
• Graduate of National League for Nursing accredited school of nursing. BSN degree is preferred.
• Experience in health care managed care coordination in home health care.
• Complies with acceptable professional standards and practice.
• Ability to market and deal tactfully with customers and the community.
• Knowledge of corporate business management and managed care environment.
• Demonstrates good communication, negotiation, and public relations skills.
• Demonstrates autonomy, organization, assertiveness, flexibility, and cooperation in performing job responsibilities.

Pay: $26.24 - $31.60 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person

Salary : $26 - $32