RN, Home Health Liaison

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🔥 0 minutes ago

🧀 Wisconsin – Remote

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💵 $3.8k - $5.7k / hour

⏱ Part Time

🟡 Mid-level

🟠 Senior

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Logo of Advocate Aurora Health

Advocate Aurora Health

10,000+ employees

⚕️ Healthcare Insurance

💰 $10.2M Grant on 2019-08

Healthcare Insurance

Advocate Aurora Health is a leading healthcare organization that operates across various regions including Central Chicagoland, Central Wisconsin, Greater Milwaukee, and more. With a diverse range of career areas such as advanced practice clinicians, behavioral health, nursing, and more, Advocate Aurora Health is committed to helping people live well. The organization offers numerous benefits and opportunities for career advancement, fostering an environment where individuals can thrive and innovate in the healthcare sector. Advocate Aurora Health prioritizes the safety of its candidates and maintains a robust recruitment process to protect sensitive information.

📋 Description

• Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations. • Processes referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites, MD offices, utilizing standard work and determines whether patient qualifies for home care based on established guidelines. • Verifies home health care benefits according to payor plans. • Obtains authorizations for services as indicated. • Ensure physicians initial home care orders are obtained. • Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines. • Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information. • Documents the initial plan of home health care and initiates interdisciplinary communication. • Interviews patients/families in the hospital or SNF, to assess and evaluate patient for home care appropriateness. • Works in conjunction with the care management staff to assist the patient/family in the initiation of home care services. Responds to inquiries regarding home care services. • Works within established productivity guidelines for assigned site(s). Reports productivity to supervisor daily. • Trains patient/families in using equipment (e.g. pump) at home. Provide quality customer service; promote collaboration/coordination between referral sources and home care services to promote continuity of care and utilization of home care resources effectively.

🎯 Requirements

• RN with 3-4 years’ experience • 1-2 years in home care preferred • Very good communication skills • Knowledge of Medicare rules and regulations • Experience in multi-tasking on multiple computer systems • Strong customer service skills • Working knowledge of managed care environment • Critical thinking skills • Current RN licensure

🏖️ Benefits

• Paid Time Off programs • Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability • Flexible Spending Accounts for eligible health care and dependent care expenses • Family benefits such as adoption assistance and paid parental leave • Defined contribution retirement plans with employer match and other financial wellness programs • Educational Assistance Program

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