RN Referral Coordinator

BJC HealthCare; Glen Carbon (IL); On-site; USD 65,000 - 90,000; Full time

Benefits offered by this job

Medical benefits

401(k) plan

Tuition Assistance

Job summary

BJC Home Care in Illinois is seeking an experienced coordinator to process referrals, verify insurance, and coordinate discharge planning for hospice and palliative care across IL hospital locations. The role requires collaboration with CRC and intake coordinators, and travel between IL hospital sites is expected.

Primarily stationed at Alton Memorial, hospital experience is a plus. Normal business hours, full-time, 40 hours a week, with responsibilities including ensuring admissions criteria

Qualifications

• Screens referrals to ensure patients meet admission criteria and comply with state and federal regulations.
• Verifies insurance benefits, obtains pre-authorizations as necessary, assists billing and interprets policies.
• Tracks current clients hospitalized or in short-term facilities or rehab facilities.
• Coordinates discharge planning and educates internal and external customers about Home Care services.

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 policies.
• Tracks current clients hospitalized or placed in short-term skilled facilities or rehabilitation facilities.
• Communicates and coordinates discharge planning with internal and external customers.

Skills

Referral processing

Discharge planning

Regulatory compliance

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.

Preferred Qualifications

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

At BJC we’re committed to providing you and your family with benefits and resources to help you manage your physical, emotional, social and financial well-being.

• 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

The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job. Equal Opportunity Employer