POSITION SUMMARY:

This position provides skilled nursing care to patients at home in accordance with state licensure requirements, Medicare Conditions of Participation, Title 22 licensure regulations, nursing protocol and Livingston’s policies and procedures.

QUALIFICATIONS & REQUIREMENTS: 

• Valid California Licensed Vocational Nurse License
• Valid Basic Life Support Certification
• One Year of Professional Nursing experience
• Valid Driver License and auto insurance
• Knowledge of computer, proficient with Microsoft Word and Excel.
• Good verbal and written communication skills.
• High level of attention to details.
• Able to work independently, take ownership and responsibility of tasks.
• Strong professional ethics, discretion and judgment.
• Good organizational skills.

ESSENTIAL JOB FUNCTIONS

• Provides skilled nursing care as required by the plan of care for the patient.
• Prepares clinical notes and progress notes as required and submits documentation within 48 hours.
• Documents skilled nursing care appropriate for billing and is aware of reimbursement issues.
• Attends team case conference meetings.
• Informs the case manager nursing supervisor, physician and other interdisciplinary team members of changes in the patient’s condition and needs
• Provides education and information to the patient and family in meeting nursing and related needs.
• Participates in educational programs to maintain skills and knowledge of current nursing practices; in case conference meetings to provide continuity of patient care; and in weekend work as needed.
• Maintains a positive, professional, and respectful attitude.
• Performs other related duties as assigned.

POSITION SUMMARY:

The Clinical Manager’s key responsibilities are to plan, coordinate, manage and evaluate the activities of multidisciplinary teams to ensure the delivery of high-quality home care services to the patients of their team.

This includes supervision of assigned Palliative Case Mangers, Case Managers, Registered Nurses, Licensed Vocational Nurses, Physical Therapist, Occupational Therapist, Physical Therapy Assistant, Social Worker and Certified Home Health Aides working with Palliative patients.  This position interacts with patients, caregivers, and their families, physicians, community organizations, and works collectively and collaboratively with LMVNA administrative personnel, Quality Improvement, Education, and Compliance Department to ensure safe, quality care for the patients. The Clinical Manager ensures high quality patient care in compliance with Title 22, Medicare, state licensure regulations, and the organization’s policies and procedures.

QUALIFICATIONS & REQUIREMENTS: 

• Valid California Registered Nurse License
• Minimum four (4) years professional nursing experience
• Minimum three (3) years Home Health experience.
• Valid Basic Life Support Certification
• Valid Driver License and auto insurance
• Knowledge of computer, proficient with Microsoft Word and Excel.
• Good verbal and written communication skills.
• High level of attention to details.
• Able to work independently, take ownership and responsibility of tasks.
• Strong professional ethics, discretion and judgment.
• Good organizational skills.

ESSENTIAL JOB FUNCTIONS

• Supervises and oversees the planning, organizing, and directing of patient care services, ensuring consistent delivery of high-value quality care to all patient populations served.
• Establishe patient assignments, staff scheduling, and patient visit volume distributions, and assists in meeting financial targets by effectively managing utilization, productivity, personnel, and supplies.
• Supports and educates staff in resolving operational issues/problems.
• Assists in developing and implementing changes in policies, practices, and standardized procedures based upon input from staff and administration to remain congruent with current laws and regulatory standards while promoting optimal patient care.
• Collaborates with others to coordinate services, streamline and standardize work flows and procedures, and/or drive positive outcomes.
• Performs field supervision, evaluations and audits to ensure physician orders are followed by staff and visit documentation is done appropriately.
• Responsible for review of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, for appropriateness of care, delivery, and documentation requirements.
• Assesses staff education needs based on the review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Responsible for the QA/PI activities. Works with Quality team relative to data tracking for performance review and outcomes of care analysis to determine efficiency, the efficacy of case management system as well as any other systems and process. Competently performs patient care assignments and staff management activities.
• Performs OASIS competency testing for all geographic team clinicians who perform OASIS assessments.
• Reviews OASIS documentation and Plans of Care with assistance of other QI staff as needed and communicates with individual staff members regarding discrepancies and/or errors.
• Promotes and facilitates understanding of the fiscal impact of all clinical practices and documentation. Maintains knowledge of third party reimbursement requirements and regulation.
• Participates in regularly scheduled weekly patient case conferences for each team.
• Provides direct patient care on an infrequent basis as needed.
• Manage referrals, assign patients to teams, oversee patient care plans.
• Participates in the Administrator On Call rotations.
• Participates in the interviewing, hiring, training, and development of direct care clinicians.
• Participates in case conferences and staff meeting. Supervises and coordinates the activities of the patient care team to ensure collaboration and coordination of care for the patients.
• Participates in orientation of new staff and assignment of clinical preceptors.
• Serves as clinical resource for team members including, but not limited to, responding to clinical questions, obtaining needed orders and/or facilitating interdisciplinary communication to ensure collaborative problem solving.
• Demonstrates leadership skills that are aligned with the strategic plan in coordination with LMVNA leadership.
• Demonstrates ability to handle sensitive issues and conflict among others and recognizes when to consult with the Director of Patient Care Services.
• Actively participates in agency committees and project teams as assigned.
• Performs other related duties as assigned.

