Home Health Clinical Referral Coordinator

Position Summary

The Home Health Clinical Referral Coordinator models Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation and promotes the Compassus philosophy using the 6 Pillars of Success. The role upholds the Code of Ethical Conduct and fosters positive working relationships within the company, with all departments, and with external stakeholders. The Coordinator manages and processes referrals for home health services, serving as the primary point person in the referral process to ensure all necessary documentation and information are collected for initiation or resumption of home health services.

The position requires clinical knowledge in addition to technical skills to provide clinical support through the home health referral process. It ensures regulatory compliance and maintains accurate patient records. Quality, accuracy, and timeliness are critical to success.

Compassus

• Reviewing, processing, and verifying all referral elements are present for an admission.
• Coordinate referral management with referral sources and Compassus teammates to gather all necessary documentation for a referral to be complete.
• Maintain knowledge of program referral capacity including daily, weekly, and monthly admission targets; collaborate with program teams to manage these targets on a daily, weekly, and monthly basis.
• Collaborate with internal teammates, referral sources, and patients/families on the referral, admission, and resumption of care process.
• Drive clinical decisions in collaboration with program teammates to support referral and eligibility decisions.
• Support clinical and non-clinical teammates by teaching, coaching, and guiding them.
• Engage with referral portals for effective referral management.
• Participate in agency quality improvement programs as necessary.
• Participate in regularly scheduled daily stand‑up meetings for coordination of services and problem solving, and to receive staff support and education as requested.
• Apply 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 when performing duties.
• Maintain confidentiality of necessary information.
• Utilize best practices shared by the program and support teams to drive an efficient referral-to-admission process.
• Manage patient records through the referral process and update systems with accurate and current information.
• Participate in training courses/sessions as required and in program meetings as needed.
• Prepare reports and data as required and requested.
• Organize and prioritize large volumes of information.
• Display exceptional customer service to patients, families, and referral sources.
• Handle confidential and non-routine information.
• Triages incoming calls and inquiries to the appropriate teammate.
• Provide home health information to patients/families as needed.
• Capture required information through the referral and intake process.
• Perform other duties as assigned.
• Obtain 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.

• 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.

• Mathematical
  
  Skills:
  
  Ability to perform basic arithmetic operations and compute rate, ratio, and percentage.
• Language
  
  Skills:
  
  Ability to read, analyze, and interpret business materials; write reports and procedures; present information; and communicate effectively with physicians, nurses, and other healthcare personnel.
• Computer
  
  Skills:
  
  Proficiency with word processing, spreadsheets, databases, EMR, and presentation software; familiarity with EMR systems.
• Other
  
  Skills and Abilities:
  
  Proficient in English; articulates and embraces integrated home healthcare philosophy.