Registered Nurse Clinical Reviewer-Intake-Scheduling Coordinator (Work From Home)

How to Apply:
Copy and Paste the Link below in the browser to generate the application form:
Upgrade to see actual info

Rate: $4/hr, and earn 40,000 PHP/month.
Schedule: Thursday - Monday 9:00 am - 6:00 pm with 1-hour unpaid lunch break

Qualifications:
- Must be Registered Nurse
- Must have Home Healthcare clinical documentation review experience
- Extremely pleasant on the Phone & comfortable with High call volumes


Duties and Responsibilities:
- Monitors partner portals for incoming referrals.
- Work directly with Community Liaisons to process potential and new patient information.
- Carries out daily patient referral and intake operations including implementation and execution of intake best practices.
- Receives case referrals. Clinically reviews available patient information related to case, including disciplines required, to determine home healthcare needs. Assigns appropriate clinicians to case.
- Clinically reviews patient’s clinical diagnosis, medications, procedures and clinical course
- Follows established clinical protocols for accepting patients into the agency's care.
- Escalates to Operations Manager any uncertainties in regards to new referrals and timely patient care initiation.
- Identifies and documents in the referral documentation primary diagnosis, ordered disciplines, need for labs, need for DME orders.
- Coordinates with the internal team to ensure DME orders are timely placed.
- Ensures field personnel are fully aware of what patient needs including timeliness of labs during visits.
- Establishes and maintains positive working relationships with current and potential referral sources.
- Process authorization & scheduling notes in WellSky (Kinnser). Compare submitted communication notes with physician orders.
- Plot and schedule visits. Work with the field team to find staffing coverage.
- Collaborate with the utilization review and authorization teams. Work with others in a flexible and cooperative manner.
- Determines a patient’s eligibility for insurance benefits, typically prior to medical treatments and tests.
- Submissions process for patients and secure any necessary pre-authorizations.
- Verify coverage and communicate with medical facilities to resolve any discrepancies.
- Follow-up on missing or inaccurate information and coordination with clinical staff and physicians.