Job Description

The Palliative Care Intake RN supports the Comprehensive Care team by triaging incoming referrals and assigning to appropriate clinical disciplines and providers. This position also performs triage from patient or caregiver calls and coordinates timely care with the PCP or Comprehensive Care team provider.

• Full Time/Benefits Eligible
• Monday-Friday - 8:00am-4:30pm
• Hybrid-Must live in Central Ohio

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accoodations may be made to enable individuals with disabilities to perform the essential functions.

• Review the medical record upon referral to care coordination to ensure timely, cost-effective services at the appropriate level of care, including palliative and hospice services.
• Perform complete assessment of patient's current health status, including barriers to achieving optimal health, and available resources. Identify potential gaps in care based on the assessment.
• Collaborate with care teams, patients, and caregivers to achieve plan of care outcomes and improve patient outcomes.
• Communication with referring providers to clarify referral needs
• Evaluate barriers to attainment of self-management goals and develop strategies to overcome.
• Document in the medical record as indicated and designated case management tool accurately reflecting collaborative care planning, interventions and evaluation against defined targets and goals.
• Triage patient or caregiver calls and coordinate timely care with the PCP or Comprehensive Care provider.
• Manage Epic in-basket messages to ensure timely response to patient care needs.
• Other duties as assigned

QUALIFICATIONS: Education, Licensures, Certifications & Experience

• Required: 5+ years of clinical and case management experience in a hospital, home health/hospice, geriatrics, or managed care setting
• Required: Active Ohio RN license
• Preferred: CCM certification; bachelor's degree in nursing, or CHPN certification

Knowledge, Skills & Abilities

• Work well under pressure with the ability to assess, communicate and maintain composure in stressful situations.
• Must be able to work flexible hours as needed
• Working knowledge of HIPAA requirements and track record of maintaining patient confidentiality
• Knowledge of chronic and acute disease states in adults
• Understanding of common medications used in a primary care setting including indications, dosages, and side effects
• Knowledge of trends in healthcare, managed care, government payers, case management, medical management, and quality improvement
• Proficient in computer software and usage including but not limited to Microsoft Office (Word, Excel, Outlook, Teams) and EHR systems (Epic preferred)
• Strong analytical, organizational, and time management skills
• Capability to work independently and within a team environment with minimum supervision
• Ability to demonstrate work toward the progress of patient-centered goals
• Aptitude to develop and maintain rapport among health care professionals within individual COPC practices
• Ability to adapt to changing environment
• Self-disciplined, energetic, passionate, and innovative
• Proficiency in decision making and problem-solving skills while showing great attention to detail
• Skillset to train or teach others while also identifying areas for process improvements
• Demonstrate awareness and ability to work alongside diverse cultures and patient populations
• Commitment to customer service