Hh Intake/Billing Coordinator

Full-time

Description

JOB SUMMARY:

To provide nursing care or coordinate nursing services, in accordance with the patient's plan of care, to include comprehensive health and psychosocial evaluation, monitoring of the patient’s condition, health promotion and prevention coordination of services, teaching and training activities, and direct nursing care. Needs to possess strong interpersonal skills, have an energetic self-starter personality, and exhibits compassion in caring for people. Responsible for introducing and educating clinically relevant providers on our products and services, generating referrals, and performing patient education and training on administration of therapy treatments. Requires proactively building strong relationships with hospital case managers/social workers, physicians and clinical program directors within the assigned hospital(s) to grow referral rates and achieve service goals.

GENERAL REQUIREMENTS:

• Performs all job responsibilities in alignment with the mission and vision of the organization.
• Performs other duties as required and completes all job functions as per departmental policies and procedures.
• Maintains current knowledge in present areas of responsibility (i.e., self-education, attends ongoing educational programs).
• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
• Wears protective clothing and equipment as appropriate.

GENERAL SKILLS:

• Ability to communicate in English, both verbally and in writing.
• Additional languages preferred.
• Strong written and verbal skills.
• Basic Computer Skills

WORKING CONDITIONS:

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
• May be exposed to high noise levels and bright lights.
• May be exposed to limited hazardous substances or body fluids, or infectious organisms.
• May be required to change from one task to another or different nature without loss of efficiency or composure.
• Periods of high stress and fluctuating workloads may occur.
• May be scheduled as needed including overtime.

PHYSICAL REQUIRMENTS & DEMANDS:

• Have near normal hearing: Hear alarms/telephone/normal speaking voice.
• Have near normal vision: Clarity of vision (both near and far), ability to distinguish colors.
• Have good manual dexterity.
• Have good eye-hand foot coordination.
• Ability to perform repetitive tasks/motion.
• Continuously within shift (67-100%): Standing, Walking.
• Frequently within shift (34-66%): Bending/Stooping, Pushing/Pulling, Lift/carry up to 20lbs, Lift/carry greater than 20 lbs. with assistance.
• Occasionally within shift (1-33%): Sitting, Climbing, Twist at waist, Lift/Carry greater than 50 lbs. with assistance, Reaching above shoulder.

MISSION STATEMENT:

QUALITY HEALTHCARE:  

• In our continuing effort to enhance the quality of life for the communities we serve, the Hospital Authority of Miller County is committed to the delivery of superior, safe, cost-effective healthcare through the provisions of education prevention, diagnosis and treatment.

JOB SPECIFIC COMPETENCIES:

