Healthcare Professional

1 week ago

Huntington, New York, United States Northwell Health Full time

Job Summary

We are seeking a highly skilled Patient Liaison to join our team at Northwell Health. This is an exciting opportunity for a dedicated healthcare professional to make a meaningful difference in the lives of our patients and their families.

About the Role

The Patient Liaison will serve as a liaison between the patient and facility/physician, ensuring a continuum of quality patient care throughout hospitalization. The successful candidate will oversee provisions for patient discharge, assess, plan, and evaluate the appropriateness of care throughout admission and hospitalization of the patient.

Responsibilities

  • Facilitate patient management throughout hospitalization.
  • Participate in patient management rounds and patient-centered meetings.
  • Identify potential delays and resolve issues with appropriate departments.
  • Identify appropriate utilization of Social Work Services and make referrals when necessary.
  • Confers with physician regarding referrals for Physical Therapy, nutrition, speech, and swallow.
  • Serve as an in-patient liaison - planning, assessing, implementing, and evaluating patient care in collaboration with the healthcare team.
  • Serve as a resource to the healthcare team regarding quality, utilization of clinical resources, payer, and reimbursement issues.
  • Work with on-site screeners in transitioning patients to appropriate post-discharge settings.
  • Collaborate with payers, providing all necessary clinical documentation for the maximization of benefits.
  • Serve as a liaison to patient, family, admitting, primary care physician, healthcare team, and hospital departments.
  • Collaborate with and provide feedback to the primary care physician and multidisciplinary team regarding patient status with regard to length of stay, utilization of resources, and discharge status.
  • Provide support to the in-patient healthcare team as well as to patient and family regarding all aspects of admission, hospitalization, and discharge plan.
  • Involves patient and/or family in discussion and planning for anticipated need for care following discharge.
  • Ensures patient and/or family are given information regarding their choices regarding transferring the patient to another level of care according to regulatory standards.
  • Performs concurrent utilization management using Interqual criteria.
  • Conducts chart review for appropriateness of admission and continued length of stay.
  • Contacts and interacts with third-party payers to obtain approval of hospital days, pre-certification, and post-discharge eligibility in relation to clinical course.
  • Ensures compliance with current state, federal, and third-party payer regulations.
  • Identifies patients for Alternate Level Care (ALC) care list and notifies appropriate health team members.
  • Communicates with insurance companies and physicians regarding utilization issues.
  • Utilizes important message from Medicare (IMM) when necessary.
  • Ensures managed care reviews are up-to-date and accurately reflect patient's clinical progress and acute needs.
  • Participates in the quality management of patient care outcomes.
  • Submits data to management regarding case management and/or quality initiatives.
  • Participates in data collection regarding patient's length of stay, utilization of clinical resources, IPRO citations including appropriate recommendations and re-admission within 30 days.
  • Initiates appropriate discharge planning as supported by initial assessment at time of admission.
  • Reviews patient's chart.
  • Assesses each patient physically, psychosocially, and financially.
  • Assesses patient's support system to facilitate appropriate discharge to community.
  • Substantiates, with the physician, the need for home care services.
  • Coordinates procurement of any supplies, equipment, or home lab work needed by patient to evaluate discharge.
  • Arranges for post-hospital transportation, when indicated.
  • Interacts and coordinates with community agencies, families, vendors facilities, and institutions to facilitate patient discharge.
  • Documents the case management process in the medical record.
  • Completes and documents a psychosocial assessment on the patient.
  • Documents ongoing processes of patients' hospitalization.
  • Documents finalized discharge plan and disposition.
  • Completes applicable areas of the Patients Discharge Instruction Sheet and the Patient Transfer Sheet.
  • Ensures Patient Review Instrument (PRI) is completed and reflects clinical profile of the patient.
  • Ensures case management sheet is current and accurate.
  • Performs related duties, as required.

About You

To be considered for this rewarding role, you should have a strong educational background in Nursing, a current license to practice as a Registered Professional Nurse in New York State, and a minimum of one year of experience in a related field. Case Management Certification is preferred.

What We Offer

Northwell Health is committed to fostering a culture of diversity, equity, and inclusion. We offer a competitive salary range of $52.72-$72.56/hour and a comprehensive benefits package that includes health, dental, and vision insurance, retirement savings plans, and paid time off.

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