Central Intake Specialist Resume Example

Central Intake Specialist (RN Coordinator/Liaison): Interact with discharge planners, community case managers, social workers, physicians, and physicians' office staff, to identify the skilled need for home care. Obtain necessary documentation to support the need for skilled services, ensure that home care services are initiated or resumed in a timely manner (according to CMS and Insurance guidelines) after discharge from acute, post-acute, extended care facilities, physicians' and Allscripts/ECIN. Communicate and coordinate home care services via phone, fax, email and the patients' EMR. Verify benefits/eligibility for home care services and communicate results to patient and referral source. Review medical record. Identify clients who have an increased level of care need, or risk of re-hospitalization. Obtain physician orders to increase/add services at time of referral, or ROC, with a focus on improved patient outcomes, decreased re-hospitalizations, Monitor outcomes, make recommendations for changes in processes to improve client and agency outcomes and satisfaction. Collaborate with team members, client/family, discharge planners, and physicians. Provide direction to Clinical Liaisons and managers regarding documentation needed to meet CMS and Insurance guidelines/requirements. Used Microsoft Word to create and update policies/procedures related to my position- as a Hospital Follow-up Liaison. Motivate others to perform well by presenting a positive outlook and good work ethic.

• Developed the Re-hospital Coordinator position
• Actively followed and reported on 200 re-hospitalizations per month
• Acted as active member of the Strategic Planning Committee, Re-Hospitalization Committee, RCD Committee
• Member of Employee Giving Fund
• Perform community outreach

Face to Face (F2F) Specialist: reviewed referral for documentation supporting need for care, appropriate orders, encounter from allowable provider within appropriate CMS time-frame, and confirmation of homebound status. Obtained signatures, missing documentation and corrections.

Discharge Follow-Up Liaison: Monitored needs of patients discharged from VNA. Placed monthly calls to clients to assess needs. Made referrals to internal and external resources, including referral to PCP for office follow up. Noted that clients were being discharged from hospitals and not referred back to VNA. Recommended development of the Re-Hospitalization Coordinator/Liaison roll.