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Yakima Home Health & Hospice Intake Coordinator

MultiCare Health System

Yakima, WA

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JOB DETAILS
JOB TYPE
Full-time, Employee
SKILLS
Advance Beneficiary Notice (ABN), Cancer, Cardiology, Career Development, Certified Medical Assistant, Certified Nursing Assistant (CNA), Communication Skills, Cost Control, Customer Support/Service, Data Analysis, English Language, Federal Government, Federal Laws and Regulations, Fellowship, Home Care, Hospice Care, Hospital, Insurance, Interpersonal Skills, Interpret Regulations, Licensed Practical Nurse/Licensed Vocational Nurse, Medical Assistance, Medical Diagnosis, Medical Terminology, Medical Treatment, Microsoft Office, Nonprofit, Organizational Skills, Patient Care, Patient Care Authorizations, Pediatrics, Performance Management, Presentation/Verbal Skills, Primary Care, Professional Services, Project/Program Coordination, Quality Metrics, Staff Training, State Laws and Regulations, Stewardship, Team Player, Time Management, Tuition Fees, Writing Skills
LOCATION
Yakima, WA
POSTED
30+ days ago
You Belong Here.

At MultiCare, we strive to offer a true sense of belonging for all our employees. Across our health care network, you will find a dynamic range of meaningful careers, opportunities for growth, safe workplaces, and flexible schedules. We are connected by our mission - partnering and healing for a healthy future - and dedicated to the health and well-being of the communities we serve.

FTE: 1.0, Shift: Day, Schedule: Monday - Friday, 8:00am - 4:30pm, Rotating Saturdays

This is a hybrid role that will require working onsite/in office 2-3 days a week.

Position Summary
The Intake Coordinator is the functional expert responsible for appropriately receiving and coordinating Home Health and Hospice referrals from physicians, hospitals, facilities and other community referral sources. Operating with minimal supervision, this position requires substantial specialized knowledge, judgment, and skill. The Coordinator verifies program appropriateness; processes referrals and prior authorizations; completes pre-registration as required by patient type and anticipated service; submits and monitors pre-authorizations; creates price estimates; communicates Advance Beneficiary Notice (ABN) issues to referring providers, and works with referring providers to resolve pre-service authorization denials. The coordinator uses critical thinking skills in making decisions regarding patient care that includes knowledge and integration of relevant standards, resources, and data while working with the LPN and RN Intake Coordinators to make informed patient decisions.

This position will be remote with the requirement to come to Yakima office when appropriate.
ESSENTIAL RESPONSIBILITIES

1. Works under the direction of an RN or LPN
2. Receives and reviews referral information to ensure referrals are appropriate.
3. Participates with the physician, referral sources and professional and ancillary services in coordinating initiation of home care services.
4. Communicates with and receives admission orders from physicians regarding the patient's condition.

5. Communicates with physicians, patients and families regarding delays in admission related to insurance or lack of physician orders.
6. Coordinates with preauthorization specialist to ensure patient has appropriate insurance coverage.
7. Tracks and monitors all referrals until patient is admitted to service.
8. Works cooperatively with the interdisciplinary team to communicate patient status and needs to the physician.
9. Documents coordination activities, with physicians, patients and their families in the electronic record with accuracy, timeliness, and according to policies.
10. Participates in the performance improvement and competency programs as requested.
11. Documents all incidents of error per agency policy
12. Resolves inquiries received pertaining to patient referrals
13. Interprets regulations and policies for patients and patient families consistent with the defined scope of work
14. Serves as a functional expert for peers throughout Home Health and Hospice
15. Reviews assigned work queues and reports to ensure goals and deadlines are met
16. Meets daily productivity and quality standards associated with job requirements
17. Demonstrates overall knowledge of Home Health and Hospice guidelines, insurance and benefit types, and agency requirements
18. Provides feedback to management on issues that impede timeliness of starts of care and work with management to resolve
19. May assist in training new staff
20. Functions as a backup to scheduling staff
21. Adheres to MYMH Attendance and Punctuality Policy and Procedure standards, and maintains reliable attendance
22. Contributes to the success of the organization by meeting organizational competency expectations and core values (respect, integrity, stewardship, excellence, collaboration and kindness), continuously learning, and by performing other duties as needed or assigned.
23. Able to assess data reflecting the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his or her age-specific needs.
24. Maintains knowledge of state and federal regulations regarding agency requirements. Clinical Knowledge, PDGM guidelines and acceptable diagnosis codes, medical terminology, and organizational and department procedures.
25. Proactively collaborates with other teams and departments to include phone and email communications, in-person site visits, and subject matter expert training. Good oral and written communication skills, grammar and spelling in the English language.
26. Ability to work efficiently under pressure; work effectively in a team environment and with a diverse patient population. Ability to deal with difficult people and/or difficult situations professionally and courteously. Ability to work independently under limited supervision, takes initiative, deals effectively with constant change, and willingly accepts responsibility.

QUALIFICATIONS AND REQUIREMENTS
Education: Minimum of two years of customer service experience required. Graduate of an accredited medical assistant or certified nursing assistant program preferred.
Experience: Minimum of three or more years of pre-authorization or referral coordinator experience, or more years of experience in scheduling, or two years of Home Health and or Hospice intake experience required. Experience with the Microsoft Office Suite required.

About Yakima Memorial Hospital

MultiCare Yakima Memorial Hospital has served the Yakima Valley since 1950. This 226-bed, not-for-profit hospital features a multispecialty team across 20+ primary and specialty care locations, providing cardiac care, cancer care, pediatric trauma care, hospice and advanced care for children with special health needs. Clinicians here care for a diverse patient population and make a meaningful impact in a collaborative, supportive environment where teams are valued and patients are grateful.

About the Yakima Community

Yakima enjoys 300 days of sunshine a year and a valley setting surrounded by desert hills and mountains. The area offers endless outdoor activities, from hiking, mountain biking and fishing to skiing, rafting and camping. Residents also enjoy rivers, lakes and scenic trails just minutes from home, along with a lower cost of living and a welcoming community - perfect for those who love an active outdoor lifestyle.

Why MultiCare?

Rooted in the local community - Partnering with patients, families and neighbors across the Pacific Northwest for more than 140 years

Growth and education - Competitive tuition assistance, award-winning residencies, fellowships and career development to invest in your future

Well-being and support - Generous PTO, Code Lavender and Employee Assistance Programs to help you maintain balance and feel cared for at work and in life

Living our values - Respect, integrity, kindness and collaboration guide how we care for patients, communities and each other

Belonging for all - Employee Resource Groups, inclusion initiatives and outreach programs support a workplace where every voice is valued

Pacific Northwest lifestyle - Work and live where natural beauty, adventure and strong community connections are part of everyday life

Pay and Benefit Expectations
We provide a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and paid time off. As required by various pay transparency laws, we share a competitive range of compensation for candidates hired into each position. The pay scale is $19.32 - $27.80 USD. However, pay is influenced by factors specific to applicants, including but not limited to: skill set, level of experience, and certification(s) and/or education. If this position is associated with a union contract, pay will be reflective of the appropriate step on the pay scale to which the applicant's years of experience align.

Associated benefit information can be viewed here.

MultiCare is an equal opportunity employer. Hiring decisions are made without regard to race, color, religion, national origin, sexual orientation, gender identity, disability or veteran status. EOE/AA/M/F/D/V

About the Company

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MultiCare Health System