Nurse / LVN/LPN Job in Daly City, California / Government

Job Title: LPN/LVN Intake Specialist

Job Description:

• Receive and respond to incoming calls from referral sources or potential patients, exchange information to identify patients' needs, and determine the Company's ability to meet them.
• Record the outcome of calls, make follow-up calls as necessary, track and report on conversion ratios, and identify alternative community service sources when Gentiva Health Services solutions are not available.
• Enter referral information in the system, including clinical information and orders for services if available.
• Identify potential payer sources, establish primary payers, document demographic/clinical/payer information, and determine coverage availability for third-party non-governmental payers.
• Notify branch of referral via email as either pending or ready to be staffed.
• Develop and maintain a working knowledge of all services and resources provided by the Company and available within the community.
• Access national account information, including the names of the accounts and the terms of the contracts as appropriate.
• Interact with referral sources to facilitate communications, answer questions, and resolve problems.
• May obtain ongoing authorizations for visits based upon written information supplied by clinical field staff.
• Submit requests to appropriate payers, document authorization, and notify branch via e-mail when authorization is obtained.
• Work with Intake Manager and Branch Managers when requests for care are inappropriate, incomplete, or are not a covered benefit.
• Generate sales correspondence, contact referral sources, and assist in sales/marketing activities.

Requirements:

• Graduation from an accredited school of nursing
• Minimum of three years of clinical experience in area of specialty
• Acute/homecare experience within the past two years
• LPN/LVN licensure in the state(s) of desired practice
• Strong knowledge of governmental home health agency regulations and Medicare policies
• Working knowledge of personal computer and data entry, email retrieval, Internet, and Microsoft Office or equivalent software skills
• Excellent negotiation, organization, decision-making, and communications skills