SUMMARY:
Responsible for assessing patient care needs and planning home health care services.
JOB DUTIES /KNOWLEDGE
- Coordinates, screens and assesses home health care needs of patients referred to Agency
- Completes intake process within established time parameters
- Collaborates with physicians, nurses and discharge planners to identify patient care needs and to establish the appropriate level of care for patients referred to the Agency
- Establishes and completes an individualized Plan of Treatment in accordance with MD orders, patient care needs, insurance guidelines and Agency protocol, including the identification of formal/informal supports in carrying out plan
- Ensures that the needed DME, medical supplies and ancillary services are ordered and documented
- Contacts managed care personnel when appropriate to obtain necessary initial authorizations
- Notifies referring party if patient will require alternative discharge plan
- Delegates specific tasks to support staff providing clear, timely direction to ensure continuity of care
- Serves as a resource to all persons contacting the agency for information
- Treats all referral parties, patients, family members and hospital staff courteously and in a non-discriminatory manner
- Demonstrates sound knowledge of reimbursement and billing practices for Medicare, Medicaid, managed care, charity care and other third-party payers
- Demonstrates cultural sensitivity
- Maintains patient confidentiality at all times
- Demonstrates working knowledge of State and Federal regulations
- Participates in Quality and Performance Improvement activities and in the orientation process for agency staff
- Performs other related duties as required
- Demonstrates a high degree of commitment to customer relations and quality service
- Utilizes community resources as appropriate to meet patient care needs
JOB PERFORMANCE
- Demonstrates ability to perform quality and effective services.
- Demonstrates ability to set and meet objectives, and to find increasingly efficient ways to perform task.
- Completes work, and documentation with accuracy and within agency time frames.
- Requires minimal supervision and is self-directed.
- Understands the delivery of service within home care.
