Title: Intake Nurse RN- Home Health
Status: Full-Time Monday - Friday
Location: Bolingbrook, IL
Basic Summary of Position:
Receives, evaluates, and coordinates referral activity.
Assists with verification of third-party reimbursement
Follows up on pending unresolved coverage issues.
Distributes information to appropriate division for scheduling
1. Receives and processes all requests for services.
a. Completes referral form with medical and clinical
information. Reviews demographics to insure accuracy
b. Distributes referrals for assignment, scheduling, insurance
verification and billing.
c. Disseminates information and answers inquiries related to the
availability of resources.
d. Verifies physician signing Home Health Plan of Care.
2. Establishes system for prior authorization from third-party
a. Maintains logs and files necessary to assure compliance.
b. Develops and implements procedures for completing and filing
c. Reviews all communication from insurance companies/other
d. Communicates with families and clients regarding the coverage
for home care services.Acts as an educational resource to
physicians, social workers, discharge planners, and utilization
regarding home health services and available coverage.
3. Collaborates with Marketing Staff in providing education and
resources to Agency staff and community.
a. Educates clinical and accounting staff about insurance
benefits and coverage criteria.
b. Works with community referral sources, families, and Agency
staff to problem solve and identify services available to the
client either through Agency services or the community.
c. Participates in Agency orientation for new staff in matters
pertinent to client admission criteria.
d. Provides outside facilities, if indicated, with information
about availability and type of services and reimbursement.
e. Follows up on client transition to home. Communicates with
4. Demonstrates teamwork and effective communication to
accomplish Agency and client goals.
a. May participate in care conferences and other team/Agency
b. Shares client observations and pertinent information
c. Initiates interdisciplinary referrals and works with teams to
identify and access outside resources as appropriate.
d. Participates in Agency quality improvement activities.
Initiates activities related to improvement activities in
5. Performs job in compliance with Agency policies and
procedures and professional and community standards.
a. Accepts responsibility in accordance with the role of Intake
b. Provides services in accordance with state and federal
c. Accepts responsibility for personal and professional
development and identified learning/developmental needs.
d. Maintains confidentiality in all aspects of the job.
6. The ability to maintain friendly, cordial relations with all
clients and employees
7. The ability to maintain friendly, cordial relations with all
clients and employees; maintain a positive work atmosphere by
acting and communicating in a manner that results in a positive
work relationship with customers, co-workers and managers.
8. Ability to comply with ATI standards of operations.
9. Ability to adhere to the Core Values of the Company.
10. On-Call duties as required
1. Perform other duties as assigned by management Knowledge,
Skills and Abilities:
Education: Associates Degree in Nursing
Experience: ? At least two (2) years nursing experience with at
least one year in home care.
Current License or Certification: RN or LPN with current license
to practice in state(s) of operation.
Skills and Abilities:
? Action Oriented;
? Building Effective Teams;
? Business Acumen
? Career Ambition;
? Comfort around Higher Management;
? Command Skills;
? Conflict Management;
? Customer Service Skills;
? Dealing with Ambiguity;
? Drive for Results;
? Microsoft Office;
? Organize and manage multiple priorities;
? Interpersonal and communication (both oral and written)
? Presentation skills;
? Problem solving;
? Team player;
? Time management;
? Timely decision making; and
? Commitment to company values.
Travel Required: None
Hours Required: As needed to complete the job