Hours:

Shift Start Time:

10 AM

Shift End Time:

6:30 PM

AWS Hours Requirement:

8/40 - 8 Hour Shift

Additional Shift Information:

Weekend Requirements:

Every Other

On-Call Required:

No

Hourly Pay Range (Minimum - Midpoint - Maximum):

$25.966 - $32.457 - $38.948

The stated pay scale reflects the range that Sharp reasonably expects to pay for this position.  The actual pay rate and pay grade for this position will be dependent on a variety of factors, including an applicant’s years of experience, unique skills and abilities, education, alignment with similar internal candidates, marketplace factors, other requirements for the position, and employer business practices.

What You Will Do
This position supports Hospice intake and call center to meet department objectives. Facilitates effective communication between department staff and the internal and external customers to the department, including but not limited to the physician offices, hospital case management/social work staff, skilled nursing facilities, patients/families, clinicians and leadership team. Reviews complex requests for medical care and services regarding hospice, in accordance with guidelines and regulations. To provide support and help facilitate care coordination services provided by the Hospital based team, intake and call center. This position is responsible for the care and services delivered to the hospice population.

Required Qualifications

• H.S. Diploma or Equivalent
• Driver's License - CA Department of Motor Vehicles -REQUIRED

Preferred Qualifications

• Additional health related education.
• Successful completion of Medical Assistant Program or equivalent.
• 1 Year Hospital/Home Health/Hospice experience.

Other Qualification Requirements

• Utilizes reliable transportation and possesses adequate personal insurance coverage. Demonstrates clean driving record in accordance with requirements of the employer DMV pull notice program and Sharp HealthCare Driver Guidelines.

Essential Functions

• Collaboration of Clinical Resources
  
  Prepares and manages reports for the department. Confirms report accuracy, makes modifications as warranted to reflect current and accurate information.
  Receives incoming referrals from multiple sources including but not limited to Ensocare, Care Port and OnBase.
  Prepares patient chart for hospice by verifying insurance via multiple websites and phone calls, completing multiple tabs in EMR and following through with standard work set in place for incoming referrals.
  Generates phone calls to physician offices for order clarification and completion, patients and families, hospital case management/social work teams and providers including reviewing patient’s need to assist in care coordination under the guidance of licensed clinical staff including supervisor. Contributes to the continuous improvement initiatives of the departments to deliver quality interventions in a timely manner.
  Assist the department by relaying information regarding updates from the case management/social work team at multiple hospitals in regards to the patients discharge plan and other needs.
  Maintains current communications with physician offices and case managers/social workers and all hospice staff.
  Initiates and proactively collaborates with staff regarding frequently utilized community resources.
  Acts as facilitator between physician offices, case managers/social workers and intake/call center and hospice leadership departments.
  Ensures staff are updated throughout the day as needed.
  Schedules duties outside the office and breaks in collaboration with other assistants to ensure phone is answered in person at all times.
  Keeps leadership team appraised of status, including delays or inability to complete tasks.
  Maintains knowledge and skills required to perform co-assistant's specific duties (generation of reports, maintenance of assignment logs, OnBase duties Ensocare and Care Port response duties).
  Responsible for timely and accurate retrieval and appropriate action on departmental phone messages and necessary fax communication.
  Supports staff and leadership to meet department objectives.
• Discharge and Patient Follow-up
  
  Confirm discharges and ensures that referrals are completed and scheduled timely per department standards.
  Prepare hospice chart with appropriate documentation for planned discharge.
  Generates phone calls to patients, physician offices, health plans, and providers to assist in care coordination under the guidance of licensed clinical staff.
  Facilitates the distribution of patient information to EMR to include the patient's chart notes and other necessary documentation as overseen by the licensed clinical staff.
  Calls patients regarding staffing limitations and offers tuck in's with following day admit and keeps open communication with licensed clinical staff, outside referral sources and patient/family.
• Industry Skills and Competency
  
