The Clinical Coordinator-Home Care will work with referral sources, check/verify initial payer information to begin service or to determine if no payer for home care/hospice patient services. Effectively interact with referral sources, patients/patient family. Elicit pertinent clinical and social data related to the referral as well as determine need for service(s). Document and communicate information for staffing and field clinicians. Utilize home care/hospice EMR to enter and maintain patient, physician, clinical, and financial coverage information. Utilize clinical background to own and work the referral to provide a clinical picture for each referral. Acts as a liaison between staff and physicians to facilitate coordination of care to Fairview Home Care & Hospice (FHCH) clients.
This is a part time position that works 10 hour shifts every other weekend.
Acts as a liaison between staff and physicians to facilitate coordination of care to FHCH clients:coordinates Infusion (IV) and enteral referrals with home equipment companies.
Acts as a resource to clients/caregivers and field clinicians on clinical direction, issues, patient concerns, and problem solving.
Resource person for KCI on monthly documentation requirements and care coordination.
Resource for care coordination for PACCT referrals.
Develop and manage TeleHealth process of phone monitoring to implement early interventions and prevent avoidable ED visits or hospitalizations.
Ensure timely entering of High Risk and At Risk referrals.
Serves as a resource to the referral sources, staff, and physicians regarding Fairview Home Care and Hospice services:
Provides Clinical support to field staff.
Communicates effectively and timely with interdisciplinary team members and patients.
Assists Patient Service Coordinators in the triaging of visits, putting client safety first in all decisions:
Makes clinical decisions on issues relating to staffing, and assists with completion of escalation each day.
Works with the Clinical Manager (or other appropriate, designated resource) to facilitate process for Transferring of Referrals to partner agencies.
Resolve patient issues or immediate concerns and complete all appropriate documentation. Reports issues to Clinical Manager or Director as needed.
Manages Triage calls from patient &/or caregiver and resolves on phone or initiate SNV as needed. Completes timely documentation and notification to Case Manager.
Develop and manage TeleHealth process of Phone Monitoring to implement early interventions and prevent avoidable ED visits or hospitalizations.
Assist with coordination, timely entering of orders, and communication to Pediatric Advanced Complex Care Team (PACCT) team.
Assist Clinical Staff in timely completing of KCI clinical documentation and ordering of supplies.
Work with referral sources and patients to communicate and document patient needs for any FHCH services.
Places initial phone call to patient (or their caregiver) referred by their provider for home care to:
Inform patient what will occur on the first visit, i.e. med check, insurance card verification, etc.
Keeps patients informed of patient flow delays.
Enters appropriate documentation in EMR.
Takes telephone orders from MDs.
Enters and generates initial orders per protocol.
Clearly communicate and align patient needs for home care, hospice, care management, private duty/extended hours, and lifeline.
Call referral source, physician, and patient/family/caregiver to communicate appropriate services/disciplines/orders needed for timely initial visit.
Determines episode type for resumption of care, continuation of care or the need to complete a new episode.
Respond to communication sent to or received from case managers relating to needs for a new episode due to change in payer coverage, coverage under a different payer requiring OASIS, etc.
Inquire about and resolve customer satisfaction. Follow up until the concern is resolved. Report concerns and follow through to the appropriate manager(s).
Exhibit excellent customer service with clients, co-workers, referral sources and internal customers.
Role includes being part of a team of Nurses who provide back up to Weekend Supervisor, including weekends and holidays.
1 year recent RN experience in home care or hospice working directly with patients
Previous customer service experience
Keyboarding, MS Word and email experience
Current Minnesota RN license
Bachelors degree in Nursing
Knowledge of home care and hospice coverage insurance guidelines
Internal Fairview Home Care and Hospice experience
Together with the University of Minnesota and University of Minnesota Physicians we have created M Health Fairview. M Health Fairview is the newly expanded collaboration among the University of Minnesota, University of Minnesota Physicians, and Fairview Health Services. The healthcare system combines the best of academic and community medicine — expanding access to world-class, breakthrough care through our 10 hospitals and 60 clinics.Fairview Health Services (fairview.org) is an award-winning, nonprofit health system providing exceptional care across the full spectrum of health care services. Fairview is one of the most comprehensive and geographically accessible systems in the state, with 10 hospitals—including an academic medical center and long-term care hospital—serving the greater Twin Cities metro area.Its broad continuum also includes 60 primary care clinics, specialty clinics, senior living communities, retail and specialty pharmacies, pharmacy benefit management services, rehabilitation centers, counseling and home health care services, medical transportation, an integrated provider network and health insurer PreferredOne. In partnership with the University of Minnesota, ...Fairview’s 32,000 employees and 2,400 affiliated providers embrace innovation to drive a healthier future through healing, discovery and education.