Homecare Service/Referral Coord-Homecare Administration
Company: Nationwide Children's Hospital
Location: Columbus
Posted on: May 28, 2023
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Job Description:
Homecare Service/ Referral Coord-Homecare Administration
Works in partnership with Clinical Coordinators of business lines
to assure service coordination for NCHH patients. Coordinates
receipt of initial and ongoing clinical, demographic, and financial
data for Intermittent/Therapy Clinical Services, Pharmacy, PDN,
DME, Hospice/Palliative Care, and Synagis referrals. Communicates
with third party payors and case managers relative to patients's
coverage and home health benefit package. Demonstrates competencies
defined (*) in Service Coordinator responsibilities in providing
age-appropriate care to patients from the age of birth through 21
years, and select adult patients.
Schedule: (Contingent, Non-Exempt)
In-Person and days will vary based on department need
Location
255 East Main Street
255 E Main St
Columbus, Ohio 43215
United States
The moment you walk through our doors, you feel it. When you meet
our patient families, you believe it. And when you talk with anyone
who works here, you want to be part of it. Welcome to Nationwide
Children's Hospital, Where Passion Meets Purpose.
Here, Diversity, Equity and Inclusion are integrated into our core
values and practices. We are passionate about building, sustaining
and evolving an inclusive and equitable environment. We are seeking
individuals who live these values and want to share their
experiences and efforts in support of our collective mission.
We're 14,000 strong. And it takes every one of us to improve the
lives of the kids we care for, and the kids around the world we'll
never meet. Kids who live healthier, fuller lives because of the
knowledge we share. We know it takes a Collaborative Culture to
deliver on our promise to provide the very best, innovative care
and to foster new discoveries, made possible by the most
groundbreaking research. Anywhere.
Ask anyone with a Nationwide Children's badge what they do for a
living. They'll tell you it's More Than a Job. It's a calling. It's
a chance to use and grow your talent to make an impact that truly
matters. Because here, we exist simply to help children
everywhere.
Nationwide Children's Hospital. A Place to Be Proud.
*Performs initial and ongoing coordination activities with
Intermittent/Therapy Clinical Services, Pharmacy, PDN DME, Hospice/
Palliative Care, and Synagis. Disseminates patient and program
information, coordinates patient services and schedules with
service line/clinical coordinators as needed.
Collects and documents initial payer source information.
Verifies service/therapy coverage with public and private
insurers.
Initiates continuation of ongoing and new therapies for existing
patients, completes and distributes information as appropriate.
Communicates ongoing patient information with NCHH pharmacy, PDN,
primary nurse, and appropriate service line/clinical coordinators
as needed, and coordinates staffing needs with the family.
Maintains ongoing patient information in the current information
system/systems including the admit/discharge status of patient and
or therapies, as well as reconciling patient medication upon
admission/discharge at NCH.
Obtains reimbursement follow-up information including, Financial
Agreement and Notice of Non-covered Services form as appropriate.
Also initiates CMN and obtains Letters of Medical Necessity for
third party authorizations and Medicaid prior authorizations as
appropriate. When there is not a face-to-face contact with a
patient, the Homecare Service/Referral Coordinator will review all
Patient Packet information with the family.
Coordinates the scheduling of clinical services to meet referral
demand and physician orders involving current patients.
*Collaborates with service lines to ensure an appropriate supply
list for individual patients according to physician ordered
services / therapies.NCHH Homecare Service/Referral Coordinator is
responsible for requesting Face to Face forms as appropriate.
Completes correct ICD-9 coding on an initial and ongoing basis.
Collects data related to denials for therapies or cases.
Performs data entry of initial patient information within
acceptable timeframe according to NCHH policy and procedures.
Assembles and distributes appropriate documentation forms/charts
for initial and ongoing homecare services and maintains working
files as needed while cases are open.
Documents clinical functions (physician orders, progress notes,
etc.) and coordination activity information accurately and in a
timely manner.
Responsible for generating and attending Morning meeting as
assigned, as well as attending the IDT meetings for our
Hospice/Palliative Care patients as assigned.
NCHH Service/Referral Coordinator is responsible for getting
Medimmune Patient Access Program information to appropriate
patients and maintaining Medimmune Reports for the Synagis
program.
Communicates using excellent customer relations with patients,
parents, visitors, referral sources, case managers and
co-workers.
Assists, as appropriate, in complying with applicable: federal,
state and local laws; Medicare / Medicaid Conditions of
Participation; JCAHO standards; State of Ohio Day Care Licensing;
State of Ohio Waiver regulations; and any other appropriate
accrediting or regulatory body.
Participates as directed in marketing efforts and community
endeavors.
Participates in drills (including fire, bomb, tornado, weather
disaster, community disaster, etc.) and ICES Rounds and follow up,
as directed, to ensure the safety of patients, families, staff,
students, vendors, visitors to the CHS building, etc.
Awareness of need to balance cost, quality, and mission..
Performs basic skills in the following: phone communication,
computer skills (word processing and data entry),communication,
organizational/multi-tasking, customer service, team building,
management/leaderships skills as appropriate, negotiation, conflict
management, decision making, and diplomacy skills.
Maintains confidentiality of all patient/agency information.
Assumes responsibility for continued professional growth.
Supports agency-wide patient care activities as appropriate to the
role.
Performs other duties as assigned.
Make appropriate referrals, manage coordinate resources,
coordinate/collaborate on all services (internal and external),
match resources available to referral needs/accept referral, match
practice with authorized allowable with patient needs, discharge
patient form service, communicate discharge request/order to all
appropriate customers.
Develop/finalize/revise/update/terminate service agreements.
Anticipate, manage and evaluate patient needs, and serve as a
resource to other personnel.
Provide initial/ongoing advocacy, customer service and
communication with families and all customers.
Coordinates, facilitates, and provides a support function for all
service lines.
Maintains patient referral source and documentation logs for
ongoing patient therapies.
Evaluates teams assignments as needed
KNOWLEDGE , SKILLS AND ABILITIES REQUIRED:
Education:
Preferred Experience:
Ability to type on a computer keyboard, working knowledge of
Window-based applications.
Knowledge of Medicaid, HMO, insurance regulations, and managed care
as they affect home care agencies is highly desirable.
Aptitude for detail; strong organizational skills with multitask
ability.
Effective interpersonal and customer service skills.
Minimum Physical Requirement:
Constantly (67-100) Talking on phone or in person
Constantly (67-100) Finger dexterity
The above list of duties is intended to describe the general nature
and level of work performed by individuals assigned to this
classification. It is not to be construed as an exhaustive list of
duties performed by the individual so classified, nor is it
intended to limit or modify the right of any supervisor to assign,
direct, and control the work of employees under his/her
supervision.
EOE M/F/Disability/Vet
Requisition ID: 2023-44065
External Company Name: Nationwide Children's Hospital
External Company URL:
https://external-nationwidechildrens.icims.com/jobs/intro
Keywords: Nationwide Children's Hospital, Columbus , Homecare Service/Referral Coord-Homecare Administration, Other , Columbus, Ohio
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