  Verifies insurance utilizing multiple website and phone calls to ensure accurate information in chart such as but not limited to detailed benefit coverage for complex requests specific to patient plan coverage.
  Completes admission follow up in real time including but not limited to verification that the EMR is completed, consents are completed and indexed to appropriate EMR, all MSP and secondary insurance is verified and documented, and all auth requests are finalized and properly processed for timely billing.
• Department Operations
  
  Appropriately and timely responds to requests in Ensocare and Care Port from multiple facilities for Hospice services.
  Appropriately and timely responds to incoming On Base faxes and authorizations from Physician offices and health plans for Hospice services.
  Ensures intake/Call Center has appropriate resources and information to expedite smooth transition to through continuum.
  Develops and maintains comprehensive resource and reference lists per department needs.
  Request and monitor authorization requests daily from health plans to ensure that referral has been received and complete for processing.
  Maintains communication with licensed clinical staff regarding changes in services, payer requirements, and physician coverage.
  Communicates with department regarding planned discharges and updates.
  Fax needed chart information for continued medical care to physicians for their records.
  Completes consents to be sent to patient, family or admitting clinicians with accuracy.
  Answers incoming calls
  Assisting in ordering and/or having equipment picked up for patients to meet the needs of the department and the patient/family.
  Proactive in obtaining current information.
  Attends department meetings.
  Imitates and participates in huddles and quality improvement activities.
  All work is consistently completed in a timely manner.
  Other duties as assigned by management
• Scheduling
  
  Schedule/assign appropriate employees to meet patient needs under the guidance of clinical leadership.
  Utilizes appropriate reports to assign and reassign clinicians as needed to accommodate for admissions, sick calls and changes in staff schedules on a daily and as needed basis with clinical oversight.
  Seeks guidance form supervisor in assigning case managers for all new admissions.
  Notifies the staff by phone, voice mail or computer of changes or additions to their schedules and any special needs of patients (e.g. time sensitive visits, early visits or new orders).
  Meets with leadership periodically throughout the day to address any patient/staffing issues.
  Checks master schedule daily to confirm clinician's schedules.
  Informs leadership if unable to meet guidelines for timely initiation of care.
  Communicates staffing activities, outcomes and changes to other members of the department and coordinates to meet needs across all teams.
  Notifies leadership of ongoing trends in staffing.
• Database and Resource Management
  
  Prepare databases and reports for leads, manager, and director in a timely manner.
  Consistently is up to date and current on requesting authorization from Health Plans and following through to approval.
  Initiates and participates in the creation and development of forms and lists for payers, patients and families regarding discharge plans.
  Closes cases in Ensocare and Care Port appropriately when placement is complete.
  Ensures post admission follow up process completed following standard work.
• Professional Development
  
  Actively identifies gaps in skills and competencies and participated in seminars/classes to enhance gaps.
  Attends and actively participates in department/team process/quality improvement activities.
  Actively participates in all-staff meetings and stand-ups.

Knowledge, Skills, and Abilities

• Bilingual preferred.
• Knowledge of hospital payers preferred.
• General filing knowledge.
• Demonstrated proficiency in Microsoft Word, Microsoft Excel, Microsoft Outlook, and other software programs.Excellent organization, managerial and time management skills with the ability to multi-task.
• Excellent analytical, problem solving and supervisory skills, knowledgeable of medical terminology, and current standards of clinical practice, professional counseling, mentorship and resource allocation.
• Knowledgeable in the use of ICD-10, CPT4, and HCPC coding systems.
• Proficient in typing and computer data entry (45 wpm).
• Excellent verbal and written communication skills.
• Ability to read, speak, and hear English clearly.
• Able to work independently in research and decision making with minimal direction from higher level of staff.

Sharp HealthCare is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability or any other protected class

Driver's License - CA Department of Motor Vehicles; H.S. Diploma or Equivalent