Option Care Health

General

• Engage with patients, referral sources, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
• Create, communicate, and obtain all required documentation for new referrals.
• Secure patients’ upfront payment, including helping patients identify payment avenues and directing them to financial assistance programs.
• Support ongoing activities needed to ensure clean claims on hold and denial management, including following up on missing paperwork.
• Assist the Patient Registration Supervisor and Manager with special assignments as needed.
• Facilitate new patients’ transition to Option Care Health services and coordinate all aspects of their transition to home/AIS.
• Work in conjunction with Sales to prepare patients for Option Care Health services.

Patient Registration Specialist

Clinical Educator

• Evaluate, educate, and train patients, caregivers, and facility staff on Option Care Health services and products in alternative-site, in-home, or virtual settings
• Conduct patient assessments and evaluations to determine patient viability for the Option Care Health care delivery model
• Partner and coordinate with the sales team to understand clinical transition education needs and improve patient transition volume
• Maintain confidentiality of patient and proprietary information and comply with legal confidentiality requirements
• Document education using Option Care Health applications and technology
• Coordinate patient transitions from hospital to home or alternate care settings with facility staff, providers, and internal teams
• Support timely discharge, therapy education, and continuity of care
• Provide in-person patient and caregiver education
• Gather pre-admission and insurance information
• Facilitate initiation of services for safe and effective care at home
• Travel locally to partner facilities, community hospitals, and medical practice offices to sell Option Care Health services, process referrals, and provide live education and training support

Clinical Care Transition Educator, RN

Business Analyst

• Create and build records for third party payer contract agreements, including insurance plans, business rules, and contract pricing terms
• Maintain assigned payer agreements and update pricing, coding, and business rules
• Work with Contracting and Revenue Cycle Management on site integration to ensure insurance plans are accounted for and assigned to the correct location
• Identify contracts that are not generating revenue and assess opportunities to purge records and reduce insurance plan selection errors
• Audit third party agreement pricing tables for accuracy
• Collaborate with Pricing to ensure proper insurance plans are utilized and maximize profitability
• Collaborate with IT and Revenue Cycle Management on system upgrades and recommend system enhancements
• Ensure proper insurance plans are set up and usable by CMC
• Provide advanced system reports for revenue cycle management and pricing teams regarding payer pricing strategies
• Assist with training Contract System Management Specialists
• Prepare, research, interpret, and load third party payer agreements into the CPR Plus pharmacy management system
• Facilitate cross-functional collaboration with Contracting, Pricing, Trade, Revenue Cycle Management, Contract Operations, and CMCs

Contract System Management Analyst

Payroll

• Develop, analyze, and recommend audits and streamlining efforts for daily payroll operations
• Serve as subject matter expert and advise the payroll team on process changes
• Answer payroll questions from the field and meet all deadlines
• Research company policies and tools to provide accurate and timely answers
• Assist with bi-weekly payroll processing and special projects
• Maintain confidentiality of handled material
• Perform internal audits across Payroll, HR-OPS, and Benefits
• Work with vendors to ensure requested tasks are completed accurately and timely
• Analyze and respond to complex payroll matters and authorize policy exceptions within defined limits
• Develop procedures and policies for payroll operations and coordinate approved system changes
• Update affected policy and procedure manuals
• Conduct root-cause analysis and lead process improvement initiatives
• Advise coworkers and management on complex Payroll, Benefits, and HR issues
• Research and interpret complex technical information
• Escalate issues appropriately and complete objectives with minimal supervision
• Build trusted partnerships with counterparts and key stakeholders

Payroll Analyst

Nurse

• Maintain and grow referral-source relationships to increase sales and patient starts
• Serve as Option Care’s key contact and representative for referral sources
• Sell Option Care services to area service providers and assess patients for alternative-site care
• Educate patients, families, caregivers, facility staff, and referral sources about Option Care services and products
• Provide hands-on, in-person education to patients and caregivers to support timely discharge and therapy independence
• Communicate with agency staff, medical teams, patients, and families throughout the discharge process
• Collect, review, complete, and secure signoff for pre-admission information
• Partner with the Account Manager and Regional Sales Director on area business and growth plans
• Discuss opportunities and progress with the Account Manager and provide feedback on service promotion
• Deliver educational and promotional programs with Account Manager and marketing staff
• Review medical records for medical history and primary/secondary insurance information
• Coordinate care transitions with referral sources and internal partners to support transitions to home or ATS
• Facilitate transfer of orders by phone, fax, and e-prescribing when required
• Maintain confidentiality of patient and proprietary information
• Provide oversight and input regarding patient assessment, treatment, and transition to home care
• Coordinate communication with other providers
• Arrange special medical supplies or appliances
• Travel to partnership facilities, community hospitals, and medical practice offices to sell services, process referrals, and provide live education and training

