Clinical Coordinator / Office Nurse LPN
Community Home Health Care & CIHC
Community Home Health Care is seeking an organized and dependable LPN to join our nursing department as a Clinical Coordinator/Office Nurse. This office-based position supports daily clinical operations, manages nursing-related calls, assists with referrals and admissions, and coordinates prior authorizations to help ensure clients receive timely, high-quality care. Key Responsibilities
- Receive and respond to nursing-related office calls from clients, caregivers, physicians, and other healthcare professionals.
- Assess concerns within the nurse’s scope of practice and communicate urgent or unresolved matters to the appropriate clinical leader.
- Apply for and submit prior authorization requests with Medicaid, insurance companies, and other payers.
- Follow up on pending authorizations and troubleshoot delays, missing information, denials, and other authorization issues.
- Maintain accurate authorization records and communicate approval status, service dates, and authorized hours to nursing, scheduling, and billing staff.
- Take new referrals and assist the nursing team with the admission process.
- Collect and review required clinical and referral documentation.
- Maintain tracking systems for supervisory visits, comprehensive assessments, recertifications, and OASIS documentation.
- Provide timely information and updates to case management staff.
- Monitor missed-visit reports and assist with required physician notifications and orders.
- Communicate and cooperate with other departments to support clients and employees.
- Maintain accurate and timely documentation in the agency’s electronic medical record system.
- Follow HIPAA requirements and all applicable federal, state, payer, and agency regulations.
- Assist other departments and complete additional duties assigned by management that are appropriate to the employees’ training, licensure, and skills.
- Current Indiana LPN license in good standing.
- Home health care experience preferred.
- Experience with prior authorizations, insurance verification, referrals, or clinical coordination preferred.
- Knowledge of medical terminology.
- Strong organization, communication, follow-up, and problem-solving skills.
- Ability to manage multiple priorities and meet important deadlines.
- Comfortable communicating by telephone with clients, families, staff, physicians, and payer representatives.
- Experience with electronic medical record systems preferred.
- Office-based nursing position.
- Requires prolonged sitting and regular computer and telephone use.
- Must be able to communicate clearly, maintain confidentiality, and work effectively in a busy environment.
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