Care Integration Liaison

**$5,000 Sign On Bonus for offers accepted by December 31, 2024. Terms and Conditions apply**

The Care Coordination Assistant supports the discharge planning process by communicating with and coordinating post discharge services and providers as requested by the Registered Nurse/Social Worker Care coordination team.

These post discharge providers will include but are not limited to: Home Health, Hospice, ALF/RH/SNF/ARF placement, DME, transportation, doctor office visits, etc.

Additionally, the Care Coordination Assistant supports the Utilization Review function of Care Coordination by serving as a liaison between the RN Care Coordinator and external payers, monitoring work queues, submitting of timely information, etc.

Licensure, Certification, or Registration Requirements for Hire: N/A

Licensure, Certification, or Registration Requirements for continued employment: N/A

Experience REQUIRED:
Minimum of two (2) years of healthcare related experience
Knowledge of computers and various computer programs such as Microsoft Suite products, [especially, Word and Excel] and Adobe Professional

Experience PREFERRED:
Three to five (3-5) years experience in acute care academic center or comparable organization

Education/training REQUIRED:
High School Diploma or equivalent

Education/training PREFERRED:
Some college level education

Independent action(s) required:
Coordinates the communication and referrals to post discharge providers including home health, home and inpatient hospice, Long Term Acute Care facilities, Skilled Nursing facilities, Assisted Living facilities, DME, transportation and any other type of post discharge provider of services required.

Supervisory responsibilities (if applicable): N/A

Additional position requirements:
Day shifts, Monday through Friday and possible rotating weekends

Age Specific groups served: N/A

Physical Requirements (includes use of assistance devices as appropriate):
Physical - Lifting 20-50 lbs.
Activities: Prolonged sitting, Walking (distance), Repetitive motion
Mental/Sensory: Strong recall, Reasoning, Problem solving, Hearing, Speak clearly, Write legibly, Reading, Logical thinking
Emotional: Steady pace, Able to handle multiple priorities, Frequent and intense customer interactions, Able to adapt to frequent change

VCU Health is seeking authentic, passionate and inspiring candidates to staff a new Centralized Placement program, housed in the health system's Continuum Integration Center in North Richmond. This exciting opportunity offers innovation and professional growth and you would be joining an already incredible team.

The Centralized Placement Team focuses on facilitating discharge placements, streamlining the referral process for post-acute care by securing an appropriate care setting, obtaining timely authorization, and coordinating handover of care to ensure a timely, safe, and quality discharge.

The Care Integration Liaison, working as a member of the interdisciplinary team, provides assistance and support to the Case Management team. This position helps facilitate a safe discharge plan, providing patients with services and resources as appropriate. This position collaborates with the treatment team and the patient to create an appropriate plan based on the resources available. This position manages a resource guide to be utilized for the discharge planning process and is the point person for external vendors, insurances and care team members. This position functions under the direct supervision and management of the Care Integration Team Lead.

The focus of the position is:

• To ensure quality patient care across the continuum, reduce avoidable readmissions, decrease hospital length of stay, and improve outcomes for patients within the VCU Medical Center.
• To remove barriers to locating post-acute services to meet individual patient's care needs and support a timely discharge from the VCU Medical Center.
• To promote a multidisciplinary approach in the discharge planning process by collaborating with the care coordination team, physicians, and other disciplines involved in the patient's care.
• To make appropriate referrals in partnership with the care coordination team to post-acute services such as Skilled Nursing Facilities, Long-term Acute Care Hospitals, Home Health, and Inpatient Rehab.
• To assure that the needs of patients align with the appropriate post-acute service in a timely manner.
• To verify insurance eligibility for outpatient services on all third-party payers utilizing various automated eligibility systems.
• To ensure patients have secured authorization and referrals for post-acute services timely and accurately.
• To utilize and operate the electronic health record (Epic) to gain and input information.
• To effectively communicate using the electronic health record (Epic) in relaying medical messages to patients and clinical staff.
• To maintain a working knowledge of Medicare, Medicaid, and commercial insurance rules and regulations for post-acute placements and services including but not limited to Skilled Nursing Facilities, Long-term Acute Care Hospitals, Home Health, Inpatient Rehab, transportation, and durable medical equipment.
• To assist with and/or arrange suitable transportation at discharge.
• To maintain and keep up-to-date resource file for information and referrals.
• To assure high quality standards of practice.
• To promote a strong relationship with community based service agencies
• To ensure compliance with professional standards and practice standards established by regulatory bodies and accrediting agencies.
• To promote an awareness of the need for cost containment.
• To promote an environment conducive to personal and professional growth for staff in the C M Department.
• To maintain confidentiality/HIPAA policies and procedures

• Professional enthusiasm and commitment to patient and family experience.
• Creative problem solving and critical thinking skills to support coordination of care.
• Critical thinking skills with the ability to work independently and interact with multiple healthcare individuals.
• Ability to multi-task and answer multi-line incoming calls.
• Knowledge of third-party payers including federal, state, and private health plans.
• Ability to plan, motivate and organize self, others and work in order to achieve objectives and targets.
• Exceptional interpersonal skills, with demonstrated ability to establish, maintain, and leverage positive, productive working relationships with individuals at all levels throughout an organization.
• Strong technical/computer skills with the ability to work in multiple applications and on various devices such as Microsoft Word, Excel, Teams, Epic, various electronic medical platforms, a smartphone, and/or laptop.
• Determination to deliver outcomes and is able to overcome obstacles in order to move forward.
• Strong written, verbal and interpersonal communication skills with an acute ability to listen attentively and to communicate effectively throughout all levels of the organization.
• Group motivation, creativity and diplomacy.
• Highest-level customer service standards.
• Flexibility to work various hours and locations based on business needs.