Clinical Referral Coordinator Nurse Home Care

UPMC Home Health is hiring a full-time Clinical Referral Coordinator for our team, working Monday through Friday, with a daylight shift with weekend and holiday rotations. This position is able to be worked in a remote capacity.

Coordinates qualifying referrals for the Home Health and Hospice service lines to achieve positive outcomes. Manages all clinically complex referrals. Problem-solving solutions and education related to coordination efforts.

Responsibilities:

• Acts as the clinical liaison that represents the Agency via telephone with referrals for patient care from physicians, hospitals, insurance case managers, and all other referral sources. Promotes and maintains the continuum of patient care with referral sources.
• Responds to phone calls, electronic transmissions, e-mails, and faxes regarding clinically complex referrals with an extremely customer-friendly service approach at all times.
• Reviews physician orders and follows up with the referral source for clarifications or additional information if needed. Ensures accurate Face-to-Face documentation and appropriate diagnoses are obtained in accordance with regulatory requirements.
• Accurately completes referral documentation as necessary to facilitate the admissions process.
• Assist referral sources with clinical skill judgment to determine the patient care need(s). Proactively offers alternatives if the Agency is unable to provide services.
• Processes and documents referrals that are not accepted for admission, indicating specific reasons for non-acceptance, according to policy and procedure.
• 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.
• Focuses on customer service and continually strives to perform the duties of their job in a manner that will result in optimal patient satisfaction as well as internal and external relationships.
• Attend compliance training and adhere to the organization’s standards of conduct, policies, and procedures.