Care Transition Liaison

Granite VNA, Inc.•Concord, NH

11d

About The Position

This is a full time position, Monday - Friday 8:00 a.m. - 4:30 p.m. At Granite VNA, New Hampshire’s largest home health and hospice provider, we believe in care that helps our patients return to living the life they desire. The care we provide is personal and meaningful. Transitions can feel overwhelming - your compassion can make all the difference. As a Care Transition Liaison at Granite VNA, you'll be there to listen, guide, and connect patients with the care they need to feel safe and supported at home. Apply today and bring your care to where it matters most – home. Why Choose Granite VNA: A supportive leadership team who leads with compassion and integrity Autonomy and purpose Collaboration with a team full of dedicated, knowledgeable and supportive professionals Competitive pay, mileage reimbursement and generous benefits Ongoing professional development and opportunities for career growth At Granite VNA, we care for our team the same way we care for our patients—by creating a safe, respectful, and supportive environment. That’s why we offer AVADE Training for our field team members and Armed Intruder Training for team members in other roles. Clothing stipend for Granite VNA–embroidered apparel so you can proudly represent our organization in the community. We invest in tools that let you do what you do best. Our clinicians have access to secure AI technology that helps cut documentation time, giving you more space to focus on connection, compassion, and delivering exceptional patient care. Reporting to the Director of Community Engagement, the Care Transition Liaison works collaboratively with assigned referral sources to facilitate a smooth transition to wherever they call home with Granite VNA services. The Care Transition Liaison will be an ambassador for all Granite VNA services by providing education, in-services, and will provide guidance on how patients can access their home care and hospice benefit. This versatile position will cultivate relationships with a variety of professionals, peers, patients, and caregivers.

Requirements

Bachelor's degree in Nursing, Physical Therapy, Occupational Therapy, Social Work, or health care related field
Previous experience in customer services, sales, or care coordination

Responsibilities

Works with Director of Community Engagement to develop a business plan that is focused on maintaining strong relationships and promoting growth opportunities for lower performing accounts.
Achieves monthly referral and admission goals as established in business plan.
Works with assigned account(s) to coordinate and collect information for patient referrals to ensure smooth transitions of care from facility to home with Granite VNA services.
Actively collaborates with patients and families; provides education and resources to PT/OT/SLP so that they are successful in their discharge plan, ensures that they are aware of our services and given an opportunity to ask questions and provide input.
Serves as an ambassador for all Granite VNA programs and services and is skilled in using value propositions to set us apart from competitors.
Monitors level of satisfaction of current clients and referral source contracts. Works with Director of Community Engagement to enhance relationships as needed.
Utilizes problem solving skills in providing solutions to challenging referrals.
Develops and maintains a working knowledge of the Agency's referral process.
Works directly with the Director of Community Engagement on coordination of care for complex patients, and any non-medical patient needs.
Completes appropriate documentation in a timely manner in liaison log, referral forms, and Electronic Medical Record (EMR).
Actively participates in team planning meetings and offers constructive input.
Cross trains to learn coverage and support of team member accounts.
Travel to assigned accounts is expected to be no less than 80% of time.
Adheres to work schedules and attendance according to agency standard.