Clinical Liaison

3 weeks ago

Columbus, Ohio, United States eTeam Full time

Job Summary:

We are seeking a skilled Registered Nurse to serve as a liaison between hospital and in-home care teams. The ideal candidate will have experience in acute care settings and be proficient in facilitating patient screening and enrollment into the Hospital Care at Home program.

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.
  • Communicate action items and ensure team members follow up so patients can be transferred 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 are met prior to enrolling patients.
  • Coordinate as needed with internal stakeholders.
  • Introduce program to patient, answer questions, and obtain patient consent.
  • Follow up with patients and families/caregivers (where appropriate) throughout the patient 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.
  • Engage 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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