RN Referral Coordinator

BJC Home Care; Glen Carbon (IL); On-site; USD 50,000 - 70,000; Full time

Benefits offered by this job

Health insurance

401(k) plan with company match

Tuition Assistance

Paid Time Off

Job summary

BJC Home Care is seeking a dedicated Intake/Referral Coordinator to process referrals accurately, verify insurance, and coordinate with hospital locations across Illinois. The role emphasizes timely communication with the Central Referral Center and admission teams to ensure patients receive appropriate home care services.

Candidates should have an RN license, 2–5 years of experience, and strong knowledge of patient admission criteria and payer policies.

Qualifications

• RN license is required.
• 2–5 years of relevant experience.
• Preferred: Bachelor's degree in a health-related field.

Responsibilities

• Screens referrals to ensure admission criteria are met and compliant.
• Verifies insurance benefits and obtains pre-authorizations when needed.
• Interprets services and policies for referral sources and patients.
• Coordinates discharge planning and informs internal/external customers about services.

Skills

Referral coordination

Education

Nursing Diploma/Associate's

Bachelor's Degree

Job description

Additional Information About The Role

• Full time - 40 hours a week
• Normal Business Hours – Monday through Friday 8 am to 5 pm
• Ability to support IL team needs
• Coordinating with multiple hospital locations in IL
• Travel between IL hospital locations
• Primarily stationed at Alton Memorial
• Supporting both hospice and palliative care in the hospital!
• Hospital experience is a plus!

Overview

BJC Home Care offers patients and their families a complete range of home care services, including skilled nursing services, adult and pediatric hospice and supportive care, rehabilitation therapy, home infusion therapy, infusion treatment rooms, home medical equipment and high-tech respiratory care. Specialty home care programs also are available, including adult and pediatric asthma, cardiac, diabetes, orthopedic and wound care programs.

BJC Home Care provides care to thousands of patients in both Missouri and Illinois. Serving more than 25 counties, it has become the largest home care network in the region and one of the largest in the country.

The Central Referral Center (CRC) for BJC Home Care Services is where the patient referral process starts. There are Intake Coordinators in each BJC hospital who coordinate services for those patients that need home care. The patients who choose BJC Home Care Services are then channeled through the CRC. The CRC also consists of nurses who take physician office referrals for patients not currently hospitalized. There is someone on-call 24/7 for the CRC to facilitate home care coordination for patients in emergency rooms, etc.

Role Purpose

Responsible for processing referrals accurately and efficiently in accordance with established agency policies and admission criteria ensuring timely transmission to operational areas; serve as a resource liaison for all product lines, promote customer satisfaction.

Responsibilities

• Screens referrals to ensure patients meet agency admission criteria and comply with state and federal regulations.
• Verifies insurance benefits, obtains pre-authorizations as necessary, assists billing department, and interprets company services, admission criteria and medical policies to referral sources and individuals seeking information.
• Tracks current clients that are either hospitalized, placed in a short‑term skilled facility or in a rehabilitation facility.
• Communicates and coordinates discharge planning and educates internal and external customers about Home Care Services and/or outpatient services.

Minimum Requirements

Education

• Nursing Diploma/Associate's

Experience

• 2-5 years

Supervisor Experience

• No Experience

Licenses & Certifications

• RN

Preferred Requirements

Education

• Bachelor's Degree
• Nursing/Social Work/related

Experience

• 5-10 years

Benefits And Legal Statement

BJC Total Rewards

• Comprehensive medical, dental, vison, life insurance, and legal services available first day of the month after hire date
• Disability insurance* paid for by BJC
• Annual 4% BJC Automatic Retirement Contribution
• 401(k) plan with BJC match
• Tuition Assistance available on first day
• BJC Institute for Learning and Development
• Health Care and Dependent Care Flexible Spending Accounts
• Paid Time Off benefit combines vacation, sick days, holidays and personal time
• Adoption assistance

To Learn More, Go To Our Benefits Summary.

• Not all benefits apply to all jobs

Equal Opportunity Employer