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Arranges referral appointments with external service providers Ensures durable medical equipment and supplies are obtained for participants as per on medical orders.
Referrals
- Schedules referral appointments for participants with external service providers in the PACE networkÂ
- Provides participants with necessary paperwork and specialized instructions for referral appointments.
- Uses electronic health record to generate referral letters for appointments for each external service received by a participant, including emergency care and transportation.
- Uses appointment scheduler in electronic health record to track appointments and ensure participants keep appointments
- Telephones participants in advance of upcoming appointments to reduce no-shows.
- Uses electronic record to document relevant telephone calls with participants and providers regarding appointments
- Notifies external service providers in advance of any cancelled appointments.
- Coordinates with family to provide transportation and accompany participants to outside appointments.
- Arranges for personal care aides to escort participants for appointments if family is not available.
- Schedules transportation for participants appointed to see external service providers.
- Communicates with bus drivers to keep track of participants while keeping appointments.
- Uses electronic health record to FAX and electronically submit referral information for external appointments
- Provides a copy of each referral form to the Administrative Specialist for use in authorizing payment for claims submitted by service providers. Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â
DME and Supplies
- Obtains durable medical equipment (DME) and supplies for participants as per medical order or IDT
- approval.
- Orders DME and supplies from appropriate contracted vendors with Mountain Empire PACE
- Maintains a record of DME and supplies obtained and other items as directed
- Maintains a reminder/tracking system for reorders of DME and supplies
- Must become familiar with DME equipment to assist participants on questions/needs.
- Uses electronic health record to generate referral letters for DMEÂ
- Uses electronic health record to FAX and electronically submit referral information for  DME
- Communicates with vendors about orders and reorders of DME and supplies.
- Communicates with IDT, Quality Manager and Program Director regarding orders, delays issues re: DME/Supplies
- Uses electronic record to document relevant telephone calls with participants and providers re: DME
Reception/Medical Records/Other
- Performs the duties of the Reception and Medical Records Clerk in his/her absence.
- Participates in staff meetings and in-service training sessions.
- Performs other work duties as requested.
- Acts only within the scope of his/her professional authority.
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