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CareGivers America Logo CareGivers America · Office Administration

Intake Coordinator

United States, Clarks Summit 16.00 - 18.50 USD / Hour · Job Posted January 05, 2026
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Job Description

CareGivers America - NEPA, a Modivcare Personal Care Service, is looking for an Intake Coordinator who reports directly to the Branch Manager. Responsibilities include evaluating patients referred to the Organization; identifies insurance coverage, negotiates payment or rates; plans and coordinates referrals for home care services.

Job Responsibility

  • Evaluate patients referred for home health services
  • Identify and verifies insurance coverage of home health care services
  • Obtain and documents prior authorization for home care services from insurance providers
  • In collaboration with a clinical manager, negotiate payment rates for creative bundling of home care services
  • Collaborate with the discharge planning personnel, utilization review department and insurance Case Managers to facilitate safe discharge to home health
  • Consult with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care
  • Interview the patient, family, and caregiver and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan
  • Complete referral information that includes intake data, essential background information, hospital course, and the plan of care
  • Maintain liaison relationship with hospitals, facilities, physician offices and insurance personnel, providing information and education on Organization services, coverage issues and related areas
  • Responsible for collaborating and coordinating with the management team regarding: Employee orientation
  • Employee retention
  • Staff education needs (clinical services, clinical skills, policies, procedures, etc.)
  • Collaborate with clinical management staff to ensure proper staffing of qualified, competent personnel
  • Responsible to attend staff meetings and other clinical meetings to facilitate coordination of care
  • provide input as needed
  • Participate in the administrative/back-up on-call schedule and in the first call rotation when needed
  • Participate in Quality Assurance Performance Improvement (QAPI) reviews and projects as requested
  • Ensure accuracy, completeness, and timeliness of clinical documentation in accordance with Agency policies and procedures, regulatory requirements, and industry standards
  • Provide support and direction to Agency staff, other health care professionals, clients, and families related to appropriate and available health care resources
  • Facilitate problem-solving sessions to enable nurses and other staff to resolve client and/or reimbursement source issues
  • Stay current on available community resources, health care costs, and industry trends through self-education and access to outside educational opportunities
  • Develop working relationships with other health care professionals in the community and families to identify resources available and to ensure access of information to clients
  • Follow Agency guidelines for disciplinary actions. Documents all disciplinary actions in accordance with policy
  • Promote personal safety and a safe environment for clients and co-workers. Takes the initiative to help prevent accidents and promote safety
  • Demonstrate knowledge of safety/infection control practices by compliance with policies and procedures and regulatory requirements
  • Perform other duties as assigned

Requirements

  • High School Diploma/GED or equivalent experience
  • Minimum of two (2) years of experience in a home care or home health setting preferred
  • Experience with prior authorization processes
  • Excellent verbal and written communication skills and strong interpersonal skills
  • Demonstrates an ability to work with other health care clinicians, development of home plan of care, knowledge of third party reimbursement, and ability to negotiate payment rates

What we offer

  • Medical, Dental & Vision Insurance
  • 401(k) with a 6% match
  • Paid Time Off
  • Employee Assistance Program
  • Employee Discounts (retail, hotel, food, restaurants, car rental, and much more!)
  • Voluntary Term Life and AD&D Insurance
  • Legal Services Insurance
  • Short-Term and Long-Term Disability
  • Accident, Critical Illness & Hospital Indemnity Insurance
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