Job Type: RegularTime Type: Part timeWork Shift: Day (United States of America)FLSA Status: Non-ExemptWhen you join the growing BILH team, you're not just taking a job, you’re making a difference in people’s lives.Position Summary:The role is responsible for assisting the clinical management team and clinical staff in day to day clinical to ensure a seamless, organized and high functional home care system. Responsible for triage and patient utilization support. Promotes quality of care and appropriate use of resources in a fiscally responsible manner.THIS IS THE NONEXEMPT VERSION OF LAH200630Job Description:Essential Duties & Responsibilities including but not limited to:Assists with day to day operations to help facilitate and streamline workflow for the clinical manager team, assisting in triage calls to patients, as well as assisting in initial clinical triage calls in assessing need and skill for certified home care services.Works with quality and education in maintaining a working knowledge of clinical trends and PDGM episodic management. Works with the clinicians, managers and scheduling teams to ensure care is delivered in a prompt and prioritized manner.Establishes and maintains a positive working relationship with current and potential patients, clinicians, and referral sources as needed, through daily communication.Acts as a clinical resource to personnel when needed.Utilizes working knowledge of home health regulations and requirements while triaging patients to ensure they have the right care and community resources.Works with quality in tracking trends through SHP and EPIC to understand utilization and quality risk. Participates in developing a plan with the manager, education, and quality partners on goals to improve.Ability to work with others to improve operational efficiencies and quality of care.Organizational Requirements:Maintain strict adherence to the Continuing Care Confidentiality policy.Continued education and professional development on current clinical and regulatory knowledge.Strong understanding of Medicare regulations, clinical scope of practice and organizational goals.Strong understanding of care management principles under the PDGM model, case management in home health, and utilization impact on fiscal and quality standards.Maintain strict adherence to the Continuing Care Confidentiality policy.Incorporates BILAH vision, mission and standards of behavior and Guiding Principles into daily activitiesComply with all Continuing Care Policies.Comply with behavioral expectations of the Continuing Care Division.Maintain courteous and effective interactions with colleagues and patients.Demonstrate an understanding of the job description, performance expectations, and competency assessment.Demonstrate a commitment toward meeting and exceeding the needs of our customers and consistently adheres to Customer Service standards.Assists in building community, patient, payer and patient perceptions of BILH at Home as a high- quality provider of services.Participate in departmental and/or interdepartmental quality improvement activities.Participate in and successfully completes Mandatory Education.Perform all other duties as needed or directed to meet the needs of the department.Minimum Qualifications:Education:Graduate from an accredited program in NursingLicensure, Certification & Registration:Active Massachusetts Registered Nurse license; BSN preferred.Experience:Minimum of 3-5 years as a visiting nurse/ case manager in a certified home health agency preferred. Alternate home health experience will be considered.Healthcare management experience is preferred.Skills, Knowledge & Abilities:Knowledge of federal and state regulations pertinent to home health.Strong assessment and case management skills.Attention to detail and accuracy.Ability to mentor and educate clinical home care staff both onsite with patients and in the office setting.Organizational and problem solving skills.Well-developed written and communication skills.Strong computer skills.Strong interpersonal skills.Team Player.Able to work independently and is self-directed and able to work with minimal supervision.Key Relationships:TitleOn Call: N/AShift Rotation: N/AWeekends: N/AAs a health care organization, we have a responsibility to do everything in our power to care for and protect our patients, our colleagues and our communities. Beth Israel Lahey Health requires that all staff be vaccinated against influenza (flu) and COVID-19 as a condition of employment. Learn more (https://www.bilh.org/newsroom/bilh-to-require-covid-19-influenza-vaccines-for-all-clinicians-staff-by-oct-31) about this requirement.More than 35,000 people working together. Nurses, doctors, technicians, therapists, researchers, teachers and more, making a difference in patients' lives. Your skill and compassion can make us even stronger.Equal Opportunity Employer/Veterans/Disabled
