Registered Nurse with 10+ years experience in Home Health Care as an Intake Liaison, coordinating referrals from acute/post-acute settings and physicians' offices. Develops and maintains strong working relationships with internal and external costumers. F2F specialist. Strong understanding of the impact of ICD-10 Coding, PDGM and Review Choice Demonstration on compliance and reimbursement. Ability to effectively communicate my knowledge to interact others. Seeking employment as an Intake Specialist at Southwest General Home Health Care.
Registered Nurse, State of Ohio, License number RN-222523
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.
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.
Case Manager, Skilled Home Health Care: Assessed, treated, and educated clients/families in their homes following physician orders. Created Plan of Care. Documented in medical record. Communicated abnormal findings and updates to physician. Obtained new orders as needed. Evaluated for ongoing needs and qualification for continued care bases on CMS/Insurance guidelines. Educated clients/Families on resources within the community, CMS/insurance guidelines, conditions of participation. Referred to outside agencies and community resources as indicated.
RN Medical Surgical unit specializing in End Stage Renal Disease, Diabetes, HIV/AIDS. Peritoneal Dialysis(PD): performed and instructed patients/families on home PD. Instructed new diabetics.
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