POSITION SUMMARY:

Under limited supervision provides and documents intermittent therapeutic, restorative skilled services in the patient’s place of residence. Patient problems range from simple to very complex. Provides services when ordered by a physician and in accordance with accreditation guidelines, Federal and State Rules and Regulations, accepted standards of nursing practice and LMVNA Policies and Procedures. 

QUALIFICATIONS & REQUIREMENTS: 

• Valid California Registered Nurse License 
• One year professional nursing experience 
• Valid Basic Life Support Certification 
• Valid Driver License and auto insurance 
• Knowledge of computer, proficient with Microsoft Word and Excel.   
• Good verbal and written communication skills.  
• High level of attention to details. 
• Able to work independently, take ownership and responsibility of tasks. 
• Strong professional ethics, discretion and judgment.  
• Good organizational skills.

ESSENTIAL JOB FUNCTIONS

• Conducts and documents comprehensive nursing assessments. 
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days. 
• Determines program eligibility, needed services, and verifies payer sources. 
• Reviews patient’s medications at every visit, maintains a list of current medications and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge. 
• Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs. 
• Develops and implements an individualized teaching plan for the patient and family/ caregiver with a goal of assisting the patient in reaching the highest level of independence possible. 
• Timely obtains physician orders for necessary care and services. 
• Case manages assigned patients ensuring continuity of care and efficient and effective utilization of resources to ensure patient goals and desired outcomes are met. 
• Communicates timely and effectively with physicians, Case Managers, Directors, Supervisors and appropriate members of the interdisciplinary team regarding changes in the patient’s condition, plan of care, needs and goals. 
• Ensures clinical documentation is complete, accurate, professional and submitted to LMVNA within 48 hours of the visit, patient/family or interdisciplinary care team interaction. 
• Presents assigned patients at care conferences.  
• Proactively ensures patients have correct supplies. 
• Supervises LVNs and CHHAs. Ensures a current CHHA plan of care is on record and available to the CHHA. Makes CHHA supervisory visits at least every two weeks. 
• Collaborates with LVNs on patient care and concerns as related to patients the RN case manages.  
• Ensures that all required notices are provided to the patient or patient’s legal representative timely and in compliance with regulations. These include, but are not limited to: Home Health Advance Benefit Notices (HHABN) and Notices of Medicare Non-Coverage (NOMNC). 
• Collaborates with the team to ensure prior authorizations are completed prior to visits in accordance with policy. 
• Monitors case communication follow up notes, e-mails and work basket items and takes appropriate action in a timely fashion. 
• Meets LMVNA productivity expectations. 
• Works weekends and holiday rotations as assigned. 
• Accurately and timely records and reports hours worked and mileage, as required by state regulations. 
• Identifies health and safety risks and implements risk reduction strategies for self and others according to LMVNA policy and procedure. 
• Actively participates in quality improvement, in-services and other activities as requested or required. 
• May serve as Preceptor to RNs and/or LVNs. 
• Acts as a role model within and outside the agency. 
• Communicates regularly with supervisor about department issues. 
• Demonstrates flexible and efficient time management and ability to prioritize workload. 
• Performs other related duties as assigned. 

POSITION SUMMARY:

Under limited supervision provides and documents intermittent therapeutic, Palliative services in the patient’s place of residence. Provides services when ordered by a physician and in accordance with accreditation guidelines, Federal and State Rules and Regulations, accepted standards of nursing practice and LMVNA Policies and Procedures.

