RN - Referral Intake Nurse
Description
Wage Range: $45.92 - $82.96 per hour
Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.
Job Summary:
The Referral Intake Nurse is responsible for the initiation, screening and triage of all Home Health and/or Hospice referrals. This position is responsible for maintaining relationships with referral sources and insurance companies. Additionally, the Referral Intake Nurse is responsible for the education of referral sources as to types of patients served and eligibility requirements for service. This position is responsible for oversight/ review of all referrals taken by Intake Support Specialist (ISS).
Primary Duties:
- Receives and documents Home Health and/or Hospice, Palliative Care referrals called or faxed to the department from all outside sources, including hospitals, clinics, other facilities or families.
- Assesses clinical needs of patients interpreting and utilizing data obtained from referral sources and medical records as available.
- Determines patient eligibility for Home Health and/or Hospice, Palliative Care services as measured against program criteria.
- Verifies skilled care orders with physicians’ as needed, obtains history and physical from physician as needed.
- Obtains insurance information from referral source and forwards information to Business Office insurance verifier. Obtains insurance authorization for initial visits when appropriate and required by insurer
License, Certification, Education, or Experience:
REQUIRED for the position:
- Current State of Washington professional nursing license.
- Current BLS Healthcare Provider certification by date of hire.
- 2 years of Home Health, Hospice or other Home Care experience.
- Must have prior marketing, sales and/or community outreach experience.
- Current Washington State Driver’s license and proof of insurability, if the position requires regular driving.
- Must have working knowledge of Medicare COP, JC Standard
- Must be familiar with Third party insurance and Medicare HMO’s.
DESIRED for the position:
- Master's degree in nursing
Benefit Information:
Choices that care for you and your family
Choices that care for you and your family
At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer the following benefits and resources for our per diem staff to help maintain and improve health and financial well-being.
- Washington Paid Sick Leave (WPSL)
- Participation in 457(b) retirement plan
- Free parking
- Cafeteria & Gift Shop Discount
This position is covered by a collective bargaining agreement between EvergreenHealth and the Washington State Nurses Association (WSNA). Union membership is optional.