Clinical Liaison Nurse

New England Life Care•Woburn, MA

3d•$104,000 - $114,400

About The Position

New England Life Care (NELC), a nonprofit home infusion provider serving more than 70 hospital systems across Maine, New Hampshire, and Massachusetts, is hiring a Clinical Liaison Nurse to serve patients at Brigham and Women’s Faulkner Hospital and Mass General Brigham. This full-time, salaried, exempt role assesses patients referred for home infusion therapy to determine whether they can safely receive services at home, develops strategies to capture referrals across the member hospital’s system of care, and builds relationships with hospital staff to support quality coordination between hospital and home. The nurse gathers and communicates patient demographic, clinical, and reimbursement information; coordinates referrals and discharge documentation; supports insurance verification and reimbursement exploration; and works with patients, caregivers, hospital teams, NELC departments, and home health agencies. The position also includes patient and caregiver assessment, care and training-plan development, patient-status monitoring, documentation, participation in meetings and rounds, and maintaining patient confidentiality. The normal schedule is Monday through Friday, 8:00 a.m. to 5:00 p.m. Once fully trained, the role requires working one weekend per month. Because of the hospital location, the position receives an additional $4.00-per-hour premium differential.

Requirements

Associate degree or diploma in Nursing.
Two years of intravenous therapy experience in a hospital or homecare setting.
Excellent patient assessment skills.
RN or LPN license in good standing in the state(s) where care or services are provided.
Valid driver’s license.
Excellent driving record.

Nice To Haves

Bachelor of Science in Nursing.
Current BLS Certification.
Knowledge of HIPAA Privacy and Security Regulations.
Knowledge of the JCAHO accreditation process and overall JCAHO standards.
Working or practical knowledge of home infusion therapy administration and equipment use.

Responsibilities

Gather and communicate demographic, clinical, and reimbursement information about referred patients to NELC’s intake department.
Develop relationships and identify opportunities to bring potential home infusion referrals to NELC across hospitals, ambulatory providers, and other member-hospital care providers.
Communicate insurance-verification results to hospital discharge planners and/or patients, and assist NELC’s reimbursement department in exploring reimbursement sources.
Review patient and caregiver needs and abilities; participate in developing patient-specific training and care plans, and participate in patient training within professional licensure and scope when appropriate.
Facilitate discharge and referral processes by relaying orders and documentation to the appropriate NELC departments.
Serve as a clinical liaison between NELC and appropriate hospital departments and care-system teams, including medical staff, care coordination, case management, social services, pharmacy, and nursing.
Help coordinate services with other home health agencies.
Monitor active and pending NELC patient status during hospitalization and communicate updates to appropriate NELC staff.
Maintain an appropriate patient caseload as defined by the Director of Nursing.
Document interactions with patients and healthcare-team members in patient records and/or electronic progress notes.
Communicate patient requirements and changes in status to appropriate NELC infusion and reimbursement teams and involved home health agency staff.
Participate in daily patient-care meetings and case conferences.
Participate in hospital rounds as a member of the care management team to identify and provide care coordination and guidance to the hospital care team, providers, and patients referred for infusion.
Maintain confidentiality of patient information in accordance with state and federal HIPAA Privacy and Security regulations.
Complete therapy-specific reimbursement checklists and determine reimbursement accurately, including checklists for Medicare TPN, Medicare ENT, and Medicare Cardiac when required by payer or NELC guidelines.