At Parx Home Health Care, we believe in being Your Partner at All Times. We are seeking a Clinical Intake & Care Transition Nurse to serve as a trusted clinical partner throughout the patient journey—from referral intake through admission and post-discharge follow-up.
This role is ideal for a nurse who enjoys clinical decision-making, collaboration, patient engagement, and ensuring the right care, at the right time, by the right team.
What You'll Do
* Serve as the clinical authority reviewing all incoming home health referrals
* Evaluate referrals for clinical appropriateness, completeness, and feasibility
* Proactively obtain missing documentation, orders, or information from physicians and referral sources
* Assess patient needs against staffing models and clinical resources to ensure safe care delivery
* Appropriately accept or decline referrals based on clinical capability and business alignment
* Partner with operations, clinical leadership, and community liaisons to support strategic accounts
* Confirm and coordinate signing physicians for Plans of Care (485s)
* Act as the first clinical point of contact for patients through structured welcome calls
* Educate patients and families on home health services, expectations, and next steps
* Serve as the final point of contact post-discharge, conducting follow-up and satisfaction calls
* Identify unresolved needs, facilitate re-admissions when appropriate, and ensure seamless transitions
* Maintain accurate, timely documentation and ensure compliance with payer, regulatory, and Parx policies
* Contribute to QAPI initiatives by identifying trends, gaps, and opportunities for improvement
What We're Looking For
* Current LPN or (RN)license in good standing
* Home health, intake, care coordination, or transitional care experience preferred
* Strong clinical judgment and ability to balance patient needs with operational realities
* Excellent communication, organization, and relationship-building skills
* Comfortable working in a fast-paced, collaborative environment
* EMR experience preferred (KanTime a plus)
Work Environment
* Monday–Friday schedule with occasional flexibility
* Office-based
* Ability to sit and work at a computer for extended periods
* Occasional travel as needed
* Moderate risk exposure
Why Parx?
* Mission-driven organization focused on quality, outcomes, and patient experience
* Collaborative leadership and supportive team culture
* Opportunity to make a meaningful impact at critical transition points in care
* A role where your clinical expertise truly drives decisions
Join Parx Home Health Care and be a partner—at all times.
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