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Community Referral Specialist (RN or LPN)

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PruittHealth

Gainesville, GA, US

1 month ago
full-time
professional certification mentioned

Job highlights

Qualification

Fluent with all Regulatory agencies, reimbursement systems and levels of care. Must be knowledgeable of private insurance and Medicare coverage criteria, rules and regulations. Assists in the evaluation of patients to ensure that they are appropriate for admission to our health care centers. Must provide excellent Customer Service to all referral sources and network of providers if conducting outreach in support of the Community Relations Representative. Be able to learn how to use multiple electronic health systems and platforms to receive referrals. Attend and participate in continuing educational programs to keep abreast of changes in your field as well as to maintain current license/certification, as required. Honor patients/residents’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints. Communicates well with patients/residents/clients and family members providing warm and friendly greeting and an approachable attitude to families, visitors, patients/residents/clients and responds to expressed concerns while displaying a helpful, caring demeanor. Current, active, and unrestricted Registered Nurse (RN) licensure in the state of practice

Responsibility

The Community Referral Specialist will manage all incoming referrals from a selection of key referral sources. They will evaluate referrals for admission to PruittHealth leveraging clinical experience and an understanding of Home Health agencies. In this cross-functional role, the Community Referral Specialist will engage with partners across disciplines, from external hospitals and healthcare systems to Pruitt administrators, clinical managers, and Community Relations Representatives. Review patient referrals and respond on behalf of PruittHealth. Access multiple electronic health systems to receive referrals. Understand daily agency statuses across staffing, payor, and clinical abilities and manage. Partner closely with sales partners, admins, and clinical managers. Support further processing referrals, vet payors, and conduct welcome calls if bandwidth allows. Perform other related duties as necessary and as directed by supervisor. Taking responsibility for a regional territory of Hospitals and community services in order to facilitate placements within the network of providers. Answers questions when appropriate in a professional manner

Benefits

  • In return, we are committed to supporting your nursing career through top-of-market pay, flexible schedules, preceptorship, and more
  • Investing in Our Employee-Partners with Benefits
  • Annual merit increases
  • Premium Pay Days (1.5x pay for holidays)
  • Paid time off
  • Employee Referral Bonus Program
  • Preceptorship Program and hands-on training
  • Competitive mileage reimbursement rates
  • Comprehensive health plans
  • 401(k) and profit-sharing plans
  • Paid Time Off
  • Health Insurance
  • Retirement Savings

Job Description

Description

COMMUNITY REFERRAL SPECIALIST (RN or LPN) Home Office Location: Gainesville, GA HOME HEALTH SERVICES Join the PruittHealth @Home family, where we deliver quality care where the patients choose to be! We know that home is where the heart is, and thanks to our PruittHealth @Home caregivers, home is where the healing happens too. PruittHealth @Home is committed to our patients and to your home health career. If you’re looking for a home, rather than a job, then now is the time to join one of the leading providers of post-acute care. PruittHealth @Home will help you conquer your career goals. Our Home Health team is searching for compassionate caregivers who are committed to serving our patients in the comfort of their own home. In return, we are committed to supporting your nursing career through top-of-market pay, flexible schedules, preceptorship, and more. Investing in Our Employee-Partners with Benefits • Top-of-market pay • Annual merit increases • Premium Pay Days (1.5x pay for holidays) • Paid time off • Employee Referral Bonus Program • Preceptorship Program and hands-on training • Competitive mileage reimbursement rates • Comprehensive health plans • 401(k) and profit-sharing plans JOB PURPOSE: The Community Referral Specialist will manage all incoming referrals from a selection of key referral sources. They will evaluate referrals for admission to PruittHealth leveraging clinical experience and an understanding of Home Health agencies. We are looking for someone with a clinical background interested in helping patients get the opportunity to obtain services by PruittHealth and support Community Relations Representatives sustain business partnerships with referral sources. In this cross-functional role, the Community Referral Specialist will engage with partners across disciplines, from external hospitals and healthcare systems to Pruitt administrators, clinical managers, and Community Relations Representatives. KEY RESPONSIBILITIES: 1. Review patient referrals and respond on behalf of PruittHealth 2. Access multiple electronic health systems to receive referrals 3. Understand daily agency statuses across staffing, payor, and clinical abilities and manage points of contact across up to 10 agencies 4. Partner closely with sales partners, admins, and clinical managers 5. Support further processing referrals, vet payors, and conduct welcome calls if bandwidth allows 6. Perform other related duties as necessary and as directed by supervisor KNOWLEDGE, SKILLS, ABILITIES: • Fluent with all Regulatory agencies, reimbursement systems and levels of care. • Must be knowledgeable of private insurance and Medicare coverage criteria, rules and regulations. • Assists in the evaluation of patients to ensure that they are appropriate for admission to our health care centers. • Taking responsibility for a regional territory of Hospitals and community services in order to facilitate placements within the network of providers. • Communicating referral needs within our structure and facilitating admissions into the network of providers. • Must provide excellent Customer Service to all referral sources and network of providers if conducting outreach in support of the Community Relations Representative. • Be able to learn how to use multiple electronic health systems and platforms to receive referrals. • Attend and participate in continuing educational programs to keep abreast of changes in your field as well as to maintain current license/certification, as required. • Honor patients/residents’ rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints. • Communicates well with patients/residents/clients and family members providing warm and friendly greeting and an approachable attitude to families, visitors, patients/residents/clients and responds to expressed concerns while displaying a helpful, caring demeanor. Answers questions when appropriate in a professional manner. LICENSURE, CERTIFICATION, AND EDUCATIONAL REQUIREMENTS • Current, active, and unrestricted Registered Nurse (RN) licensure in the state of practice Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference. We are eager to connect with you! Apply Now to get started at PruittHealth @Home! As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.