QUALIFICATIONS & REQUIREMENTS: 

• Valid California Registered Nurse license.
• One year prior professional nursing.
• Valid Basic Life Support Certification
• Valid Driver License and auto insurance
• Certified Hospice and Palliative Nurse (CHPN) preferred.
• Knowledge of computer, proficient with Microsoft Word and Excel.
• Good verbal and written communication skills.
• High level of attention to details.
• Able to work independently, take ownership and responsibility of tasks.
• Strong professional ethics, discretion and judgment.
• Good organizational skills.

ESSENTIAL JOB FUNCTIONS

• Conducts and documents comprehensive nursing assessments.
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days.
• Determines program eligibility, needed services, and verifies payer sources.
• Reviews patient’s medications at every visit, maintains a list of current medications and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge.
• Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs.
• Develops and implements an individualized teaching plan for the patient and family/ caregiver with a goal of assisting the patient in symptom management to maintain the highest level of independence possible, for as long as possible and then assists with transitioning to hospice care when appropriate.
• Timely obtains physician orders for necessary care and services.
• Case manages assigned patients ensuring continuity of care and efficient and effective utilization of resources to ensure patient goals and desired outcomes are met.
• Communicates timely and effectively with physicians, Case Managers, Directors, Supervisors and appropriate members of the interdisciplinary team regarding changes in the patient’s condition, plan of care, needs and goals.
• Ensures clinical documentation is complete, accurate, professional and submitted to Livingston within 48 hours of the visit, patient/family or interdisciplinary care team interaction.
• Performs all clinical skills as the Home Health Nurse including line care, blood draws, wound care, etc.
• Presents assigned patients at case conferences.
• Proactively ensures patients have correct supplies.
• Supervises LVNs and CHHAs. Ensures a current CHHA plan of care is on record and available to the CHHA. Makes CHHA supervisory visits at least every two weeks.
• Collaborates with LVNs on patient care and concerns as related to patients the RN case manages.
• Ensures that all required notices are provided to the patient or patient’s legal representative timely and in compliance with regulations. These include, but are not limited to: Home Health Advance Benefit Notices (HHABN) and Notices of Medicare Non-Coverage (NOMNC).
• Monitors case communication follow up notes, e-mails and work basket items and takes appropriate action in a timely fashion.
• Works weekends and holidays as assigned.
• Accurately and timely records and reports hours worked and mileage, as required by state regulations.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to Livingston policy and procedure.
• Actively participates in quality improvement, in-services and other activities as requested or required.
• May serve as Preceptor to RNs and/or LVNs.
• Communicates regularly with supervisor about department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.
• Performs other duties as assigned and complies with all policies of the organization.

POSITION SUMMARY:

This position works with the Certified Wound Ostomy Continence Nurse Specialist II providing consultation to clinical staff regarding wound management and ostomy care regarding patients on care with home health and hospice. This person acts as a consultant in a hospital setting in accordance with state licensure requirements, accreditation guidelines, Title 22 regulations, and the organization’s policies and procedures.

QUALIFICATIONS/REQUIREMENTS:

• Current RN license for the state of California.
• Certified Wound Ostomy Nurse (CWON)
• Two years experience in home healthcare or acute care in this specialty.
• Basic Life Support Certification.

ESSENTIAL JOB FUNCTIONS:

• Manages Wound Advisor, verifies that each wound type and protocols are appropriate and current. Initiates revisions to plan of treatment as necessary.
• Using Wound Advisor, a software program that allows photographs of patients’ wounds to be uploaded to the e-record, is able to provide consultation to clinicians and physicians regarding wound care.
• Manages Wound Advisor protocols and makes changes as appropriate.
• Mentors staff in use of Wound Advisor.
• Provides educational classes for the staff as needed in coordination with the Director of Education.
• Provides education and instruction to patients and their families.
• Participates and instructs in specialty related inservices for the organization and external professional organizations/associations as appropriate/required.
• Participates in QI process related to specialty services.
• Demonstrates knowledge of OASIS documents, performs OASIS visits as needed on appropriate patients (ostomy or difficult wounds).
• Interacts with insurance coordinator and DME provides as appropriate.
• Acts as a liaison for the agency with hospitals and other referral sources and provides them with specialty (CWON) information and instruction.
• In collaboration with Team Coordinators and Case Manager ensures prior authorizations are completed in accordance with policy.
• Proactively ensures patients have correct supplies.
• Attends and participates in weekly case conferences.
• Identifies health and safety risks and implements risk reduction strategies for self and others according to organization’s policies and procedures.
• Communicates regularly with supervisor about department issues.
• Demonstrates flexible and efficient time management and ability to prioritize workload.
• Monitors case communication follow up notes, e-mail and mailbox and takes appropriate action in a timely fashion.
• Accurately and timely records and reports hours worked as required by state regulations.
• Demonstrates assertiveness, leadership and good interpersonal skills with physicians and clinicians. Maintains good internal and external customer satisfaction.
• Maintains a positive and respectful professional attitude.
• Acts as a positive role model within and outside the agency.
• Performs other related duties as assigned.

