Job Details

General Purpose of Job:

Centralizes Agency referrals to assure that appropriate services are based on defined needs to patient/referral source. Assures that reimbursement guidelines are met. Provides document review after completion of entry of patient into agency.

Essential Duties:

This job description is intended to cover the minimum essential duties assigned on a regular basis.  Caregivers may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Receives and assesses intake information from physicians, hospitals, and other community resources as prescribed by the physician and in compliance with state and regulatory requirements including agency policy and procedures.
• Obtain all payor information and assist in payor verification
• Functions as a clinical resource for the agency as it relates to the appropriateness of referrals
• Promotes/educates referral sources regarding Sparrow Home Care services that available and maintain a positive relationship with all referral sources, both external and internal.
•  Serves as a resource to hospital personnel, patients, families, physicians, home care clinicians, maintains and enhances professional expertise through appropriate educational/organization activities.
• Communicate referral information timely to scheduling to ensure timely initiation of care.
• Assists in the development of tools and collects data for monitoring agency compliance with Conditions of Participation, JCAHO standards, OASIS, and monitoring utilization of services for improving patient outcomes and agency profitability.