QA/Intake Nurse (PRN) Job at Goodwin Living, McLean, VA

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  • Goodwin Living
  • McLean, VA

Job Description

Celebrated as the #3 Top Workplace in the D.C. region for 2025 by  The Washington Post since 2019 , Goodwin Living is more than a team – it's a global family of individuals who represent more than 70 countries.

Goodwin Living is proud to be recognized as a Top Workplace in the greater Washington, D.C. region by  The Washington Post  every year since 2019 — and now nationally by  USA Today . Since 2022, we’ve also been annually recognized as one of the top 100 employers for interns by the Top Virginia Employers for Intern Awards. These honors are based entirely on feedback from our team members, gathered through an annual third-party survey. Here’s what they say makes us stand out:

  • Embracing Diversity: Our strength is in our diverse team from over 65 countries, fostering an inclusive and vibrant culture that values every voice. 
  • Growth and Opportunities: We bolster personal and professional development, offering myriad opportunities, from on-the-job training to mentorship programs and financial support, to help you reach your full potential. 
  • Valuing Our Team Members:  By prioritizing team member satisfaction, we create a fulfilling work environment with competitive benefits, work-life balance, and recognition programs, ensuring our team feels appreciated and valued.

About the Position

This is a weekend, weekday and holiday coverage PRN position to cover scheduled intake team members during their time off. The PRN QA/Intake Nurse will review referrals from various sources such as hospital portals, faxes, phone calls, and emails to determine home health eligibility. This position will coordinate with intake and billing teams to process referrals and input/upload all clinical records into electronic EMR. Capabilities of communicating with referring physicians, doctors’ offices, case managers and facilities. The PRN QA/Intake Nurse is responsible for performing QA of clinician documentation, chart audits for QAPI and compliance as directed. Position requires skills of a clinician with home health experience in order to clinically review home health documentation for eligibility and coding. Hospital/Facility discharge planning and Home Health knowledge is preferred.

Job Duties

  • Respond to referral sources in a professional and personable manner using attention to detail while following specific protocol to input and track referrals.
  • Participates in the admission process by processing and clinically evaluating referrals, determining eligibility in collaboration with intake team, and Home Health management team as needed.
  • Collaborate with the billing/finance team to determine eligibility and benefits for patients.

· Effectively communicates with all physician’s offices and case managers to obtain needed documentation to process home health referrals.

· Understanding of PDGM coding to accurately assist in diagnosis identification for initial intake eligibility.

· Creates Face-to-Face documents with accurate PDGM code to complete home health referrals.

· Monitoring and assuring that agency is within Medicare guidelines with Face-to-Face requirements.

· Knowledge of authorization processes of commercial insurances to process complete home health referral.

· Inputs admission documentation in the EMR chart and assign the admission/ start of care.

· Perform warm welcome call with admitting patient to discuss home health process, verify start of care date, verify MD, and notify patient of benefits/coverage.

· Ability to complete tasks in Microsoft Office Suite including Word, Excel and One Note to completeness and with efficiency.

· Performs QA of clinical documentation of skilled nursing visits, HHA aide care plans, HHA visits and additional clinical documentation as requested.

· Performs audits of clinical documentation and charts to Medicare compliance.

· Maintains confidentiality of patient and staff information at all times.

· Attends mandatory meetings/in-services and maintains 100% compliance with mandatory data based in house training.

· Immediately reports abuse/suspected abuse to Administrator.

· Meets with Lead Intake Specialist and Director of Clinical Services regularly to discuss home health referral status, processes, and procedures.

· Participates in patient satisfaction calls and program calls as requested.

· Performs additional job duties as assigned.

Job Requirements

  • Licensed clinician that has graduated from an accredited nursing school. Two years of Home health experience, preferably in admission or intake working with hospital and skilled nursing case managers.

· Must possess the ability to deal tactfully and compassionately with patients, family members and caregivers

· Must be willing to and able to participate in a teamwork approach, working with all disciplines involved in the patients care/case

· Proficient in Microsoft Office, One Note and Excel, be willing to adapt to various EMR systems currently used as well as other programs used throughout the community

· Communication, documentation, and group dynamics skills

· Must be available to work weekends and some holidays

· Must be able to multitask and process multiple referrals daily

· Must be able to work with frequent interruptions

· Always maintain privacy and confidentiality of patient’s information

· Must possess sight/hearing, or use prosthetics that will enable these senses to function adequately so that the requirements of this position can be fully met, to include use of departmental equipment and/or supplies

· Must function independently, have flexibility, personal integrity, and the ability to work effectively with the residents/patients, personnel, and support agencies

· Must be able to relate to and work with ill, disabled, elderly, emotionally upset, and at times, hostile people within the community

· Must be able to read, write, and speak English in a proficient and understandable manner

· Must possess the ability to make independent decisions when circumstances warrant such action

· Must possess the ability to deal tactfully with personnel, patients, family members, visitors, government agencies/personnel and the general public

· Must be able to follow oral and written instructions

· Must have patience, tact, cheerful disposition, and enthusiasm, as well as be willing to handle residents bases on whatever maturity level they are currently functioning

 

A sampling of our many benefits! 

At Goodwin Living, we’ve got you covered with incredible benefits, whether you work full-time, part-time, or PRN (as needed). Here’s a glimpse of what we offer to PRN team members: 

· Financial assistance with U.S. Citizenship application or DACA Renewal

· Tutoring for ESL, Citizenship Test & GED

· Referral Program: Earn up to $3,000 for referring friends and family!

· Free Meals, Access to a Fitness Center, Pool, and More

 

About Goodwin Living

At Goodwin Living, we can all find work with purpose! As a nonprofit senior living and healthcare organization based in Alexandria, Virginia, we are driven by our mission: to support, honor and uplift the lives of older adults and those who care for them. Our commitment to our team members is written directly into that statement. We create an enriching and supportive work environment that has earned us Top Workplace recognition by  The Washington Post  since 2019 and, more recently, national recognition by  USA Today . These honors reflect the culture our team members foster every day — one rooted in purpose, belonging, and growth.

Goodwin Living is an Equal Opportunity Employer and an AARP Employer Pledge Signer. We take pride in our inclusive work culture that values diversity and fosters talent. With us, you are more than just a team member; you are part of a community committed to excellence and continuous learning.

 

 

Job Tags

Full time, Part time, Relief, Work at office, Immediate start, Weekend work, Weekday work,

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