POSITION SUMMARY:

The Home Care Aide is responsible for providing services to clients at home needing care and assistance during the day and/or night under the direction of Livingston CareGivers policies, protocols and procedures.

QUALIFICATIONS & REQUIREMENTS: 

• Current CPR certification
• CA Home Care Aide Registration ID
• Minimum age of 18 years required
• Good verbal, written and reading skills in English
• Be able to drive yourself to and from your assignments
• Previous experience applicable to position

EDUCATION

• High School Diploma or equivalent
• Current CPR credential

ESSENTIAL JOB FUNCTIONS:

• Assists clients with personal hygiene, physical comfort, nutritional needs, and household activities to ensure a safe and clean environment.
• Communicates effectively and efficiently with the client, family, and/or caregiver regarding client’s needs and the services provided.
• Utilizes techniques of positioning, body mechanics and body alignment.
• Understands rationale and principles related to maintenance of skin integrity and need for infection control.
• Ensures client’s rights, including confidentiality of care.
• Conducts services in a caring, professional and ethical manner at all times.
• Assists with performance of procedures to ensure the physical well being and comfort of the client.
• Responds appropriately to emergencies.
• Participates with office schedulers and the Livingston CareGivers Director in a plan for client services and scheduled home visits.
• Submits legible, timely and accurate documentation for billing and payroll purposes.
• Able to work independently including prioritizing schedule of visits with minimum supervision.
• Must be able to work weekend requirements and variable shifts as needed.
• Must be dependable and able to report to assignments on time.
• Communicates in a timely manner with office staff regarding delayed arrivals or absences from assignments.
• Maintains a positive, respectful and professional attitude.
• Participates in process to maintain internal and external customer satisfaction.
• Performs all tasks according to policies regarding Infection Control and Universal Precautions.
• Performs other duties as assigned.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Performs occupational therapy assessment and treatment as prescribed by the referring physician and in accordance with the Livingston procedure manual and revises treatment plan as indicated.
• May act as patient case manager.
• Instructs, monitors and progresses patient in the use of therapeutic and self-care activities to improve function and increase independence.
• Instructs family members, caregivers and other Livingston personnel in the treatment program by encouraging them to follow through with those procedures that they can perform safely or supervise.
• Communicates with physician on a regular basis to keep him/her aware of patient’s plan of care, responses and status and ensures physician’s orders are followed.
• Communicates, coordinates and consults with other interdisciplinary team members regarding the patient’s plan of care, responses and status, including case conferences and HHA supervision.
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days.
• Reviews patient’s medication list, maintains a list of current medications, and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge.
• Develops and maintains an individualized patient centered plan of care using critical thinking skills.
• Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs.
• Demonstrates understanding of Livingston and third party payor or treatment guidelines and documentation required for payment.
• Instructs Livingston personnel as needed.
• Provides communication to Occupational Therapy Assistant (COTA) regarding patient’s care plan, supervises care provided by COTA, performs COTA field evaluation
• Attends case conference meetings and prepares clinical and progress notes as required, submitting documentation in a timely manner.
• Participates in Quality Improvement process as assigned.
• Understands and adheres to all licensing and certification regulations pertinent to job.
• Participates in a process to maintain good internal and external customer satisfaction.
• Responsible for maintaining integrity of the medical record for each patient whose care they are managing.
• Documents skilled care and other patient-related forms accurately, timely and appropriately for reimbursement, regulatory and compliance mandates.
• Performs other related duties as assigned.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Performs physical therapy treatment as prescribed by the referring physician under the supervision of a Physical Therapist, and in accordance with the Livingston procedure manual and reviews treatment plan as indicated. 
• Monitors and progresses patients in use of therapeutic and self-care activities to improve function and increase independence, and reports these findings to the supervising physical therapist. 
• Instructs family members, caregivers, and Livingston personnel involving them in the treatment program by encouraging them to follow through with those procedures that they can safely perform or supervise. 
• Communicates with the patient’s physician and the Physical Therapist to keep him/her apprised of the patient’s plan of care, responses, and status and ensures physicians’ orders are followed according to Livingston policy. 
• Communicates, coordinates, and consults with other interdisciplinary team members regarding the patient’s plan of care and status, including case conferences. 
• Assists in maintaining a list of current medications. 
• Demonstrates understanding of Livingston and third party payor or treatment guidelines and documentation required for payment. 
• Attends case conference meetings and prepares clinical and progress notes as required, submitting documentation in a timely manner. 
• Participates in the Quality Improvement process as assigned. 
• Understands and adheres to all licensing and certification regulations pertinent to job. 
• Participates in a process to maintain good internal and external customer satisfaction. 
• Meets daily average productivity standard set by Livingston (if full-time employee). 
• Responsible for maintaining integrity of the medical record for each patient, whose care they are managing. 
• Documents skilled care and other patient-related forms, accurately, timely and appropriately for reimbursement, regulatory and compliance mandates. 
• Performs other related duties as assigned. 

