Role Overview:
This full-time position involves processing patient referrals efficiently and accurately, ensuring compliance with agency policies and regulations. The role serves as a liaison across multiple hospital locations, coordinating discharge planning and educating internal and external stakeholders about home care and outpatient services. Primarily stationed at one location, the role requires supporting team needs and traveling between hospital sites.
Responsibilities:
- Screen referrals to verify patient eligibility and adherence to admission criteria.
- Verify insurance benefits, obtain pre-authorizations, and assist billing.
- Track hospitalized or rehabilitated patients and coordinate discharge planning.
- Communicate and educate about home care services to patients and providers.
Qualifications & Skills:
- Education: Nursing Diploma or Associate’s degree; Bachelor’s preferred.
- Experience: 2-5 years required; 5-10 years preferred for advanced roles.
- Licenses: RN certification.
- Skills: Strong communication, attention to detail, and ability to coordinate across teams.
Hospital experience is a plus. The role emphasizes customer satisfaction, regulatory compliance, and effective referral management.