Home Health RN Intake Coordinator – Full Time

JOB SUMMARY: Responsible for working with the discharge planning team of the hospital or other health care facilities (shall hereafter be referred to as “facility”) to facilitate and expedite appropriate home care/Hospice placements with the Visiting Nurse Association of Somerset Hills (VNASH) so patients may be appropriately discharged from the facility and receive home care/Hospice services as expeditiously as possible after discharge. Responsible for receiving and reviewing telephonic and electronic referrals from other sources (including but not limited to physicians, physician practices, insurance companies, patients/families, other agencies)

REPORTS TO: Referral Service Center Manager


  • Current license to practice as a Registered Nurse in the State of New Jersey. A minimum of two years’ experience in nursing, at least one of which is in community health nursing
  • Proficient with Basic computer skills, and knowledge of HCHB, preferred
  • Excellent communication skills


  • Comprehensive knowledge and skill in current nursing practice
  • Understanding and experience of home care practices
  • Knowledge of Hospice philosophy, practice and criteria
  • Training in transition care techniques, preferred
  • Ability to organize, manage and function in assigned areas
  • Ability to accept and utilize supervision
  • Ability to recognize needs and concern for people
  • Ability to establish and maintain constructive working relationships with individuals and families
  • Ability to relate to various disciplines and departments within the facility structure
  • Ability to interpret agency (VNA) policies and services, including general guidelines for Medicare coverage in Home Care/Hospice
  • Ability to communicate facility discharge planning needs etc. to VNA


  • Interprets agency policy to patients and facility personnel
  • Assists in evaluation of patients referred by facility staff for home care to determine appropriateness for admission to VNASH program and works with discharge planning team at the facility to refer patients needing other sources of care or appropriate service
  • Consults with physicians, nurses and other disciplines while establishing a coordinated home care plan prior to discharge
  • Entry of all referrals into electronic medical records system (HCHB)
  • Conferences with physicians and obtains MD orders, as appropriate
  • Obtains insurance approvals, as per facility process
  • Collaborates with VNASH Referral Service Center regarding patient plan of care and needs
  • Provides feedback to facility personnel, as needed and/or requested
  • Serves as liaison between facility and VNASH
  • Receive/respond to telephonic and electronic inquiries for service; explain and interpret VNA service
  • Evaluate Hospice referrals for eligibility, Coordinate needed service for Hospice admission, Work with pharmacy to arrange medication delivery, Work with DME supplier to arrange equipment delivery
  • Process Hospice referral to include obtaining of MD order, referral entry, scheduling of initial visit, process of Hospice CTI and worksheets for worksheets for MD completion
  • Collects and maintains statistical data of all referred patients
  • Serves as a resource to facility staff on community resources and home care issues and best practices