Contract Liaison

CONTRACT LIAISON

POSITION SUMMARY:

Under the general supervision of the Quality Manager, the LPN Facility Liaison will educate/monitor facilities and staff providing information on the PACE model/policy and procedure. This individual is responsible for the establishment of a collaborative working relationship between PACE Southeast Michigan and our external stake holding facilities, i.e. nursing homes, assisted living, group homes, dialysis centers, and contracted providers. This position is an integral part of our Interdisciplinary Team providing useful information that will compliment and improve our admissions process, accurate financial data reporting and a general increase in our quality of care, service excellence and relationship building with contracted facilities. This individual is responsible for a Proactive approach to educating external stakeholders in the PACE model and coordinating communication with internal staff.

SPECIFIC DUTIES AND FUNCTIONS:

• Liaison will be assigned a minimum 18 facilities and conduct monthly walk thorough evaluating 10% of the participants admitted to a contracted facility and enrolled with PACE SEMI. Liaisons will receive an excel spreadsheet monthly to complete.
• Liaison will establish good working relationships with internal/external staff and provide education to contracted providers monthly/quarterly regarding PACE SEMI.
• Liaisons will conduct an annual oversight to include but not limited to training on PACE SEMI (who we are and what we do) this will also include but not limited to:
  • Competency assessment of staff 5 (Full Time Employees) with background checks
  • Basic life support training with active BLS cards
  • CLIA verification
  • Facility oversite review

• Liaisons will be the primary point of contact for all contracted facility related matters to be communicated to PACE SEMI IDT. In conjunction to communicating participants appointments with facilities, care conferences, and other meetings between contracted providers and PACE SEMI IDT members.

• Perform a general rounding on all participants and document participants concern's, report out to IDT or appropriate team member for resolution.

• Liaisons are the main conduit for communication between contracted facilities and PACE SEMI, they should always maintain and ensure clear and effective communication between both parties verbally and in writing.

• Attend IDT meetings periodically/as needed provide MDS scores to finance in a timely fashion.
• Escalate and document all facility concerns to leader
• Other duties as assigned.

• Must be a Licensed Practical Nurse with current Michigan licensure.
• Experience working in a Nursing Home required.
• MDS experience preferred.
• Good relationship building and customer service skills.
• Have working knowledge of Utilization Review and Discharge Planning processes.
• Have working knowledge of Resource Utilization Groups (RUGS).
• Must be willing to travel between contracted facilities with reliable transportation.
• Willing to sometimes work flexible hours.
• Possess excellent organizational and prioritization skills.
• Performs related duties as required or requested.
• Creative, detailed-oriented and organized.
• Excellent written and verbal communication skills with specific ability to maintain accurate records.
• Strong analytical skills and attention to detail. Working knowledge of computer software for word processing, format development and spreadsheet management.
• Ability to work with diverse populations/groups/teams.
• Understanding of the unique healthcare and social need of elderly individuals, including common medical conditions and age-related challenges.