CareCentrix Intake Specialist - (US-AZ-Phoenix - 85099)

Minimum Education: None
Jobcode: 47122911
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The homecare industry is revolutionizing healthcare in America. And CareCentrix, Gentiva Health Services, Inc.'s managed care unit, is leading that revolution with exceptional clinical care, innovative solutions and uncompromising service. Gentiva offers an employment package that includes education and training, comprehensive benefits and a positive work environment.


As a CareCentrix® Intake Specialist with Gentiva, you will:

* Receive/respond to incoming calls from referral sources/potential clients, exchange information to identify the clients needs and determine CareCentrix' ability to meet them.

* Record the outcome of all inquiries and referral calls received, and make follow-up calls when an inquiry or referral cannot be serviced.

* Track/report on inquiries/referrals and identify alternative resources when CareCentrix solutions are not available.

* Perform an initial evaluation of the referrals appropriateness for CareCentrix services, research/identify all potential payer sources and determines the primary payer.

* Document demographic/clinical/payer information, determine coverage availability for requested services, and pass information on to the Care Management Team in a timely manner.

* Recommend to Team Leader - Intake the acceptance of referrals that do not meet CareCentrix/ Gentiva guidelines as appropriate. Coordinate internal activities to ensure a smooth transition from CareCentrix to the provider.

* Develop/maintain a working knowledge of all CareCentrix services and accesses CareCentrix contract information, including the terms of the contract as appropriate. Interact with referral sources to facilitate communications, answer questions and resolve problems.

Compensation: Competitive

Experience: Qualifications

* Associate's Degree or Diploma in Nursing/Practical Nursing or the equivalent

* Current, unrestricted Registered Nurse/LPN/LVN (based on allowable state practice act) licensure in the state(s) of practice

* Broad knowledge of healthcare delivery/managed care regulations, contract terms/stipulations, capitation requirements and governmental home health agency regulations

* Excellent negotiation, communication, problem solving and decision making skills

expect more from CareCentrix

At CareCentrix, Gentiva Health Services, Inc.'s managed care unit, you'll find everything you need to make the most of your career, including skilled, collaborative associates; a team-oriented approach and the resources of a national company. When you work for America's homecare leader, you can expect more: more opportunities, more challenges, more rewards. That's why Gentiva is the employer of choice for some of the most experienced and talented people in the healthcare industry.


CareCentrix has been America's leading manager of ancillary care benefits for more than a decade. During that time, CareCentrix has worked with more than 60 insurance companies and payers, served nearly 1.5 million patients and developed a new business model that is changing the delivery of post-acute care. For more information, visit CareCentrix' web site, www.carecentrix.com.





This job has been posted on Absolutely Health Care to Nurse: General Medical/Surgical.