Intake and Referral Management
Receive and process all new referrals from hospitals, physicians, and community sources.
Verify patient eligibility, insurance coverage, and required documentation for Medicare certification.
Obtain and review physician orders prior to the start of care (SOC).
Coordinate timely start-of-care visits to meet Medicare Conditions of Participation (CoP §484.55).
Care Coordination and Case Management
Serve as the liaison between patients, families, physicians, clinicians, and other community resources.
Ensure that patient plans of care are established, updated, and followed according to CMS guidelines and physician orders.
Monitor visit frequencies, missed visits, and outcomes to ensure compliance with the established care plan.
Communicate changes in patient condition or physician orders to all appropriate team members.
Documentation and Compliance
Ensure timely and accurate entry of all patient data into the Electronic Health Record (EHR) system.
Maintain compliance with Medicare documentation requirements (including OASIS assessments, plan of care, and visit notes).
Participate in agency Quality Assurance and Performance Improvement (QAPI) activities.
Review clinical documentation for completeness and accuracy prior to submission for billing.
Assist with internal and external audits and regulatory surveys.
Scheduling and Staff Coordination
Schedule clinicians (RNs, PTs, OTs, STs, HHAs) based on patient needs, clinician skills, and visit frequency requirements.
Communicate promptly regarding schedule changes, missed visits, or urgent patient needs.
Collaborate with clinical leadership to ensure adequate staffing coverage.
Communication and Customer Service
Provide excellent service to patients, families, referral sources, and staff.
Address and resolve patient or caregiver concerns in a timely and professional manner.
Promote a positive image of the agency in the community and among referral partners.
Qualifications:Education and Experience:
Must be a US Registered Nurse
Minimum 2 years of experience in home health care, case management, or clinical coordination.
Knowledge of Medicare Conditions of Participation, OASIS documentation, and HIPAA compliance required.
Skills and Competencies:
Strong organizational and time-management skills with the ability to manage multiple priorities.
Excellent verbal and written communication skills.
Proficient in Home Health EHR software (e.g., Net Smart, Homecare Homebase, MatrixCare, or similar).
Detail-oriented and able to ensure accuracy in documentation.
Empathetic, patient-centered, and committed to quality care.
Service Fee:Industry standards applicable to the state depending on work experience and level of expertise.Hours:US Eastern Standard Time (EST) - 9am to 6pmWhy Limitlessli?We embrace the flexibility and convenience of a remote working environment, and you will collaborate with an international team while contributing to our growing business, all from the comfort of your home.Essential requirements:You will need to have some essential tools - a reliable computer and noise-canceling headset, a second monitor for enhanced productivity, and a stable internet connection. You'll also be required to have a backup internet connection, ensuring that you're well-equipped to complete your work seamlessly.Don't miss out on this opportunity - apply now and become a valuable member of the Limitlessli team! If you're interested in what you have read, then we invite you to take the next step and submit your application.JOIN OUR TEAM!!
Limitlessli
Other Info
Permanent
Full-time
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Limitlessli
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