Care Transition Liaison

UnitedHealth Group•Baltimore, MD

About The Position

Explore opportunities with HomeCall, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve. Find a home for your career here. Join us and embrace a culture of Caring. Connecting. Growing together. RN or LPN required As the Care Transitions Liaison (CTL), you will be responsible for executing the sales strategy to increase company market share through account development and educating the medical community on services provided by the company while operating within set budget. The CTLs primary responsibility is to facilitate a seamless transition for patients discharging from a facility setting to the care of an of our agency for post-acute care needs. You will work directly with the facility discharge planner to verify the receipt of orders and the agency's ability to meet the needs of the patient.

Requirements

Current and unrestricted RN or LPN licensure in state of practice
Valid driver’s license, vehicle insurance, and reliable transportation or access to public transportation
RT and/or technical school certification demonstrating solid clinical knowledge
1+ years of home health or hospital case management experience
Thorough understanding of home health qualifying criteria and coverage guidelines
Excellent presentation, negotiation and relationship-building skills
Solid computer skills to meet Microsoft Outlook and other software requirements

Nice To Haves

1+ years of medical marketing experience
Excellent verbal and written communication skills with all members of the healthcare team
Excellent organizational skills and ability to complete competing priorities

Responsibilities

Achievement of monthly Personal Production Goals and MC admit budgets for assigned locations while being a good steward of the company’s financial resources by projecting a return on monies spent and managing to a Sales and Marketing expense budget
Successfully executes a weekly, monthly, and quarterly strategy to increase market share within facility assigned
Following Right of Choice, evaluates patient and orders for suitability for home care
Initiates face-to-face patient transition to educate the patient on LHC agency and identifies primary care physician to follow the plan of care
Presents agency Executive Director with identification of patient needs to obtain branch approval and acceptance and completes CTC encounter documentation in Home Care Home Base
On acceptance, coordinates organization of transfer orders, coordinates other ancillary services for the patient (DME | Infusion) as needed, educates patient on home care/ Hospice orders received from the referral source and home care and/ or hospice services
Acceptance to ensure all patient needs identified by the referral source are documented and met by the agency
Works closely with the Executive Director/Clinical Director to drive a vision of growth by focusing every team member on the needs and expectations of the referral community and patients
Responsible for all sales administration duties including, but not limited to, BOA expense entry compliance, BOA with associated Policies and Procedures, payroll time sheets, Weekly 3LS meetings with strategic updates, PTO requests, Attends all required sales calls and company provided in services, timely cell phone and e-mail correspondence
Educates patient on importance of the post facility discharge follow up appointment with the physician, on obtaining all necessary prescriptions prior to discharge from the hospital and confirm patient’s understanding of medication, pharmacy, and delivery method
Serves as a liaison between the LHC Group agency and all involved healthcare providers of newly referred patients as well as existing patients transferred to the hospital from the home health agency
Communicates to discharge planning any active patients that transfer from home health into a Facility and coordinates resumption of care with patient prior to discharge if applicable orders are obtained
Provides follow up feedback to case management team regarding status of readmissions and any non-admit decisions based on information provided to them by the LHC agency
Observes patient confidentiality at all times
Knows the features and benefits of the services provided by LHC Group. Is able to articulate competitive advantages, specialty programs, and Medicare guidelines. Educates the medical community about the services of our organization through effective sales calls and in-services with the appropriate tools and literature