Referrals and DME Coordinator

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 network
• 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.

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 DME
• 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.