Registered Nurse clinical reviewer-intake-scheduling coordinator (work from home)TSG Outsourcing

How to Apply:
Copy and Paste the Link below in the browser to generate the application form:
https://forms.gle/UwbRCBTnF6WVuuRP8
 
Rate: $4/hr, and earn 40,000 PHP/month.
Schedule Options:
Option 1: Thursday - Monday, 9:00 am - 6:00 pm with a 1-hour unpaid lunch break
Option 2: Monday - Friday, 9:00 am - 6:00 pm PST, with a 1-hour unpaid lunch break
 
Qualifications:
Must be Registered Nurse
Must have Home Healthcare clinical documentation review experience
Extremely pleasant on the Phone & comfortable with High call volumes
Duties and Responsibilities:
Monitors partner portals for incoming referrals.
Work directly with Community Liaisons to process potential and new patient information.
Carries out daily patient referral and intake operations including implementation and execution of intake best practices. 
Receives case referrals. Clinically reviews available patient information related to case, including disciplines required, to determine home healthcare needs. Assigns appropriate clinicians to case.
Clinically reviews patient's clinical diagnosis, medications, procedures and clinical course
Follows established clinical protocols for accepting patients into the agency's care.
Escalates to Operations Manager any uncertainties in regards to new referrals and timely patient care initiation.
Identifies and documents in the referral documentation primary diagnosis, ordered disciplines, need for labs, need for DME orders.  
Coordinates with the internal team to ensure DME orders are timely placed.
Ensures field personnel are fully aware of what patient needs including timeliness of labs during visits.
Establishes and maintains positive working relationships with current and potential referral sources. 
Process authorization & scheduling notes in WellSky (Kinnser). Compare submitted communication notes with physician orders. 
Plot and schedule visits. Work with the field team to find staffing coverage. 
Collaborate with the utilization review and authorization teams. Work with others in a flexible and cooperative manner. 
Determines a patient's eligibility for insurance benefits, typically prior to medical treatments and tests. 
Submissions process for patients and secure any necessary pre-authorizations. 
Verify coverage and communicate with medical facilities to resolve any discrepancies. 
Follow-up on missing or inaccurate information and coordination with clinical staff and physicians.