This role is responsible for processing patient referrals from the Home Health Department by staffing cases with the appropriate discipline and agency under the direction of the Staffing Specialist Team Lead. The specialist will also serve as a resource for the Home Health Department and stay current on program, policy, and procedure changes.
Requirements summary
Success requires promoting network provider compliance and quality Home Health Care while being responsible for staffing all pending cases on the queue and maintaining current provider relationships. The role involves extensive calling to providers across multiple regions and sending referrals via fax or email, while strictly maintaining patient confidentiality according to HIPAA and company standards.
IHCS provides an Integrated Delivery System in the home setting, which includes, DME, Respiratory, Home Health and Home Infusion services. IHCS has a select network of Medicare and/or Medicaid Certified and Accredited providers to respond to the needs of our patients – 24/7. We operate with the sole intent of providing the highest quality in-home care services that improve and enhance the daily living for our patients, where our patients are #1
Our delivery model is trusted by national Managed Care Organizations (MCOs), physicians and patients, positioned with over two decades of expertise as the market leader in value-based Home Health, Durable Medical Equipment, and Home Infusion Services. We currently serve over 2 million lives throughout the nation and the Commonwealth of Puerto Rico.
Join our team as we strive for excellence through teamwork delivering high quality care to our patients through Exceptional Customer Service, Proven Outcomes, and Seamless Care.
Medical, Vision, Dental, Short- and Long-term insurance
6+ Days of Holidays Pay
12+ days of PTO
Employer paid life insurance
401K with employer contribution
Wellness program with reward incentives
Employee recognition and reward programs
Comprehensive paid training program
What will you be doing
This position will be responsible for processing patient referrals from Home Health Department under the direction of Staffing Specialist Team Lead who determined by scripted entry and staffing cases with appropriate discipline and agency or care type.
This position may work with providers to educate them on general aspects of Utilization Management processing.
This position may also support the beneficiary/family regarding their benefits, educating them about their benefits and the programs offered by IHCS.
Home Health Staffing Specialist is responsible for providing support and serving as a resource person for the Home Health Department.
Responsible for staying current on changes made to programs, policies and procedures for the Integrated Home Care Services Programs.
What will you need to succeed
Benefits
Medical
Dental
Vision
PTO
Employer paid life insurance
Long-term insurance
Short-term insurance
Holidays Pay
401K with employer contribution
Employee recognition and reward programs
Comprehensive paid training program
Wellness program with reward incentives
Promotes network provider compliance and quality Home Health Care.
Responsible to staff all pending cases on the Home Health pending staffing log/queue.
Maintain current Home health Provider relationships.
Assists staff with questions and provides support to the team.
Call INN Providers in all Regions (1, 2, 3, 4, 5, 6, 7, 8, 9, 10 & 11) from Florida State as per we have on the log and be assigned to the Staffing Specialist Team member.
Send the referrals per each individual member to the provider office can be via Fax or via email.
Maintains confidentiality and respect of Patient Information in accordance with HIPPA, URAC and
company standards, policy and procedures.
Staffing Specialist Team send the referral for review follow up to see if the provider accepting the case or declining the case.
After an agency accepts a case, Staffing Specialist Team continue calling to staff other patients for different regions.
Maintain communication with Provider Network Department for negotiation and Single Case
Agreements when staffing out of Network providers or in special circumstances.
If Staffing Specialist Team needs to request extra money or needs to arrange special accommodation
Join our team as we strive for excellence through teamwork, where our patients are #1!
IHCS is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
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