LPN Central Intake Home Health

Riverside Health System • Full-time • Newport News, Virginia, United States • 1w ago

Newport News, Virginia
Overview
Performs intake, insurance verification and preauthorization, and processing of all referrals for service lines within the Home Care Division. Elements required for above include data collection and clinical review of all referrals, determination of referral acceptance based on established criteria, attaining and remaining knowledgeable and current related to Medicare/Insurance reimbursement information and regulations, knowledge of service lines and products, and coordination of services. Provides exceptional customer service to all contacts by telephone, in person and via electronic media.

What you will do

Performs clinical review of data collected, accurately determines appropriateness and acceptance of referrals based on established criteria, coordinates services and dissemination of information. Facilitates transfer of referral to other agency for declined referrals. Performs any follow up and continues communication with all parties until referral is complete and/or services are provided or cancelled.
Uses clinical knowledge to collect complete and appropriate data for referrals, and fields phone calls utilizing the Care Difference principles. Serves as an information resource for all applicable services including contact information, coverage criteria, availability of services and alternatives to applicable services when appropriate.
Responsible for data maintenance and integrity, entering and retrieving data from various computer systems and recording on specified forms.
Builds comprehensive knowledge base, and continuously works toward remaining knowledgeable and current of Medicare/Insurance information and regulations, RHCD products and services and community resources.
Performs intake, insurance verifications, preauthorization's (when required), and processing of all referrals for services lines within the Home Care Division.

Qualifications

Education

Program Graduate, Licensed Practical Nurse (Required)
Bachelors Degree, Nursing (Preferred)

Experience

1 year Nursing experience (Required)
Homehealth experience (Preferred)

Licenses and Certifications

Licensed Practical Nurse (LPN) - Virginia Department of Health Professions (VDHP) (Required)
CPR/BLS Certification - American Heart Association/American Red Cross/American Safety and Health Institute (AHA/ARC) within 30 Days(Required)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

Related Jobs

LPN - Home Health

Enhabit Home Health & Hospice • Full-time • Portsmouth, VA, US • 1w ago

LPN Hospice Home Health

Overview Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find your calling at Enhabit Home Health & Hospice. As a national leader in home-based care, Enha...

1w ago

VIEW JOB

EMT - LPN

Biomat USA, Inc. • Full-time • Norfolk, Virginia, United States • 3w ago

LPN

Would you like to join an international team working to improve the future of healthcare? Do you want to enhance the lives of millions of people? Grifols is a global healthcare company that since 1909 has been working t...

3w ago

VIEW JOB

RN/LPN Weekend Supervisor

Consulate Health Care • Full-time • Norfolk, VA, US • 2w ago

LPN Manager/Supervisor

We are searching for a RN/LPN Weekend Supervisor to join our community that is patient & family focused, team builder, and excited about the opportunity to assist in building a culture. If you are a Nurse Su...

2w ago

VIEW JOB

Licensed Practical Nurse

Consulate Health Care • Full-time • Norfolk, VA, US • 1m ago

LPN

Are you a dedicated and compassionate Licensed Practical Nurse - LPN looking for an exciting new opportunity? Look no further! WHY CHOOSE US We invest in our team and empower them for upward movement withi...

1m ago

VIEW JOB

EMT - LPN

Biomat USA, Inc. • Full-time • Portsmouth, Virginia, United States • 1m ago

LPN

1m ago

VIEW JOB

RN/LPN Supervisor Weekend

Consulate Health Care • Part-time • Norfolk, VA, US • 1m ago

LPN Manager/Supervisor

Looking for qualified RN/LPN Weekend Supervisor (Part-Time) to join our team! We are searching for a RN Weekend Supervisor to join our community that is patient & family focused, team builder, and excited ab...

1m ago

VIEW JOB

LPN

ChenMed • Full-time • Norfolk, Virginia, United States of America • 2w ago

LPN

We’re unique. You should be, too. We’re changing lives every day. For both our patients and our team members. Are you innovative and entrepreneurial minded? Is your work ethic and ambition off the charts? Do yo...

2w ago

VIEW JOB

Licensed Practical Nurse

DaVita • Part-time • Portsmouth, Virginia 23707, United States • 1w ago

LPN

Maryview Hospital3636 High Street-6th floor, Portsmouth, Virginia, 23707, United States of America DaVita is seeking a Licensed Practical Nurse who is looking to give life in a hospital setting. You can make an excepti...

1w ago

VIEW JOB

LPN- Charge Nurse- FT & PT All Shifts

Norfolk Health & Rehabilitation Center • Norfolk, VA, US • 4m ago

LPN

Norfolk Health & Rehabilitation Center in Norfolk is seeking LPNs for its 180 bed skilled nursing and rehabilitation center. We're looking for caring, warm-hearted nurses who are seeking an opportunity to do...

4m ago

VIEW JOB

MDS Coordinator (RN or LPN)

Consulate Health Care • Full-time • Norfolk, VA, US • 5m ago

LPN MDS

Looking for qualified MDS Coordinators (RN or LPN) to join our team at the Consulate Health Care of Norfolk! NOW OPEREATING UNDER A NEW ADMINISTRATIVE AND CLINICAL MANAGEMENT TEAM! You will have flexibili...

5m ago

VIEW JOB