Clinical Nurse Manager at Jethro Health System

Date: 15 hours ago
City: Lynn, MA
Salary: $40 - $60 per hour
Contract type: Part time
Job Description

We are currently looking for a Registered Nurse (RN) who will help us with daily operations and serve as a clinical coordinator/manager for our home health agency.

Position Summary:

  • The RN will function as a Clinical and Admissions Coordinator.
  • The nurse will help manage the daily operations of the agency and coordinate patient intake/ admissions.
  • Reviews and coordinates all needed clinical information before patient admission to ensure the perfect pathway for new patients.
  • Communicate with Nurse manager and teams regarding new patients.


Current RN License Required

Qualifications:

Educational:

  • RN Licensed to practice in Massachusetts.
  • Graduate of a School of Nursing or College with an accredited RN Program.


Experience:

  • Minimum 2 years related experience including home healthcare, medical/surgical, and community health and/or experience with a managed care organization.
  • Previous intake, liaison or discharge planning experience is preferred.
  • Knowledge of home health care standards and practices (preferred)
  • Knowledge of medical terminology and treatment modalities of patient diagnoses required
  • Knowledge of Medicare, Medicaid and other insurance payers.


Functions & Responsibilities:

  • Coordinates referrals from hospitals, physicians, other health facilities, community agencies, and patients and their families between patient account center and the clinical nursing team.
  • Demonstrates advanced knowledge of home health and Hospice eligibility criteria and COP for purposes of appropriate referral coordination.
  • Prepare and maintain on-call schedule and serve as a back up for on-call
  • Assist with marketing activities as required.
  • Serve as a liaison for branch office when dealing with corporate on; billing, payroll and collection resolution.
  • Primary responsibility for all training (new hires and existing employees). This includes Staffing Coordinators and Administrative Support Coordinators, specific to their job descriptions.
  • Responsible for tracking and reporting all prior approvals for Medicaid and Managed Care contracts and to coordinate all activities with Corporate Billing personnel.
  • Responsible for intake of all private pay and insurance cases along with all appropriate paperwork.
  • Serve as a liaison between nursing staff, coordinators and corporate regarding client care and payment issues.
  • Responsible for coordinating weekly staff meetings with all office staff.
  • On a weekly basis review non-compliance reports and remove from cases, all field personnel who are out of compliance with regulatory requirements.
  • Participate as required in contract meetings, team meetings and client case conferences.
  • Communicates with the patient’s physician, family and others to obtain complete referral information and to assist in organizing resources necessary for patient care prior to admission.
  • Triages incoming clinical phone calls from patient’s families and referral sources.
  • Collaborates with clinical staff and evaluates patient information/clinical documentation to ensure patient is appropriate for home health care and will be services on the perfect pathway to optimize clinical care.
  • Performs thorough clinical assessment of the referral and ensure patient is placed on the perfect pathway and coordinates back with referral source any recommendations.
  • Makes preliminary arrangements for any special medical supplies/equipment or for other community services that a patient may require upon admission.
  • Communicates with appropriate pod staff to share patient referral information.
  • Communicates with pod staff regarding daily capacity. Able to coordinate/communicate that with the patient admissions coordinator.
  • Documents and obtains MD orders as appropriate.
  • Provides support for Utilization Review and Quality Assurance activities as requested.
  • Maintains records and reports of referrals and admissions.
  • Provides support for the process of obtaining insurance verification and initial authorization for services.
  • Communicate with referral sources, families, and physicians to confirm admission.
  • Provides for special customer service referral arrangements with hospitals and physician offices and works closely with liaison staff.
  • Participates in the orientation of new staff.
  • Assists with liaison functions as necessary.
  • Actively participates in activities to attain department goals.
  • Participates in ICD-9 coding of referrals.
  • Assists in referral entry as needed.
  • Upholds the compliance objectives, policies, and procedures of the Foundation and Subsidiaries.
  • Performs other related duties of a similar nature and complexity as directed.


Job Types: Full-time, Part-time, PRN, Per diem

Pay: $50.00 - $60.00 per hour

Expected hours: 24 – 40 per week

Benefits:

  • Flexible schedule
  • Paid time off


Medical Specialty:

  • Geriatrics
  • Home Health
  • Medical-Surgical
  • Wound Care


Work Location: In person

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