Job description
1. Evaluate Hospitalized patients referred for Home Care
2. identifies and verifies insurance coverage of home health care services
3. Obtains and documents prior authorization for home care services from insurance
4. Negotiates per diem or per visit payment rates for creative bundling of home care
5.ollaborate with the Hospital's discharge planning personal , utilization review department and insurance case managers to facilitate safe , early discharge
6. Consult with physicians , nurses , social workers, discharge planners and other disciplines to establish a coordinated home plan of care
7. interview the patient , family and caregiver and discuses the home situation , current needs .
8. Complete referral information that includes intake data , essential background information , hospital course, and referral
9. Maintain Liaison relationship with hospital and insurance personnel , providing information and education on Organization services, coverage issues and related areas.
10.Participates in patient care conferences and in services
11. Collects and maintains statistical data on all referrals and submits them regularly as required.
12. Attends meetings and participates on committees as required.
13. Performs other duties as assigned.,
Job Type: Full-time
Pay: $20.00 - $25.00 per hour
Benefits:
- Health insurance
- Paid time off
Healthcare setting:
- Outpatient
Medical specialties:
- Home Health
Schedule:
- Monday to Friday
Ability to commute/relocate:
- Woodland Hills, CA 91364: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Customer service: 1 year (Preferred)
- Medical terminology: 1 year (Preferred)
- Computer skills: 1 year (Preferred)
Work Location: In person
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