• Provides Skilled Nursing Care as Outlined in the Nursing Care Plan:
• Nursing services for home infusions ordered, by the physician.
• Observing signs, and symptoms, and reporting to the physician: reactions to treatments, including drugs, as well as changes in the patient's physical, or emotional, condition.
• Teaching, supervising, and counseling the patient, and caregivers, regarding the nursing care needs, administration of pharmaceuticals, and other related problems of the patient, at home.
• Coordinates the Admission of a Patient:
• Develop and conduct an initial, and ongoing, comprehensive assessment of the patient’s needs, including assessments, at appropriate time points.
• Obtain a medical history from the patient, and/or a family member, particularly, as it relates to the present condition.
• Conduct a physical examination of the patient, including vital signs, physical assessment, mental status, appetite and type of diet, etc.
• Evaluate the patient, family member(s), and home situation, to determine what health teaching will be required.
• Evaluate the patient's environment to determine what assistance will be available, from family members, in caring for the patient.
• Explain nursing and other services to patients and families, as a part of planning for care.
• Develop, and implement, the nursing care plan.
• Coordinate total patient care by conducting comprehensive health and psychosocial evaluation, monitoring the patient's condition, promoting sound preventive practices, coordinating services, and teaching and training activities.
• Evaluate the effectiveness of nursing service, to the patient and family, on an ongoing basis.
• Perform admission, transfer, and discharge for the home infusion patient.
• Prepare, and present, patient's record to the pharmacy manager and/or QA Committee, as indicated.
• Consult with the attending physician, concerning alterations of Patient Care Plans, checks with the appropriate supervisor, and makes changes, as appropriate.
• Coordinate patient and nursing Per Diem or contract services.
• Develop and manage nursing services and coordination of care for home infusion.
• Submit clinical notes, no less often than weekly, and progress notes and other clinical record forms, outlining the services rendered, as indicated.
• Submit a tally of patient care visits made each day.
• Participate in case conferences, discuss with the supervisor problems concerning the patients, and how they may best be handled.
• Participate in the patient’s discharge planning process.
• Cooperate with other agencies providing nursing, or related, services to provide continuity of care and to implement a comprehensive care plan.
• Participate in staff development meeting.
• Continually strive to improve his/her nursing care skills by attending in-service education, through formal education, attendance at workshops, conferences, active participation in professional and related organizations, and individual research and reading.
• Participate in the development, and periodic revision, of the physician's Plan of Treatment and processes change orders, as needed.
• Maintain an on-going knowledge of current drug therapy.
• Adhere to federal, state, and accreditation requirements, including Medicare and Medicaid regulations.
• Adheres to dress code, appearance is neat and clean.
• Completes annual education requirements.
• Maintains regulatory requirements, including all state, federal regulations.
• Maintains and ensures patient confidentiality at all times.
• Reports to work on time and as scheduled.
• Wears identification while on duty.
• Attends annual review and performs departmental in-services.
• Works at maintaining a good rapport and a cooperative working relationship with physicians, departments and staff.
• Represents the organization in a positive and professional manner.
• Resolves personnel concerns at the departmental level, utilizing the grievance process as required.
• Ensures compliance with policies and procedures regarding department operations, fire, safety and infection control.
• Effectively and consistently communicates administrative directive to personnel and encourages interactive departmental meetings and discussions.
• Responsible for introducing, educating hospital case managers, discharge planners, social workers, metabolic support teams, inpatient pharmacy, hospitalists, emergency room physicians and other hospital based clinically relevant providers on our products and services.
• Responsible for developing and maintaining effective relationships with our hospital partner referral sources, home health agencies, and providers.
• Generating new referrals through consistent, coordinated sales and marketing activities within assigned facilities to promote generation of patient referrals.
• Establish professional/peer partnership relationships with referral sources (Discharge Planners, Case Managers,
• Home Health Agencies, Physician Office Nurse).
• Initial referral coordination, patient education and training on administration of their therapy treatment and use of associated equipment prior to discharge from the hospital.
• Provide nursing services for home infusion patients or coordinate nursing services with PRN nursing staff when unavailable
• Perform on call duties which includes call back
• Serve as RN for Mobile Miller when available
• Coordinate patient treatment with Home Health Agency and other ancillary service providers
• As an employee of HAMC, you will be granted user access to applicable ePHI systems based on this position. This user or role-based access is intended to give the minimum necessary access to perform job function(s) only and should be used only as applicable.
• It is the responsibility of the manager/supervisor to authorize only the minimum necessary security access to his/her subordinates. Minimum necessary access limits the use of patient information within the treatment facility to that which is necessary to perform their duties. It is also the responsibility of the manager/supervisor to revoke such access upon termination and/or resignation.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.

PROFESSIONAL REQUIREMENTS:

• Follows Code of Conduct policy.
• Adheres to dress code; appearance is neat and clean.
• Completes annual educational requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled; completes work within designated time.
• Wears identification when on duty; uses computerized time clock system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and/or skills fair and department in-services, as scheduled.
• Attempts to end conversations and other interactions in a positive manner; leaves others with a good impression of the Hospital Authority of Miller County and its employees.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission statement of the organization.

GUEST RELATIONS STANDARDS:

(All guest relation violations are subject to disciplinary action up to and including termination):

• Always treat others in a friendly, helpful manner.
• Refers co-workers to proper sources when unable to provide an answer.
• Interacts with others in a professional and friendly manner.
• Takes interest in others and always gives full cooperation to fellow workers.
• Always maintains an open line of communication with other departments.
• Thoroughly familiar with the hospital and the services it offers.

OTHER:

• Responsibility to Report: It is the responsibility of every employee of HAMC to comply with federal, state and local laws and regulations, as well as, HAMC Policies and Procedures. Every employee is help accountable to participate in, comply with and report concerns to his or her supervisor or the Compliance Officer if illegal or unethical behavior is suspected.
• As an employee of HAMC, you have been granted user access to applicable ePHI systems based on your position.
• This user or role-based access is intended to give you the minimum necessary access to perform your job function(s) only and should be used only as applicable.

OTHER DUITIES:

• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. 

Requirements

  EDUCATION, CREDENTIALS & EXPERIENCE REQUIREMENTS:

• Must be a graduate from an accredited School of Nursing.
• Must be licensed, in the state, as a Registered Nurse.
• One, or more, years of experience, in home infusion, is preferred.
• Must have a working knowledge of home infusion, and the principles and techniques of professional nursing, and required documentation that pertains to it.
• Should be skillful in organization, and in the principles of time management, and have knowledge of management processes.
• Must be able to contribute to the quality of care being rendered, through constructive communication with infusion managers and staff.
• Must have a background check, including criminal history check, Office of Inspector General (OIG)
• Exclusions check and the National Sex Offenders Registry check.
• Must have a current CPR certification. Online certification is not accepted.
• The ability to communicate, both, verbally, and in writing, is required as frequent communication, by telephone, and in writing in English, is required.