Referral Coordinator

BJC HealthCare - St. Louis, MO (30+ days ago)3.6

Full-time

Job ID: 1178060
Employment Status: Full-Time
Regular/Temporary: Regular

Your Career. Made Better.

BJC Home Care Services offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs as well as the Lifeline emergency response system. BJC Home Care Services provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.

The Central Referral Center (CRC) for BJC Home Care Services is where the patient referral process starts. There are Intake Coordinators in each BJC hospital who coordinate services for those patients that need home care. The patients who choose BJC Home Care Services are then channeled through the CRC. The CRC also consists of nurses who take physician office referrals for patients not currently hospitalized. There is someone on-call 24/7 for the CRC to facilitate home care coordination for patients in emergency rooms, etc.

Join Us!

Role Purpose

Processes referrals in accordance with established agency policies and admission criteria ensuring timely transmission to operational areas. Also, serves as a resource liaison for all product lines, promote customer satisfaction.

Responsibilities

Screens referrals to ensure patients meet agency admission criteria and comply with state and federal regulations.
Verifies insurance benefits, obtains pre-authorizations as necessary, assists billing department, and interprets company services, admission criteria and medical policies to referral sources and individuals seeking information.
Tracks current clients that are hospitalized, placed in short term skilled or rehabilitation facility.
Communicates and coordinates discharge planning and educates internal and external customers about Home Care Services and/or outpatient services.
Minimum Requirements

Degree

Nursing Diploma/Associate's

Experience

2-5 years

Supervisor Experience

No Experience

Licenses & Certifications

RN

Preferred Requirements and Additional Job Information

Degree

Bachelor's Degree
  • Nursing/Social Work/related
Experience

5-10 years

Additional Job Information

40 Hours per Week -
Weekend Rotation as Required by Department -
Benefits Eligible -
Benefits Statement
Note: not all benefits apply to all openings

  • Comprehensive medical, dental, life insurance, and disability plan options
  • Pension Plan*/403(b) Plan
  • 401(k) plan
  • Tuition Assistance
  • Health Care and Dependent Care Reimbursement Accounts
  • On-Site Fitness Center (depending on location)
  • Paid Time Off Program for vacation, holiday and sick time
  • Pension does not apply to Memorial Hospital, Memorial Hospital East, Memorial Medical Group, Alton Memorial or Parkland Health Center
Legal Statement

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.