Clinical Transition Care Liaison Home Health Specialist

1 week ago


Saint Paul, Minnesota, United States AccentCare Full time
Overview

As a licensed RN, LVN, or PT, you will have the opportunity to work at the top of your licensure as a Transition Care Liaison at AccentCare. You will be responsible for developing plans of care and utilizing nursing theories, skills, and techniques to provide quality care to your clients on a daily basis.

Responsibilities
  • Manage communication channels between physicians, social workers, discharge planners, hospital case managers, Patient Care Navigators, and agency staff to ensure that all are aware of referral source requests and concerns.
  • Clinically assess, coordinate, and communicate care needed and relays concerns of physician and hospital staff prior to home care admission or resumption of care to the agency staff and during course of treatment.
  • Conduct bedside visits with the patient, preferably in person (may be done telephonically) to assess, facilitate, and drive a successful transition to home for the patient and family.
  • Provide input and clinical expertise into patient transition and care plan development.
  • Build and maintain patient relationships by keeping close contact with hospitalized agency patients to ensure optimal patient experience.
  • Transition patient to Patient Care Navigators to establish physician follow up post discharge and ongoing care.
  • Procure physician signatures on written orders regarding patient care and communicate to agency staff; maintain a current referral base of all referral sources within the service area.
  • Collect and provide all information that is relevant to the patient care plan, including demographics, clinical data, payer, and other information, as required, on company approved forms to support diagnosis and home care orders.
  • Assist agency in timely processing of physician orders.
  • Manage and grow referral sources by identifying new referral sources and educating them on available services provided by the agency, maintaining current referral source relationships.
Qualifications
  • Bachelor's degree and 3 years of experience; or equivalent combination of education and experience. Advance degree preferred.
  • 7 years of experience in facility/physician relationships with a deep understanding of facility discharge processes.
  • Licensed RN, LVN, or PT in practicing state.
  • Current driver's license and liability insurance.
Posted Salary Range

USD $65,000.00 - $90,000.00 per year.



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