About the position Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It’s also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. At Hackensack Meridian Health at Home, we recognize our full- and part-time benefit eligible team members by offering a Total Rewards package including comprehensive Health Benefits, generous Paid Time Off, Travel Reimbursement as well as an investment in your future with a 401(k) match and Tuition Reimbursement. Per Diem team members are eligible to participate in Travel Reimbursement and may be eligible to receive a 401(k) match. At www.TeamHMH.com , you’ll find the information, resources and tools that will help you to be successful at HMH. From great benefits and innovative wellness programs, to robust learning and development opportunities, we continue to cultivate an exceptional work environment where you can do the kind of work that leads to fulfillment and professional growth.

Responsibilities

• Responsible for the assessment of patient eligibility for the specific business line by performing a review of all clinical information and obtaining necessary information to support clean billing.
• Accountable to ensure all referrals are clinically complete, efficient and accurate.
• Ensure open communication to operations.
• Liaison between physician offices and external facilities demonstrating customer service skills while assuring clinical documentation to support home care services referrals.
• Identify opportunities to further assist custom needs with home care services.
• Support growth of all product lines on a continuous basis.
• Process all referrals received from referral systems, faxes and phone.
• Utilize clinical judgement in ensuring referrals are clinically appropriate, and completed efficiently and accurately.
• Processes all referrals on a timely basis using proper customer service skills.
• Assure communication between home care operations is timely and appropriate.
• Utilize tracking system to follow up on pending cases.
• Problem solve with staff on any pertinent patient referral issues.
• Maintain current knowledge of Medicare reimbursement criteria and insurance contracts for all at home product lines.
• Ensure patients are informed about their payment responsibilities.
• Assure face to face completion and communication to operations.
• Act as a liaison to physician offices, external facilities and hospitals utilizing customer service skills while assuring and verifying clinical documentation to support home health is obtained.
• Receive all verbal orders for home health orders when required.
• Provide information to referral sources regarding programs and services available to meet customer needs.
• Provide and maintain awareness of home care services.
• Remain knowledgeable in all areas of home care services and the resources available to referral sources in the community, demonstrated by consistent growth of referrals.
• Work with team leaders to assist when help is needed.
• Address clinical issues with supervisor, manager and staff when needed.
• All other duties or projects as assigned.
• Adheres to HMH's Organizational competencies and standards of behavior.

Requirements

• Two (2) years health care experience in acute care, skilled nursing facility, rehabilitation or home health within the last 5 years.
• Proficient in Google platform (Google Docs, Google Sheets etc.).
• NJ State Professional Registered Nurse License or Licensed Practical Nurse.

Nice-to-haves

• Bachelor of Science in Nursing (BSN).
• Homecare experience.

Benefits

• Comprehensive Health Benefits
• Generous Paid Time Off
• Travel Reimbursement
• 401(k) match
• Tuition Reimbursement