Clinical Review Specialist, LPN – Weekend, Part Time

This is a fully remote position, open to applicants in Florida.

📋 Description

• Assess all incoming home health orders for clinical suitability.

• Identify the appropriate disciplines, frequencies, and types of visits according to agency protocols and referral requirements.

• Ensure adherence to CMS guidelines, Medicare Conditions of Participation (COPs), and internal agency standards.

• Accurately and efficiently take and document verbal orders from physicians and referral sources.

• Conduct patient welcome calls to facilitate a seamless and positive onboarding experience.

• Address and resolve patient needs or concerns during intake discussions.

• Maintain a warm, empathetic, and professional demeanor on the phone.

• Record intake and order-related activities in the EMR (WellSky or similar).

• Verify that physician orders, care plans, and necessary documentation are complete, accurate, and correctly uploaded.

• Stay informed about home health regulatory requirements, including Medicare, CMS, and state guidelines.

• Adhere to daily reporting and tracking protocols.

• Collaborate with Intake, Care Coordination, and Branch leadership to ensure timely initiation of patient care.

• Report clinical concerns or regulatory issues to the Clinical Review Manager.

• Assist branch and central teams with troubleshooting and providing guidance on referral-related matters.

⛳️ Requirements

• Current LPN or RN with relevant experience in home health intake or clinical review.

• Minimum of 2 years of clinical experience in home health, intake, or care coordination.

• Familiarity with Medicare COPs, CMS guidelines, and general home health regulations.

• Strong critical thinking and clinical decision-making abilities.

• Excellent communication and telephone skills; capable of building trust with patients, referral sources, and colleagues.

• Proficient in EMR systems (WellSky preferred) and Microsoft Office Suite (Outlook, Teams, Excel).

• Ability to thrive in a fast-paced, high-volume environment while maintaining accuracy and composure.

• Skilled in EMR data entry (WellSky preferred).

• Comfortable using Microsoft Outlook, Teams, and internal reporting tools.

• Availability to work two weekends per month, Saturday and Sunday, from 8:00 AM to 6:30 PM Eastern Time Zone.

🏝️ Benefits

• Personalized, One-on-One Care: Aid patients in healing and regaining their independence through tailored care in their homes.

• Ongoing Professional Development: Access to free Continuing Education Units (CEUs) to support licensure and career growth.

• Competitive Benefits & Perks: Including an employee referral program that offers rewards.

• Recognized Excellence: Acknowledged as a USA Today Top Workplace.

• Flexible Scheduling: Benefit from a schedule that accommodates your personal priorities.

• Supportive & Fun Culture: Join a collaborative, innovative team that values both professional excellence and personal satisfaction.

• Equal opportunity and inclusive work environment.