Overview:
To guide patient's with a Post-Acute Home Care needs through the referral process.
Responsibilities:
* Provide guidance to patients/caregivers with a Post-Acute Home Care needs.
* Assist in the referral process from acute to home care.
* Work with home health and durable medical providers to ensure patient's post-acute care needs are meet
* Ensure timely coordination of post-acute care services.
Qualifications:
Education:
* A nurse or social worker, who is trained to provide individualized assistance for post-acute care needs OR a non-professional who has successful completion of a recognized patient navigation training program.
* Documentation of a requisite knowledge and skill from previous education and experience to provide patient navigation.
Minimum Work
Experience: At least 3 years in Healthcare field
Required Skills, Knowledge, and Abilities:
* This position requires the ability to disseminate information
* Knowledge of home health coverage criteria
* Knowledge of post-acute equipment coverage criteria
* To follow through and carry out plans of action
* Good verbal skills
* Outstanding Customer Service to patients, families, community, and physicians
* Knowledge of hospital/clinic/imaging procedures
* Have basic computer knowledge and experience with word, excel, email etc.
* Provide education, support, and coordination to assist patients with home care referrals.
* Connect patients and families to resources and support services.
* Promote communication between the patient and health care providers.
* Enhance the patient's quality of life, sense of autonomy, and self-determination for managing his/her own health.
* Reinforce physician-patient relationship.
* Maintain records for reporting purposes in accordance with the ARH Quality policy and procedure guides.
* Work with multi-disciplinary teams to establish action plans for patients; assure action plans are carried out.
* Any other duties as assigned in regards to patients with a post-acute home care need.
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