Clinical Care Transition Specialist, Registered Nurse

• Provide clinical education and training to ensure successful transition of patients to an Option Care Health care delivery model.
• Partner with the sales team to increase the number of patients transitioned to Option Care Health care delivery.
• Maintain and grow referral-source relationships to increase sales and patient starts.
• Serve as a key point of contact and representative of Option Care Health for referral sources.
• Educate patients, families, and facility staff about Option Care services and products.
• Work with the clinical team to determine patient suitability for alternative site care.
• Communicate with agency staff, medical teams, patients, and families throughout the discharge process.
• Collect, review, and complete preadmission information and secure related signoff.
• Partner with Account Manager and Regional Sales Director on area business and growth plans.
• Coordinate educational and promotional programs with Account Manager and marketing staff.
• Coordinate patient transitions to home or alternative treatment settings and facilitate order transfers.
• Review medical records for pertinent history and insurance information.
• Provide oversight and input regarding patient transitions to home care.
• Coordinate with providers and arrange special medical supplies or appliances.
• Travel to partner facilities, community hospitals, and medical practice offices.

• Coordinate and provide intermediate direct patient care in patients’ homes or alternate infusion suites
• Initiate, develop, implement, and evaluate intermediate nursing plans of care
• Organize and participate in direct patient care, perform treatments, administer medications, and educate patients and families/caregivers
• Modify treatment plans based on changing patient status or physician orders
• Assess patient needs and physical status during skilled visits and reassess response to therapy
• Obtain and clarify physician orders and promptly inform physicians of significant condition changes
• Provide training and mentorship to Infusion Nurse I staff as needed
• Teach patients and families using a patient-centered approach to support independence with prescribed therapy
• Communicate with clinical teams, medical providers, patients, and caregivers to facilitate continuity of care
• Prepare real-time clinical documentation and submit it within established billing timelines
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency policies, professional standards, regulations, and accreditation standards
• Use computers and automation technologies to validate treatment orders, document care, and follow assigned visit schedules
• Respond to patient requests and initiate emergency procedures as necessary
• Safeguard confidential patient and proprietary information in accordance with HIPAA
• Explain Option Care services and related financial obligations to patients
• Complete required training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals and act as supervisor when applicable
• Participate in multidisciplinary conferences, precepting, training, mentoring, and nursing department on-call responsibilities
• Insert PICC/Midlines and troubleshoot or declot obstructed central line catheters if applicable
• Monitor PICC/Midlines and educate patients on infection prevention and routine care
• Perform other related duties as directed

Home Infusion Nurse – Per Diem

• Coordinate and provide intermediate direct patient care in patients’ homes or alternate infusion suites under a physician’s plan of care
• Initiate, develop, implement, and evaluate intermediate nursing plans of care
• Perform treatments, administer medications, and educate patients and families/caregivers
• Assess patient needs and physical status during skilled visits
• Obtain and clarify physician orders and communicate significant patient-condition changes
• Train and mentor Infusion Nurse I team members as needed
• Teach patients and families to achieve independence with prescribed therapy and care needs
• Communicate with clinical teams, medical providers, patients, and caregivers to ensure continuity of care
• Prepare real-time clinical documentation and submit nursing documentation within established timelines
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency policies, professional standards, regulations, and accreditation standards
• Use computers and automation technologies to validate orders, document care, and follow assigned visit schedules
• Respond to patient requests and initiate emergency procedures when necessary
• Safeguard patient and proprietary information in accordance with HIPAA
• Explain Option Care Health services and related financial obligations
• Complete training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals in the home setting
• Participate in multidisciplinary conferences, precepting, training, mentoring, and nursing department on-call responsibilities
• Insert PICC/Midlines per physician order when applicable
• Troubleshoot and declot obstructed central line catheters when applicable
• Monitor PICC/Midlines and educate patients on infection prevention and routine care when applicable

