Clinical Intake & Care Transition Nurse at Parx Home Health Care

Description

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

Requirements

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

Benefits

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.