Weekend Intake Registered Nurse, RN

Job Profile Summary 

​This role focuses on performing activities associated with evaluating, developing, recommending, implementing, and carrying out the policies and procedures related to the delivery ofhigh quality patient care. In addition, this role focuses on performing the following Care Navigation related dutiesinclude:  Focuses on the patient's needs and helps guide the patient through the healthcare system and works to overcome obstacles that are in the way of the patient receiving the care and treatment they require.    A professional individual contributor role that may direct the work of otherlower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typicallyacquired through advanced education.   An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience. Works independently with general supervision, problems faced are difficult but typically not complex, and may influence others within the job area through explanation of facts,policies and practices. 

Job Overview 

Serves as a resource for referral sources and the publicregarding services provided, third party regulations, determination of home care eligibility, and appropriateness for home care. Provides resource information if patient/client is not eligible or notappropriate for home care.   

Job Description 

Minimum Qualifications: 

1.Candidates must hold an active RN license in the state where services are provided and may not work in states where they are not licensed. If additional state licensure is required, it must be obtained within sixty (60) days

2. Two (2) years ofvisiting nurse experience. 

Hours: Weekends Only. 8am-4:30pm

Location: Hybrid/Remote

Duties and Responsibilities: Theduties and responsibilities listedbeloware intended to describe the general nature of work and are not intended to be an all-inclusive list. Other dutiesand responsibilitiesmay be assigned. 

1.Obtains the necessary patient identification, medical and financial information required for the nurse and/or therapist to make theinitial home health visit. 

2.Documentsimportant information on the agency’s “Request for Service” form creates a case inForcura and the current EMR. 

3.Attempts to assess if the potential patient can manage safely in their home andassists referral source in making decisionsregarding safe discharge planning. 

4.Assesses if the patient is eligible for home health services under their payment source. Try toestablish Home Bound status and if medically necessary/reasonable requests. 

5.Effectively manages HHVNA and Hospice referrals for patients who do not have insurance coverage for requested services and consults withother RNs as needed. Communicates the mission of the agencyto provide care for patients regardless of ability topay, and manages expectations about the available services. 

6.Provides information of other community resources to the referring party if needed and if patient does not meet home care criteria. 

7.Communicates with billing to verify atypical insurances as requested by referral sources and to support UR and Clinical Staff.  

8.Identifies pre-admit evaluated patients and works todetermine home care eligibility and appropriateness for home care. Communicates with department manager todetermine acceptance of referral.  

9.Follows referral department guidelinesregarding ordersrequired toinitiate home health services. All physician orders/approvals are noted in the referral orders. 

10.Prioritizes completion of referrals based on clinical priority, patient safety, and insurance precertification. 

11.Effectively manage the time it takes to complete referrals by understanding what informationis desirable vs necessary. 

12.Uses critical thinking and problem-solving skills to resolve referral issues limiting the need to involve the referral source. 

13.Utilizes clinical judgment todetermineoptimal services to manage a patient safely in the home setting.  

14.Adheres to referral order documentation guidelines developed to guide agency initiatives.  

15.Maintains productivity standards as defined by the department standards. 

16.Obtains prior authorizations and pre-certifications as required by insurer.   

17.Completes e-tracking andForcura case final verification to inform clinical departments on admission state,diagnoses and priority of ordered care. 

18.Keep the Intake clinical manager informed of any problems communicated by referral sources. 

Report any changes or trends noted in referral patterns to Department manager. 

Keep abreast ofthird-party regulations and insurance companies and HMO’s. 

Identifies opportunities to generate potential referrals for all agency services to meet the care needs of the patient. 

19.Demonstrates required knowledge of Home Health Foundation services for which a patient may be eligible. 

20.Selects the correct referral sources in the referral source tab to enableaccurate data collection. 

21.Keeps department Clinical Lead informed of issues related to workflow. 

22.Reaches out tootherRNs and/or Intake Clinical Manager todetermine if a referral is to be accepted or declined. 

23.Reports Complianceconcerns to the CEO or Chief Compliance Officer when applicable. 

Physical Requirements:  

1.Frequentlyrequired to move about inside the office to accessfile cabinets, office machinery, etc. 

2. Ability to remain in a stationary position 90% of the time. 

3. Occasionally lifts and/ormove up to 10-25 pounds. 

4.Constantlyoperates a computer and other standard office equipment such as copymachine, phones,photocopier, fax machines and computer printers. 

5.Specific vision abilities apply including close vision, distance vision and ability to adjust focus. 

6. Noise level in the work environment is usually moderate. 

Skills & Abilities: 

1.Ability to function well invery busy situations. 

2.Responsible and reliable. 

3.Good organizational skills. 

At Tufts Medicine, we want every individual to feel valued for the skills and experience they bring. Our compensation philosophy is designed to offer fair, competitive pay that attracts, retains, and motivates highly talented individuals, while rewarding the important work you do every day.

The base pay ranges reflect the minimum qualifications for the role. Individual offers are determined using a comprehensive approach that considers relevant experience, certifications, education, skills, and internal equity to ensure compensation is fair, consistent, and aligned with our business goals.

Beyond base pay, Tufts Medicine provides a comprehensive Total Rewards package that supports your health, financial security, and career growth—one of the many ways we invest in you so you can thrive both at work and outside of it.

Pay Range: