Home Health Clinical Referral Coordinator
Company: Compassus Position Summary The Home Health Clinical Referral Coordinator is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and for promoting the Compassus philosophy, using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. The Home Health Clinical Referral Coordinator is responsible for managing and processing referrals for home health services. They serve as the primary point person in the referral process, ensuring that all necessary documentation and information is collected in order for home health services to be initiated or resumed. This position requires clinical knowledge in additional to technical skills to provide clinical support through the home health referral process. They ensure compliance with regulatory requirements and maintain accurate patient records. Quality, accuracy, and timeliness are critical components to the success of this position. Position Specific Responsibilities + Reviewing, processing, and verifying all referral elements are present for an admission. + Coordinates referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete. + Maintains consistent knowledge of program referral capacity including daily, weekly, and monthly admission targets. Ability to collaborate with program teams to manage these targets on a daily, weekly, and monthly basis. + Collaboration with internal teammates, referral sources, and patient/family on the referral, admission, and resumption of care process. + Drives clinical decisions in collaboration with program teammates to support referral and eligibility decisions. + Supports clinical and non-clinical teammates by teaching, coaching, and guiding teammates. + Engages with referral portals for effective referral management. + Participates in agency quality improvement programs as necessary. + Participates in regularly scheduled daily stand-up meetings for coordination of services, exchange of information and problem solving, and to receive staff support and education as requested. + Applies the policies and procedures of the home health program and the rules and regulations of Federal and State regulatory agencies, including HIPAA, and other certifying agencies in performing duties. + Maintains confidentiality of necessary information. + Utilizes Best Practices shared by the program and support teams to drive an efficient referral to admission process. + Manages patient records through the referral process and updates systems with accurate and current information. + Participates in training courses/sessions as required. + Participates in program meetings as needed. + Prepares reports and data as required and requested. + Organizes and prioritizes large volumes of information. + Displays exceptional customer service to patients/families/referral sources. + Handles confidential and non-routine information. + Triages incoming calls and inquires to the appropriate teammate. + Provides home health information to patients/families as needed. + Captures required information through the referral and intake process. + Performs other duties as assigned. + Obtains orders and documentation needed for admission and/or resumption of care. + May need to work in the field to support clinical needs of a program. This may require carrying a patient load expectation. Education and/or Experience High school diploma or GED required. Associate or Bachelor's degree preferred. Two (2) to three (3) years of related experience and/or training strongly preferred. An equivalent combination of education and experience will be considered. Experience in insurance and Medicare/Medicaid billing and reimbursement preferred Skills Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage. Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications. Effective communication skills with physicians, nurses, and other healthcare personnel. Computer Skills: Utilizes computer software applications effectively in word processing, spreadsheets, database, EMR, and presentation software (MS Word, Excel, Access, PowerPoint, EMR systems and associated software applications). Other Skills and Abilities: Ability to understand, read, write, and speak English. Articulates and embraces integrated healthcare at home philosophy. Certifications, Licenses, and Registrations Active and unencumbered Licensed Practical Nurse/Licensed Vocational Nurse/Registered Nurse license in state(s) of employment required. Current CPR certification required. Physical Demands and Work Environment: The demands of this role necessitate a team member to effectively perform essential functions. Adaptations can be made to accommodate team members with disabilities. Regular standing, walking, and manual dexterity are fundamental, along with the ability to lift and move objects up to 50 pounds. Visual acuity requirements include close and distance vision, color and peripheral vision, depth perception, and the ability to adjust focus. In a healthcare setting, exposure to bodily fluids, infectious diseases, and conditions typical to the field is expected. Routine use of standard medical equipment and tools associated with clinical care is essential. This description provides a general overview and may vary by role and department, capturing the nuanced demands and conditions inherent to clinical positions in our organization. At Compassus, including all Compassus affiliates, diversity, equity, and inclusion are fundamental to our Pillars of Success. We are committed to creating a fair work environment where our team members feel welcomed, highly valued, and respected. As an equal opportunity employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status. Build a Rewarding Career with Compassus At Compassus, we care for our team members as much as we care for our patients and their families. Through our Care for Who I Am culture, we show compassion, respect, and appreciation for every individual. Embark on a career that cares for you while you care for others. Your Career Journey Matters We’re dedicated to helping you grow and succeed. Whether you’re pursuing leadership roles, specialized training, or exploring new career paths, we provide the tools and support you need to thrive. The Compassus Advantage Meaningful Work: Make an impact every day by honoring the quality of life of our patients, supporting them and their families with compassion, and creating moments that truly matter. Career Development: Access leadership pathways, mentorship, and personalized professional development. Innovation Meets Compassion: Collaborate with a supportive team using the latest tools and technologies to deliver exceptional care. Enhanced Benefits: Enjoy competitive pay, flexible time off, tuition reimbursement, and wellness programs designed for your well-being. Recognition and Support: Be celebrated for your contributions through recognition programs that honor your dedication. * A Culture of Belonging: Thrive in a culture where you can be your authentic self, valued for your unique contributions and supported in a community that embraces diversity and inclusion. Ready to Join? At Compassus, your career is more than a job—it’s an opportunity to make a lasting impact. Take the next step and join a team that empowers you to grow, innovate, and thrive.