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Performs speech/language/cognition assessment and treatment as prescribed by the physician and in accordance with Livingston procedure manual, reviews, and revises the treatment plan as indicated. 
• Instructs, supervises, monitors and progresses clients in techniques and exercises to improve independence in function and intelligibility. 
• May act as patient case manager. 
• Instructs family members, caregivers and Livingston personnel involving them in the treatment process to assist the patient. 
• Communicates with the patient’s physician on a regular basis to keep him/her apprised of the patient’s plan of care, responses and status and ensures physicians’ orders are followed. 
• Communicates, coordinates and consults with other interdisciplinary team members regarding the patient’s plan of care, responses and status, including case conferences and HHA supervision. 
• Accurately collects required data (OASIS) as part of the assessment at Start of Care (SOC), Resumption of Care (ROC), transfer, discharge, when there is a significant change in the patient’s condition and every sixty days. 
• Reviews patient’s medication list, maintains a list of current medications, and reconciles the Home Health medication list with medication lists from other providers; e.g. inpatient discharge. 
• Develops and maintains an individualized patient centered plan of care using critical thinking skills. Evaluates the patient’s response to care, updates the care plan and makes referrals to internal and external resources to meet patient’s needs. 
• Demonstrates understanding of Livingston and third party payor or treatment guidelines and documentation required for payment. 
• Instructs agency personnel as needed. 
• Attends case conference meetings and prepares clinical and progress notes as required, submitting documentation in a timely manner. 
• Participates in the Quality Improvement process as assigned. 
• Understands and adheres to all licensing and certification regulations pertinent to job. 
• Participates in the process to maintain good customer internal and external customer satisfaction. 
• Responsible for maintaining integrity of the medical record for each patient whose care they are managing. 
• Legibly documents skilled care and other patient-related forms accurately, timely and appropriately for reimbursement and compliance mandates.  
• Performs other duties as assigned. 

POSITION SUMMARY:

This position will specializes in the initial evaluation and admission of patients to hospice care. They assess patients’ medical conditions, explain hospice services, and guide them and their families through the admission process. They work as part of an interdisciplinary team to create individualized care plans focused on comfort and addressing both medical and emotional needs.

QUALIFICATIONS & REQUIREMENTS: 

• Valid California Registered Nurse License
• Current Basic Life Support Certification
• One year professional nursing experience.
• Valid Driver License and auto insurance.
• Knowledge of computer, proficient with Microsoft Word and Excel.
• Good verbal and written communication skills.
• High level of attention to details.
• Able to work independently, take ownership and responsibility of tasks.
• Strong professional ethics, discretion and judgment.
• Good organizational skills.

