Clinical Referral Specialist - LPN

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Company

Penn Medicine Home Health

Summary

POSITION SUMMARY:

Responsible for the clinical coordination of referrals to Home Health Services ensuring the prompt admission of patients that meet Home Health criteria.

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

• Represents Penn Medicine Home Health (PMHH) via telephone and functions as a clinical liaison for all referral sources including physicians, hospitals, outpatient and ambulatory care practices.

• Responds to phone calls, electronic transmissions, e-mails and faxes regarding clinical referrals. Returns messages promptly.

• Facilitates admission to Home Health Services with a sense of urgency while meeting all regulatory requirements.

• Serves as the Home Health representative in communicating information related to Home Health services, intake policies, and insurance coverage to patients, families, and referral sources.

• Accurately completes all referral documentation including obtaining and reviewing orders to facilitate the admission process.

• Uses clinical assessment skills to review referrals and identify additional care needs or a more appropriate care setting.

• Develops professional relationships with all referral sources.

• Proactively offers alternatives if Penn Medicine Home Health (PMHH) is unable to provide services.

• Processes and documents referrals that are not accepted for admission, indicating specific reason for non-acceptance.

• Monitor and tracks all PMHH patients who are re-admitted to acute care facilities or the Emergency Department.

• Manages assigned EMR work queues and follows up with supervisor as needed

• Identifies issues and provides information to supervisors as needed for resolution.

• Presents excellent customer service orientation at all times.

SECONDARY FUNCTIONS: The following duties are considered secondary to the primary duties listed above:

• Participates in the development of policies and procedures and actively assists in problem solving with and between departments to ensure the clinical intake function is collaborative and effective

• Maintains positive professional relationships with support personnel through appropriate and timely responses for information as necessary for linical and billing functions.

• Identifies trends in referral patterns and participates in quality improvement activities

• Other duties as assigned.

JOB REQUIREMENTS

MINIMUM REQUIRED QUALIFICATIONS:

• Current licensure as a Licensed Practical Nurse (LPN) (or as a Registered Nurse (RN)), issued by the PA State Board of Nursing issued by the Commonwealth of Pennsylvania.

• Must have a minimum of one year of clinical experience.

PREFERRED QUALIFICATIONS:

Experience in coordinating/processing home health referrals and/or at least one year’s experience in a home health, hospice or community health setting strongly preferred. 

COGNITIVE REQUIREMENTS

Attention/Concentration: The following level of ability is essential for the jobholder to focus on certain aspects of current experience and reject others.  

The position requires the ability to attend to more than one aspect of a situation simultaneously.  It is highly likely that multiple task demands are going to be required of the individual at the same time.

New Learning and Memory: The following level of ability is essential for the jobholder to learn and retain material.  

The position requires that an individual be able to learn new tasks quickly and effectively.  Job requirements change frequently.  The ability to understand and carry out detailed, involved instructions is mandatory.

Problem Solving, Reasoning and Creative Thinking: The following level of ability that is essential for the jo bholder to think (in order to solve a problem) by combining two or more elements from past experience or imaginative thought.

The position deals with issues or problems that often require thoughtful reasoning before arriving at approaches or solutions.  Some independent thought, planning or origination of options and solutions is necessary.  The individual must have the ability to apply principles of reasoning and problem solving to resolve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists.

APTITUDES:  The following are essential requirements of the position in relation to job-worker situations.  These items describe how a worker must adapt, adjust, conform or act.  

Performing under stressful conditions: Ability to perform under stress when confronted with emergency, critical, unusual, or dangerous situations, or in situations in which working speed and sustained attention are critical aspects of the job. Is subject to danger or risk, or to tension as a regular, consistent part of the job.

Variety and change: Ability to perform a variety of duties, often changing from one task to another of a different nature without loss of efficiency or composure involving significant differences in technologies, techniques, procedures, environmental factors, physical demands, or work situations.

Communication:  Ability to exchange information with others clearly and concisely; to present ideas, facts and technical information.

Interpersonal relations: Ability to maintain relationships that facilitate task accomplishment; to cooperate and resolve conflicts; to recognize needs and be sensitive of others.

EQUIPMENT USAGE REQUIREMENTS

Equipment/Tools: Computer, Phone, Copier, Printer, Fax, Office Supplies

Software: Microsoft Office Products, Electronic Medical Record

PHYSICAL REQUIREMENTS

Rarely 0-10%; Occasionally 11-35%; Frequently 36-70%; Continuously 71-100%

Body Position/Movement:

• Sit: Frequently

• Stand: Occasionally

• Walk: Occasionally

• Bend: Rarely

• Push: Rarely

• Pull: Rarely

• Kneel/Squat: Rarely

• Reach: Rarely

• Twist: Rarely

• Balance: Rarely

• Climb: Rarely

Lifting: Degree of physical exertion is:  Light, exerting up to 10 pounds of force occasionally and/or a negligible amount of force frequently or constantly to move objects.

Sensory Abilities specifically required:  

• Vision

• Hearing

• Touch/Feeling

PHYSICAL ENVIRONMENT

WORKING CONDITIONS:   

Exposure to hazardous conditions/ materials is negligible.

Disclaimer: This job description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills, efforts, or working conditions associated with the job.  It is intended to be a reflection of those principal job elements essential for recruitment and selection, for making fair job evaluations, and for establishing performance standards.  The percentages of time spent performing job duties are estimates, and should not be considered absolute.  The incumbent shall perform all other functions and/or be cross-trained as shall be determined at the sole discretion of management, who has the right to amend, modify, or terminate this job in part or in whole.  Incumbent must be able to perform all job functions safely.

Disclaimer

PENN MEDICINE LANCASTER GENERAL HEALTH is an Equal Opportunity Employer, committed to hiring a diverse workforce. All openings will be filled based on qualifications without regard to race, color, sex, sexual orientation, gender identity, national origin, marital status, veteran status, disability, age, religion or any other classification protected by law.

 

Search Firm Representatives please read carefully: PENN MEDICINE LANCASTER GENERAL HEALTH is not seeking assistance or accepting unsolicited resumes from search firms for this employment opportunity. Regardless of past practice, all resumes submitted by search firms to any employee at PENN MEDICINE LANCASTER GENERAL HEALTH via-email, the Internet or directly to hiring managers at Penn Medicine Lancaster General Health in any form without a valid written search agreement in place for that position will be deemed the sole property of PENN MEDICINE LANCASTER GENERAL HEALTH, and no fee will be paid in the event the candidate is hired by PENN MEDICINE LANCASTER GENERAL HEALTH as a result of the referral or through other means.

VNA-LANC Full Time Posted on 01/06/2023