Concierge Home Care

Nurse

• Conduct virtual patient visits and clinical assessments
• Perform triage and identify early warning signs or risk trends
• Support chronic disease management and patient education
• Monitor telehealth data and escalate concerns appropriately
• Help prevent avoidable ER visits and rehospitalizations
• Collaborate with interdisciplinary care teams
• Document patient interactions accurately and timely
• Participate in care planning and performance improvement initiatives
• Support development of virtual care best practices

Weekend Virtual Care Nurse

Intake Specialist

• Receive and process incoming patient referrals from hospitals, providers, and other referral sources
• Review referrals for completeness and accuracy
• Ensure required orders and supporting documentation have been received
• Follow up with referral sources to obtain missing information
• Enter and maintain accurate patient demographics, insurance, and clinical information within the EMR
• Complete insurance eligibility and benefit verification
• Review and reconcile insurance changes on a routine basis
• Maintain accurate and organized referral records
• Navigate electronic referral portals and healthcare systems
• Process referrals through hospital and provider platforms
• Communicate with hospital case managers and discharge planners when additional information is needed
• Monitor incoming referrals and prioritize tasks based on urgency
• Communicate professionally with referral sources, providers, patients, Sales, and Operations
• Work closely with internal teams to support timely referral processing
• Help resolve documentation or information discrepancies
• Maintain patient information in accordance with HIPAA and company policies
• Handle confidential medical and insurance information with accuracy and discretion
• Ensure documentation is complete, organized, and properly maintained

Weekend PRN Intake Specialist

Care Coordinator

• Complete daily insurance eligibility and benefit verification for new and existing patients
• Review patient insurance information and identify payer requirements
• Verify coverage, benefits, limitations, and authorization requirements
• Monitor and reconcile insurance changes
• Maintain accurate payer and patient information within the EMR
• Obtain initial authorizations for home health services
• Monitor authorization status and expiration dates
• Obtain reauthorizations to support continued patient care
• Follow up with insurance companies and managed care organizations regarding pending authorizations
• Document authorization information accurately within the EMR
• Maintain processes to prevent authorization gaps
• Navigate payer portals and electronic authorization systems
• Submit required documentation supporting authorization requests
• Follow up on outstanding requests and resolve authorization-related issues
• Maintain professional relationships with payer representatives
• Maintain complete records of eligibility, benefits, authorizations, and reauthorizations
• Protect confidential patient and insurance information in accordance with HIPAA regulations
• Follow company policies and established managed care processes
• Collaborate with Intake to support timely referral processing
• Partner with Operations regarding authorization requirements and patient status
• Communicate with Sales and referral sources when payer information or authorization requirements affect patient acceptance
• Escalate authorization concerns or potential coverage issues appropriately

Weekend Virtual Care Nurse

Weekend PRN Intake Specialist

Weekend Managed Care Coordinator