Care Advocate Nurse

Advocate Aurora Health; Westmont (IL); On-site; USD 80,000 - 100,000; Part time

Job summary

Advocate Aurora Health is looking for a Registered Nurse (RN) for a part-time home health position in Westmont, Illinois. This role involves processing patient referrals, ensuring compliance with care regulations, and providing education to patients and families. Join a compassionate team dedicated to quality home health care, utilizing your nursing expertise to enhance patient lives.

Benefits

Tuition Assistance

Referral Bonus Programs

Comprehensive benefits package

Qualifications

• RN with current licensure and 3-4 years' experience is required.
• Experience in home care is preferred.
• Strong customer service skills and knowledge of Medicare rules are necessary.

Responsibilities

• Processes referrals and ensures patients meet agency admission criteria.
• Documents initial home health care plans and communicates with interdisciplinary teams.
• Trains patients and families on equipment use at home.

Skills

Communication

Critical thinking

Customer service

Multi-tasking

Education

Registered Nurse (RN) licensure

3-4 years experience

1-2 years experience in home care preferred

Job description

Advocate Aurora Health is seeking a Registered Nurse (RN) Home Health for a nursing job in Westmont, Illinois.

Increase your chances of reaching the interview stage by reading the complete job description and applying promptly.

Job Description & Requirements

Specialty : Home Health

Duration : Ongoing

20 hours per week

Shift : days

Employment Type : Staff

REGISTERED NURSE (RN) PART TIME - HOME CARE LIAISON

HOURS : PART TIME DAYS WITH WKD AND HOLIDAY ROTATION. SCHEDULE WILL TYPICALLY BE 2 DAYS ONE WEEK / 3 DAYS THE NEXT.

Major Responsibilities :

Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations.

1)Processes referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites, MD offices, utilizing standard work and determines whether patient qualifies for home care based on established guidelines.

2)Verifies home health care benefits according to payor plans. Obtains authorizations for services as indicated.

3)Ensure physicians initial home care orders are obtained.

4)Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines.

5)Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information.

6)Documents the initial plan of home health care and initiates interdisciplinary communication.

7)Interviews patients / families in the hospital or SNF, to assess and evaluate patient for home care appropriateness.

8)Works in conjunction with the care management staff to assist the patient / family in the initiation of home care services. Responds to inquiries regarding home care services.

9)Works within established productivity guidelines for assigned site(s). Reports productivity to supervisor daily.

10)Trains patient / families in using equipment (e.g. pump) at home.

Provide quality customer service; promote collaboration / coordination between referral sources and home care services to promote continuity of care and utilization of home care resources effectively.

1)Acts as a resource to physicians, physician offices, patients and families, hospital and designated skilled nursing facility staff (i.e. care management, discharge planners, social workers, nursing) regarding types of services available and the criteria for home care, including Medicare guidelines.

2)Provides education to the care team as requested on services that may enhance the transition of care for patients including DME, Hospice, Palliative Care, Pediatrics and Home Infusion Therapy.

3)Maintains knowledge of Medicare, Medicaid and HMO procedures.

4)Attends site based multidisciplinary meetings (e.g. readmissions, capture, discharge planning) that involve Advocate at Home patients.

5)Assures appropriate follow-up to patient satisfaction issues relating to home care services.

6)Provide courteous service to patients, families, staff, and physicians.

Accountable for insuring complete referral information is obtained for accurate and timely billing.

1)Maintains knowledge of agency payers including Medicare, Medicaid and contracted commercial insurance reimbursement guidelines.

2)Collaborate with insurance verification to insure optimal reimbursement.

3)Assists in the development of policies and procedures to ensure compliance with current practice standards.

4)Obtain Face-to-Face (F2F) encounter form for all Medicare, Medicaid and Medicaid pending patients during referral process or within first 7 days.

5)Educates physicians in the Face to Face process.

Teamwork

1)Maintains own clinical skills and competency by attending monthly training and interdisciplinary team meetings.

2)Provide suggestions or improvements in current practices (i.e. process, documentation, etc.) to improve quality, productivity and customer satisfaction.

3)Provide a positive attitude for Advocate at home through self-management.

4)Provide input regarding performance and compliance to standards of peers.

5)Adapt to changing business needs, conditions and work responsibilities.

6)Partner with peers to ensure productivity levels are achieved.

7)Follow standard operating procedures and guidelines during referral processing to insure consistent messaging and superior customer service is provided.

8)Participate in precepting new hire training and orientation.

9)Partner with your peers and other Advocate at Home product lines to provide complete and thorough patient hand-offs when appropriate.

Licensure :

Nurse, Registered (RN)

Education / Experience Required :

RN with 3-4 years' experience 1-2 years in home care preferred

Knowledge, Skills & Abilities Required :

Very good communication skills. Knowledge of Medicare rules and regulations. Experience in multi-tasking on multiple computer systems. Strong customer service skills. Working knowledge of managed care environment. Critical thinking skills.

Current RN licensure

Physical Requirements and Working Conditions :

On call and weekend rotation Ability to work in a fast paced environment Ability to drive to referral sites in all weather conditions and to corporate office for meetings and training / education

If position has direct patient care or direct patient contact the following lifting requirement supersedes any previous lifting requirement effective 06 / 01 / 2015. Ability to lift up to 35 pounds without assistance. For patient lifts of over 35 pounds, or when patient is unable to assist with the lift, patient handling equipment is expected to be used, with at least one other associate, when available. Unique patient lifting / movement situations will be assessed on a case-by-case basis.

COMPENSATION : $35.90-$53.90 per hour

We want our teammates and their families to Live Well. Actual compensation offered in the Pay Range will be based on factors such as qualifications, skills, relevant experience and / or training and internal equity. To accompany base pay, we offer a comprehensive benefits package including

Competitive Pay

Referral Bonus Programs

Tuition Assistance

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.

About Advocate Aurora Health

Advocate Aurora Health's 22,000 nurses demonstrate our values of excellence, compassion and respect, collaborating to advance our stated purpose of helping people live well. To encourage you to be the best nurse you can, Advocate Aurora will provide support, tools and resources for orientation, education and professional development, in the care setting that is best for you. Your voice as a team member will be heard clearly whether you're at one of our 10 Magnet designated hospitals or more than 500 sites of care.

Join our team and be inspired to chart a course for Advocate Aurora to become the best place in the nation for nurses to pursue their passion.