ESSENTIAL JOB FUNCTIONS

• Conduct and document the nursing component of the comprehensive assessment on admission.
• Determine program eligibility, needed services, and verifies payer sources.
• Perform thorough physical and psychological assessments to determine patient needs and appropriateness for hospice care.
• Provide information about hospice care, its philosophy, and services to patients and their families.
• Guides patients and families through the admission process, including obtaining informed consent and completing necessary paperwork.
• Developing initial care plans in collaboration with the interdisciplinary team, addressing medication needs, equipment requirements, and other aspects of care.
• Addressing immediate concerns and providing initial symptom management as needed during the admission process.
• Ensures clinical documentation is complete, accurate, professional, and submitted to Livingston by end of day.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Assists patients to achieve maximum self‑reliance.
• Assists patients with personal hygiene, physical comfort, nutritional needs, and household activities to ensure a safe and clean environment.
• Ensures patients’ rights, including ethics and confidentiality of care.
• Utilizes proper techniques for positioning and body alignment using safe body mechanics.
• Understands rationale and principles related to maintenance of skin integrity and need for infection control.
• Participates in care planning with the interdisciplinary team members.
• Checks equipment and supplies for proper function and maintenance.
• Responds appropriately to emergencies.
• Submits timely and accurate documentation for billing and payroll purposes.
• May assist patients with self-administered medications.
• Works independently, including prioritizing the daily schedule of visits, with minimum supervision.
• Provides proof of participation – a minimum of 12 hours of in-service training during each 12-month period.
• Participates in QI process as assigned.
• Works weekends and holidays as required.
• Participates in process to maintain internal and external customer satisfaction.
• Meets LMVNA daily productivity standard.
• Performs other related duties as assigned.
• Maintains a positive, professional, and respectful attitude.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Responsible for providing skilled nursing intervention and support care via the telephone in accordance with the home health interdisciplinary plan of care for each patient. Assesses the needs of patient and family, determine if a home visit is needed. If a visit is needed, obtains orders and notifies the appropriate Skilled Nurse.
• Initiates referrals from physician orders to start care. Writes supplemental orders for patients that require continuing care. Utilizes intake staff to perform intake duties when they are present. Communicates with physician either directly or indirectly by having nurses telephone the physician.
• Communicates new orders and patient concerns to appropriate departments, i.e., home health and hospice so that orders can be carried out and cases assigned and scheduled.
• Coordinates clinical services to promote clinical practices that meet established VNA nursing care standards.
• Reviews lab results, informs physician of critical abnormal values and documents to Case Manager and Director of Patient Care Services.
• Assists to ensure physicians’ orders are followed accurately
• Ensures compliance with state and federal home care regulations and accreditation requirements.
• Performs scheduling functions as needed and records this information for the Patient Care Coordinators. Asks for direction of the supervisor on call, as needed.
• Provides a report to the triage nurse, schedulers, case managers, and supervisor, by means of writing, voice mail, and/or e-mail
• Reports unresolvable problems and concerns to supervisor on call and carries out supervisor’s plan if asked
• Ability to appropriately and effectively use all components of the team leader manual.
• Initiates the Unusual Occurrence Report for avoidable or potentially avoidable events.
• Acts as resource for injured employee ensuring that LMVNA protocol for injury on the job is followed
• Responds to medical or emotional crisis and/or death of patient by giving instructions over the telephone and assessing if a home visit is needed to provide direct care.
• Provides support and instruction regarding LMVNA protocol to staff and families when a death of a patient has occurred at home.Communicates daily activity summary (call log) to the appropriate supervisor by the morning of the following day.
• Communicates new orders/assignments to home health/hospice staff on weekend schedule.
• Assists staff in appropriate procurement of supplies, patient data, and LMVNA protocol.
• Acts as resource for CHHAs serving home health/hospice patients. Takes report regarding change in condition.
• Responsible for setting alarm systems and securing the building upon entry and exit.
• Performs related duties as assigned.

POSITION SUMMARY:

QUALIFICATIONS/REQUIREMENTS:

ESSENTIAL JOB FUNCTIONS

• Serve as intake resource for staff including, but not limited to, responding to questions, obtaining needed orders, and/or facilitating problem solving.
• Interact with patients and their families, caregivers, physicians, community organizations, and referral sources.
• Maintain up to date knowledge of third-party reimbursement requirements and Medicare regulations regarding criteria for admission, including Face-to-Face requirements.
• Maintain and update the referral process and appropriate referral sources.  This includes, but is not limited to, hospital discharge planners, organization’s social workers, physicians, staff, and the general public.
• Able to verify insurance benefits, eligibility and obtain authorizations (if applicable) for all insured patients.
• Verify referral information, physician’s orders and establishes that Livingston’s admission criteria are met.
• Coordinate complex patient referral with Director of Patient Care Services and Clinical Managers.
• Refer public to outside agencies and community resources, as appropriate.
• Interact with other departments to ensure proper communication is accomplished to ensure good coordination of patient care.
• Track and report intake key performance indicators (KPIs), including referrals statics, time to admission, and payer mix.
• Identify trends, barriers, and process improvement opportunities.
• Participate in QAPI initiatives related to admissions and patient access.\
• Provide training on intake procedures, documentation standards, payer rules, and regulatory requirements.
• Ensure staffing coverage on weekends and holidays.
• Conduct performance evaluations and support staff development.
• Perform other duties as assigned.