Home Care Intake Specialist

Job Description

Job Description

Position Summary

The Home Care Intake Specialist serves as the first point of contact for patients, families, referral sources, and payers seeking home care services. This role is responsible for managing the end-to-end intake process — from initial referral through authorization and case setup — while ensuring compliance with New York State Department of Health regulations, Medicaid/managed care requirements, and agency policies. The ideal candidate is highly organized, detail-oriented, and skilled at coordinating across clinical, administrative, and insurance teams.

Key Responsibilities

Referral & Intake Processing

• Receive and process referrals from hospitals, physicians, discharge planners, managed care organizations (MCOs), and self-referrals
• Collect and review all necessary intake documentation, including physician orders, medical records, insurance information, and demographic data
• Enter patient information accurately into the agency's Electronic Health Record (EHR) / intake system
• Determine patient eligibility for home care services based on payer requirements and NYS DOH criteria
• Screen referrals for appropriate level of care: CHHA, LHCSA, or private duty nursing
• Communicate intake status updates to referral sources, families, and clinical supervisors in a timely manner

Qualifications

Required

• High school diploma or GED required; Associate's or Bachelor's degree in Health Administration, Social Work, Nursing, or related field preferred
• Minimum 1-2 years of experience in home care intake, hospital discharge planning, or healthcare admissions
• Working knowledge of NYS Medicaid, MLTC managed care plans, Medicare, and private insurance
• Familiarity with home care service types: CHHA, LHCSA, and Private Duty Nursing
• Proficiency with EHR/intake software and Microsoft Office Suite (Word, Excel, Outlook)
• Excellent verbal and written communication skills
• Strong organizational skills and ability to manage multiple referrals simultaneously in a fast-paced environment

Compensation & Benefits

• Competitive salary: $26-28/hrs. (based on experience)
• Bonus program: subject to the number of intakes achieved for the month
• Health benefits contribution
• Volunteer dental and vision insurance
• Paid time off and holidays
• 401(k) or retirement plan
• Training provided on NYS home care regulations and payer requirements