At Southern Ohio Medical Center, our mission is to make a difference in the community we serve. We're committed to delivering exceptional care and that starts with our team members. When you join SOMC, you're not just starting a job. You're joining a mission.
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Department: Homecare- Kentucky
Shift/schedule: Full Time (40 hrs/wk)
GENERAL SUMMARY
Works under the supervision of the Nurse Manager. The Home Care Intake Nurse LPN's primary job function is to receive and process referrals and coordinate Home Care admissions. Serves as liaison for Home Care services with all referral sources. Serves as resource to physicians, other referral sources and Home Care staff on reimbursement issues. Verifies reimbursement rates with payer sources and obtains prior authorizations and reauthorizations as needed. Completes ICD coding and assists with QAPI programs. Performs other duties as assigned.
QUALIFICATIONS
Education:
• High School Diploma or successful completion of an equivalent High School Exam Required
• Graduate from an accredited school of practical nursing required
• HCS-D or other ICD Coding Certification preferred
Licensure:
• Licensed to practice as an LPN in Ohio required
• Licensed to practice as an LPN in Kentucky to be obtained after hire required
Experience:
• One year nursing experience preferred
• Prior home care experience preferred
• Good computer data entry skills required
• Will be required to learn ICD-10 Coding
JOB SPECIFIC DUTIES AND PERFORMANCE EXPECTATIONS
The following is a summary of the major job duties of this job. Other duties may be performed, both major and minor, which are not mentioned below. Specific activities may change from time to time.
1. Receives and processes referrals for all Home Care services.
2. Verifies Home Health coverage and/or obtains prior authorization from alternate payer sources. Communicates this information to appropriate personnel.
3. Tracks and monitors visit authorization- submits timely request for reauthorization when needed and communicates this information to appropriate personnel.
4. Documents referral information in the patient record. Initiates referrals for skilled home care services into Delta automated documentation software.
5. Assists in discharge planning from hospitals and institutional settings to insure continuity of care for the patient.
6. Serves as a resource for resolution of billing issues and problems.
7. Assigns ICD Codes to primary and secondary diagnoses and surgical procedures.
8. Assigns and coordinates all admission visits.
Why SOMC? You Care for Our Patients, We Care for You
At Southern Ohio Medical Center, our mission is to make a difference in the community we serve. We're committed to delivering exceptional care and that starts with our team members. When you join SOMC, you're not just starting a job. You're joining a mission.
Compensation & Benefits
Competitive pay with quarterly market analysis
Performance-based annual increase and bonus eligibility
Up to 4% employer contributions to retirement plans (403(b) and Cash Balance Pension)
Comprehensive medical, dental, and vision coverage*
Medical and dependent care flexible spending accounts*
Earned Wage Access - get paid before payday
Paid Time Off bank with 3 annual sick days
Life insurance and disability coverage*
Tuition and certification assistance
Club LC - discounted/free gym membership
Employee discount and payroll deduct programs
And many other benefit offerings!
*Available only to Full-Time and/or Part-Time Employees
Compensation & benefit eligibility is determined by employment status, position type, and hours worked. Offerings are subject to change and governed by SOMC's current plan documents and policies. Specific details will be reviewed upon hire as part of the onboarding process.
Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions of the position in accordance with applicable law. A full job description is available upon request.
Thank you for your interest in Southern Ohio Medical Center. Once you have applied, the most updated information on the status of your application can be found by visiting the candidate Home section of this site. Please view your submitted applications by logging in and reviewing your status
Southern Ohio Medical Center is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to age, ancestry, color, disability, ethnicity, gender identity, or expression, genetic information, military status, national origin, race, religion, sex, gender, sexual orientation, pregnancy, protected veteran status or any other basis under the law.