• Initiate, develop, and implement intermediate nursing plans of care and treatments
• Evaluate patient progress toward goals and modify treatment plans based on patient status or physician orders
• Organize and participate in direct patient care, perform treatments, administer medications, and educate patients and families/caregivers
• Assess patient needs and physical status during skilled visits
• Obtain and clarify physician orders and promptly inform physicians of significant patient-condition changes
• Provide training and mentorship to Infusion Nurse I staff as needed
• Teach patients and families/caregivers to achieve independence with prescribed therapy and care needs
• Communicate with clinical teams, medical providers, patients, and families/caregivers to facilitate continuity of care
• Prepare real-time clinical documentation and submit it within established timelines
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency operations, company policies, professional standards, regulations, and accreditation standards
• Use computers and automation technologies to validate treatment orders, document care, and follow assigned visit schedules
• Respond to patient requests and initiate emergency procedures as necessary
• Safeguard confidential patient and proprietary information in accordance with HIPAA
• Explain Option Care Health services and related financial obligations to patients
• Complete required training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals in the home setting
• Participate in multidisciplinary conferences, precepting, training, mentoring, orientation, onboarding, and supervisory activities as assigned
• Participate in nursing department on-call responsibilities
• Insert PICC/Midlines per physician order when applicable
• Troubleshoot and declot obstructed central line catheters when applicable
• Monitor PICC/Midlines and educate patients on infection prevention and routine care when applicable

Home Infusion Nurse

• Initiate, develop, and implement intermediate nursing plans of care and treatments, evaluating patient progress
• Organize and participate in direct patient care, perform treatments, administer medications, and educate patients and families/caregivers
• Modify treatment plans in response to changing patient status or physician orders
• Assess patient needs and physical status during skilled visits and re-evaluate needs through reassessment and response to therapy
• Obtain and clarify physician orders, inform physicians of significant patient condition changes, and provide written summaries
• Provide training and mentorship to Infusion Nurse I staff as needed
• Teach patients and families to achieve independence with prescribed therapy and care needs
• Communicate with clinical teams, medical providers, patients, and caregivers to facilitate continuity of care
• Prepare real-time clinical documentation and submit it within established billing timelines
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency operations, company policies, professional standards, regulations, guidelines, and accreditation standards
• Use computers and automation technologies to validate treatment orders, communicate care provided, and follow assigned visit schedules
• Respond to patient requests and initiate emergency procedures as necessary
• Safeguard confidential patient and company information in accordance with HIPAA
• Explain company services and related financial obligations to patients
• Complete required training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals in the home setting
• Participate in multidisciplinary conferences, precepting, training, mentoring, and nursing department on-call responsibilities
• Insert PICC/Midlines per physician order when applicable
• Troubleshoot or declot obstructed central line catheters when applicable
• Monitor PICC/Midlines and educate patients on infection prevention and routine care when applicable

• Coordinate and provide intermediate direct patient care in patients’ homes or alternate infusion suites
• Initiate, develop, implement, and evaluate intermediate nursing plans of care
• Perform treatments, administer medications, and educate patients and families/caregivers
• Assess patient needs and physical status during skilled visits
• Obtain and clarify physician orders and report significant changes in patient condition
• Provide training and mentorship to Infusion Nurse I team members as needed
• Teach patients and families to achieve independence with prescribed therapy and care needs
• Communicate with clinical teams, medical providers, patients, and caregivers to facilitate continuity of care
• Prepare real-time clinical documentation and submit nursing documentation for billing compliance
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency policies, professional standards, regulations, and accreditation standards
• Use computers and automation technologies to validate treatment orders and document care
• Respond to patient requests and initiate emergency procedures when necessary
• Safeguard patient and proprietary information in accordance with HIPAA
• Explain Option Care services and related financial obligations to patients
• Complete training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals in home settings
• Participate in multidisciplinary conferences, precepting, training, mentoring, and nursing department on-call responsibilities
• Insert PICC/Midlines and troubleshoot or declot obstructed central line catheters, if applicable

