GUIDING LIGHT HOSPICE INC

General

• Overall responsibility for the medical component of the hospice program.
• Provide oversight of physician services by complementing attending physician care and assuring continuity of hospice medical services.
• Serve as a hospice champion, promoting and representing the program to various stakeholders.
• Assuring that the established policies, bylaws, rules, and regulations of the organization are followed in the program.
• Establishing and continually reviewing policies and procedures related to patient care and medical education.
• Evaluate quality assessment performance improvement plans and monitor to identify medical education needs.
• Manage oversight of the patient’s medications and treatments, and act as a medical resource to the hospice interdisciplinary group.
• Consult with attending physicians regarding pain and symptoms management for hospice patients.

Hospice Physician

• Receive and process referrals for hospice care from the Guiding Light Hospice marketing team members, healthcare providers, families, and other sources.
• Verifies insurance eligibility and coverage including obtaining initial authorizations for services and seeks reauthorization for ongoing or additional services.
• Coordinate with healthcare professionals, including physicians, nurses, and social workers, to gather necessary demographic and medical information and other documentation.
• Communicate effectively with patients and their families to explain the hospice program, services offered, and expectations for care.
• Works with members of the billing team to ensure that managed care customers are billed according to managed care organization agreements.
• Establishes and maintains positive working relationships with current and potential managed care customers.
• Promptly responds to managed care customer’s requests and concerns.
• Assists in building community, customer, payer and patient perceptions of Guiding Light Hospice as a high-quality provider of services.
• Coordinate scheduling of admissions and ensure timely transitions to hospice care.
• When applicable, coordinate scheduling of hospice nurse practitioners for completion of initial face to face visits.
• Collaborate with insurance companies to verify coverage and obtain authorizations for hospice services.
• Maintain accurate and confidential patient records, ensuring compliance with regulatory standards and organizational policies.
• Provide ongoing support and assistance to patients and families throughout the intake process, addressing questions, concerns, and emotional needs.

Hospice Intake Coordinator

• Respond promptly to after-hours calls from patients, families, and caregivers.
• Conduct patient assessments to evaluate pain, symptom management, and overall comfort.
• Administer medications, perform wound care, and assist with medical procedures as necessary.
• Provide emotional support and education to patients and their families regarding end-of-life care.
• Collaborate closely with the interdisciplinary hospice team, including physicians, social workers, chaplains, and volunteers.
• Ensures that arrangements for equipment and other necessary items and services are available.
• Communicates with the physician regarding the patient’s needs and reports changes in the patient’s condition; obtains/receives physicians’ orders as required.
• Maintain accurate and thorough patient records in compliance with hospice regulations, the organization's policy, and best practices.
• Ensure the delivery of compassionate and culturally sensitive care tailored to each patient's unique needs.
• Participate in on-call rotation schedules, including weekends and holidays, to ensure 24/7 availability for patients.

Hospice Physician

Hospice Intake Coordinator

On-Call Hospice Registered Nurse