RN - Referral Intake Nurse

EvergreenHealth; Kirkland (WA); Sur place; USD 66 000 - 120 000; Plein temps

Avantages offerts par ce poste

Medical, vision and dental insurance

Retirement plans (457(b) and 401(a)

Tuition assistance

Paid Time Off/Vacation

Paid holidays

Parking for employees

Commuter benefits

Résumé du poste

EvergreenHealth is seeking a Referral Intake Nurse in Washington to screen, triage, and initiate Home Health and Hospice referrals. You will build relationships with referral sources and insurers, and educate on eligibility and service types.

Role requires WA RN license, BLS, and at least 2 years in home health or hospice, with marketing/outreach experience. Union environment with strong support and benefits.

Qualifications

• Must hold WA state RN license.
• BLS Healthcare Provider certification by date of hire.
• Minimum 2 years in Home Health or Hospice.
• Experience in marketing, sales or community outreach.
• Valid WA driver’s license and proof of insurability.

Responsabilités

• Receives and documents Home Health and/or Hospice referrals from outside sources.
• Assesses clinical needs using referral data and records.
• Determines patient eligibility for services per criteria.
• Verifies orders with physicians and coordinates with the business office.

Connaissances

Home health experience

Marketing outreach

Medicare/JC knowledge

Third-party insurance knowledge

Sales experience

Formation

WA RN license

BLS Healthcare Provider

Description du poste

Wage Range: $48.21 - $87.11 per hour

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

All candidates must live in WA state to be considered for role.

Job Summary:

The Referral Intake Nurse is responsible for the initiation, screening and triage of all Home Health and/or Hospice referrals. This position is responsible for maintaining relationships with referral sources and insurance companies. Additionally, the Referral Intake Nurse is responsible for the education of referral sources as to types of patients served and eligibility requirements for service. This position is responsible for oversight/ review of all referrals taken by Intake Support Specialist (ISS).

Primary Duties:

1. Receives and documents Home Health and/or Hospice, Palliative Care referrals called or faxed to the department from all outside sources, including hospitals, clinics, other facilities or families.
2. Assesses clinical needs of patients interpreting and utilizing data obtained from referral sources and medical records as available.
3. Determines patient eligibility for Home Health and/or Hospice, Palliative Care services as measured against program criteria.
4. Verifies skilled care orders with physicians’ as needed, obtains history and physical from physician as needed.
5. Obtains insurance information from referral source and forwards information to Business Office insurance verifier. Obtains insurance authorization for initial visits when appropriate and required by insurer

License, Certification, Education, or Experience:

REQUIRED for the position:

• Current State of Washington professional nursing license.
• Current BLS Healthcare Provider certification by date of hire.
• 2 years of Home Health, Hospice or other Home Care experience.
• Must have prior marketing, sales and/or community outreach experience.
• Current Washington State Driver’s license and proof of insurability, if the position requires regular driving.
• Must have working knowledge of Medicare COP, JC Standard
• Must be familiar with Third party insurance and Medicare HMO’s.

DESIRED for the position:

• Master's degree in nursing

Benefit Information:

Choices that care for you and your family

At EvergreenHealth, we appreciate our employees’ commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being

• Medical, vision and dental insurance
• On-demand virtual health care
• Health Savings Account
• Flexible Spending Account
• Life and disability insurance
• Retirement plans (457(b) and 401(a) with employer contribution)
• Tuition assistance for undergraduate and graduate degrees
• Federal Public Service Loan Forgiveness program
• Paid Time Off/Vacation
• Extended Illness Bank/Sick Leave
• Paid holidays
• Voluntary hospital indemnity insurance
• Voluntary identity theft protection
• Voluntary legal insurance
• Pay in lieu of benefits premium program
• Free parking
• Commuter benefits

This position is covered by a collective bargaining agreement between EvergreenHealth and the Washington State Nurses Association (WSNA). Union membership is optional.