• Coordinate and provide intermediate direct patient care in patients’ homes or alternate infusion suites under a physician’s plan of care
• Initiate, develop, implement, and evaluate nursing plans of care and treatments
• Perform treatments, administer medications, and educate patients and families/caregivers
• Assess patient needs and physical status during skilled visits and revise treatment plans as needed
• Obtain and clarify physician orders and promptly report significant changes in patient condition
• Provide training and mentorship to Infusion Nurse I’s as needed
• Teach patients and families using a patient-centered approach to support independence with prescribed therapy
• Communicate with clinical teams, medical providers, patients, and caregivers to facilitate continuity of care
• Prepare real-time clinical documentation and submit it within established timelines
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency policies, professional standards, regulations, guidelines, and accreditation standards
• Use computers and automation technologies to validate orders, document care, and follow assigned visit schedules
• Respond to patient requests and initiate emergency procedures as necessary
• Safeguard confidential patient and proprietary information in accordance with HIPAA
• Explain Option Care’s services and related financial obligations to patients
• Complete required training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals and act as Supervisor when applicable
• Participate in multidisciplinary conferences, nursing on-call responsibilities, precepting, training, and mentoring
• Insert PICC/Midlines when applicable and troubleshoot or declot obstructed central line catheters
• Monitor PICC/Midlines and educate patients on infection prevention and routine care

• Coordinate and provide intermediate direct patient care in patients' homes or alternate infusion suites
• Initiate, develop, implement, and evaluate intermediate nursing plans of care
• Perform treatments, administer medications, and educate patients and families/caregivers
• Modify treatment plans based on changing patient status or physician orders
• Assess patient needs and physical status during skilled visits
• Obtain and clarify physician orders and promptly inform physicians of significant patient-condition changes
• Provide training and mentorship to Infusion Nurse I's
• Teach patients and families to achieve independence with prescribed therapy and care needs
• Communicate with clinical teams, medical providers, patients, and caregivers to facilitate continuity of care
• Prepare real-time clinical documentation and submit it within established timelines
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency policies, professional standards, regulations, guidelines, and accreditation standards
• Use computers and automation technologies to validate treatment orders and document care
• Respond to patient requests and initiate emergency procedures as necessary
• Safeguard confidential patient and company information in accordance with HIPAA
• Explain Option Care's services and related financial obligations
• Complete training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals and may act as supervisor when applicable
• Participate in multidisciplinary team conferences, precepting, training, mentoring, and nursing department on-call responsibilities
• Insert PICC/Midlines per physician order when applicable
• Troubleshoot and declot obstructed central line catheters when applicable
• Monitor PICC/Midlines and educate patients on infection prevention and routine care when applicable

Patient Access Specialist

• Engage with patients, referral sources, sales, pharmacy, and nursing to coordinate discharge and secure nursing and delivery.
• Create, communicate, and obtain all required documentation for new referrals.
• Secure patients’ upfront payment, including assisting patients in finding payment avenues and directing them to financial assistance programs.
• Support ongoing activities needed to ensure clean claims on hold and denial management, including following up on missing paperwork.
• Assist the Supervisor and Manager with special assignments as needed.
• Perform other duties as assigned.

Patient Access Specialist – Patient Registration Intake

• Develop, coordinate, and provide direct infusion patient care in patients’ homes or alternate infusion suites
• Initiate, develop, implement, and evaluate advanced and complex nursing plans of treatment
• Perform treatments, administer medications, and educate patients and families/caregivers
• Assess patient needs and physical status during skilled visits
• Obtain and clarify physician orders and report significant changes in patient condition
• Teach patients and families to achieve independence with prescribed therapy and care needs
• Provide training and mentorship to lower-level nurses
• Participate in process improvement programs and chart audits
• Research and recommend changes aligned with nursing best practices
• Communicate with clinical teams, medical providers, patients, and caregivers to ensure continuity of care
• Prepare real-time clinical documentation and submit it for billing compliance
• Coordinate discharge planning and prepare discharge summaries
• Comply with agency policies, professional standards, regulations, and accreditation standards
• Use computers and automation technologies to validate orders, document care, and follow visit schedules
• Respond to patient requests and initiate emergency procedures when necessary
• Safeguard confidential patient and company information in accordance with HIPAA
• Explain Option Care services and related financial obligations to patients
• Complete training, in-services, and continuing education
• Provide oversight and coordination of paraprofessionals
• Participate in multidisciplinary conferences, precepting, onboarding, and mentoring
• Participate in nursing department on-call responsibilities
• Insert PICC/Midlines, troubleshoot or declot obstructed central lines, and educate on line care when applicable