CareCentrix

  • Nurse Liaison - Post Acute Care (Remote Michigan)

    Job Locations US-MI-Detroit
    Job ID
    2018-5903
  • Overview

    This is an excellent opportunity to help shape the future of healthcare and drive innovation throughout the industry. CareCentrix is committed to making the home the center of patient care. As a Nurse Liaison you will be responsible for an assigned caseload at acute and post-acute care facilities. You will conduct in person, on site initial face to face outreach with patients to introduce the Post Acute program, gather patient demographics and collaborate with hospital clinicians, patient and family to develop a discharge path of care. Coordinate post-acute care services for the patient and collaborate with Post Acute homecare agencies on post-acute care plan of care, authorizing services as medically necessary.

    Responsibilities

    • Manages the transition of assigned Post Acute patients from acute care setting to the skilled nursing facility and/or home setting utilizing face to face and/or telephonic outreach to accomplish the goals of the Post Acute Program. Care coordination and facilitation with hospital discharge planners, case managers and hospitalist to obtain Post Acute orders for engagement.
    • In partnership with the UM team, authorize admission and continued stay at Skilled Nursing Facilities and Home Health care using approved medical care guidelines and collaboration with physicians and professionals within the healthcare setting.
    • As appropriate, engages the patient/caregiver using tools such as standard assessments, patient care plans, and documents all interactions in the Homebridge care coordination platform. 
    • As needed, the Nurse Liaison will also communicate patient plan of care and discharge status with the Primary Care Physician and/or Specialist.
    • Facilitates obtaining appropriate home health physician orders for the home care services when needed.
    • Acts as a clinical resource for unlicensed Post Acute Care Coordinators, providing clinical expertise and helping to clarify referral source directives. Receives/responds to requests from unlicensed staff regarding scripted clinical questions and issues.
    • When needed, contacts referral sources to advise them of referral status. 
    • Participates in performance, operational and quality improvement activities and ensures the collection of data for improvement analysis and prepares reports as requested.
    • Communicates customer service/provider issues to supervisor for logging and resolution.
    • Assists team in implementing and maintaining standardized operational processes to ensure compliance to company policies, legal requirements and regulatory mandates.
    • Participates in implementing / maintaining operational processes to ensure compliance to company policies, legal requirements and regulatory mandates.
    • Participates in special projects and performs other duties as assigned.
    • Must be willing to travel to acute and post-acute care facilities within the Candidates local assigned geographic area 25% to 50%.

    Qualifications

    • Current and unrestricted license for the market (state) of practice as a Registered Nurse. Minimum five years of nursing experience, preferably with a geriatric population.

    • Licensed in the state where providing PAC services.
    • Expertise in Utilization Management and knowledge of URAC/NCQA standards. Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior utilization management/case management experience, and governmental home health agency regulations required.
    • Excellent negotiation, communication, problem solving and decision making skills also required.
    • Ability to travel frequently to hospitals, skilled nursing facilities, and physician practices within the geographic location assigned.
    • Candidate will possess excellent communication (verbal/written), organizational and interpersonal skills.
    • This position requires high level clinical knowledge, communication, customer service and problem solving skills, as well as, the ability to effectively interact with all levels of management and a highly diverse clientele. Must have strong organizational skills and be able to effectively manage and prioritize tasks.
    • Works independently, utilizing sound clinical judgment and critical thinking skills under minimal supervision.
    • Must have a strong commitment to quality and standards.

    CareCentrix maintains a drug-free workplace in accordance with Florida’s Drug Free Workplace Law

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