Referral Center RN / Referral LPN, VNA of Cape Cod

• Provide comprehensive clinical assessment/screening of patients for appropriate levels of homecare.
• Collects and documents detailed, pertinent information relative to a prospective patient’s health care needs utilizing knowledge of clinical standards, procedures, medications, coding standards and community health care principles.
• Utilizes critical thinking skills to implement pathway appropriate for patient care.
• Obtain required clinical information that will enhance the admitting clinician’s ability to conduct patient centered assessment in the home.
• Obtain and process MD orders for all referrals.
• Expedite requests for services appropriately adhering to criteria for admissions using professional discretion and independent judgment.
• Works collaboratively and professionally with other members of the health care team to ensure quality of services and patient safety.
• Maintains knowledge of current agency services and criteria for admission.
• Maintains current knowledge of agency policies, procedures, objectives and current documentation requirements to meet regulatory standards.
• Communicates effectively and professionally on e-discharge systems.
• Efficiently and accurately enters data into the EMR.
• Completes Insurance Verification process for referrals entered, ascertains and documents coverage criteria.
• Provides information and education regarding Agency services and programs to the public.
• Triages telephonic requests for services as needed.
• Participates in Agency, clinical, QI, liaison, clinical reimbursement and case conerences activities as required.
• Other duties as assigned.
• Consistently provides service excellence to all patients, family members, visitors, volunteers and co-workers.
• Challenges current working practices; identifies process improvement opportunities and presents recommendations and solutions to management.
• Engages and commits to the organization’s culture of continuous improvement by actively participating, supporting, and promoting CCHC Pillars of Excellence.

RN currently licensed in Massachusetts (job code RNCT/RNCTPD) or LPN currently licensed in Massachusetts (job code 10611). 2 years’ experience in healthcare, homecare experience preferred. Experience with EMR and E-Discharge platforms preferred. Ability to multi-task and manage multiple aspects of the referral process.