Clinical Liaison
4 days ago
Clinical Liaison - Case Manager
Location:Remote
Duration:13 weeks contract
Shift:Day 3x12-Hour (07:30 - 16:30)
Hours:36hr/week (12hr/day)
Job Description:Program Overview:
The Hospital Care at Home program aims to provide seamless transitions from hospital to home for patients, ensuring optimal patient flow and satisfaction.
Key Responsibilities:
- Serve as a liaison between hospital and in-home care teams to ensure patients are screened appropriately for inclusion in the program.
- Facilitate patient screening and enrollment into the Hospital Care at Home program by working with ED and inpatient providers to proactively identify patients.
- Run reports in the EMR multiple times/day to identify patients that may be eligible, reviewing medical team documentation and documenting findings in the EMR appropriately.
- Lead multidisciplinary daily huddles to discuss potential patients and available capacity, ensuring team members follow up to transfer patients home in a timely manner.
- Participate in rounding and unit-based huddles as needed to identify potential candidates and provide education about the program.
- Manage day-to-day work responsibilities for the Hospital Care at Home program to assure optimal patient flow and satisfaction.
- Verify patient eligibility for inclusion, including clinical, social, and payor requirements, prior to enrolling patients and coordinate with internal stakeholders as needed.
- Introduce the program to patients, answer questions, and obtain patient consent, following up with patients and families/caregivers throughout the consent and enrollment process.
- Perform assessments of patients' physical, functional, psycho-social needs, including home environment, by utilizing screening tools, direct patient and family communication, medical record review, and discussion with other care team members providing services to the patient.
- Demonstrate knowledge of levels of care, including observation and inpatient status, and seek input from Utilization Management as needed.
- Collaborate with all in-hospital care team members, including providers, nurses, case managers, social workers, and unit clerical assistants, to assist with and ensure a smooth transition from hospital to home.
- Serve as a clinical point person for the in-home care team and connect them to in-hospital resources and services, engaging other departments to coordinate services as needed.
- Educate providers, nurses, case managers, social workers, and other care team members on the Hospital Care at Home program and its benefits to patients.
- Display thorough and accurate documentation of all communication throughout the patient acquisition and enrollment process.
- Utilize interpreter services as needed.
Requirements:
- RN License OH
- BLS (AHA)
- 5 years clinical experience in an acute care setting, preferably in a med/surg
- BCLS certification required
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