Clinical Liaison

Community Physicians•Oakbrook Terrace, IL

2d•$25 - $32

About The Position

The clinical liaison is responsible for coordinating patient transitions of care by developing effective partnerships with patients, their caregivers/families, facility staff, community resources and physicians. Through these partnerships, the clinical liaison promotes high-quality care that is patient and family centered within and across healthcare settings.

Requirements

Older adults: 2 years (Required)
Case management: 2 years (Required)
Medical terminology: 2 years (Required)

Nice To Haves

Medical Assistance background is a PLUS.

Responsibilities

Must be able to travel to several locations in the area. Lisle and Naperville
Collaborate with patients, their families/caregivers, healthcare professionals and community resources to develop a comprehensive plan of care that promotes health and meets the patient’s care goals.
Round with physician and communicate information to patient and facility staff as appropriate.
Attend IDT-care plan meetings at facilities.
Conduct patient social risk factor assessment and anticipate potential gaps in care.
Provide education to improve patient and family health literacy on patient’s condition and treatment plan.
Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support.
Provide timely communication and follow up with patients, families, and healthcare providers regarding changes in patient condition.
Serve as a point of contact, advocate, and informational resources for patient, family, care team and community resources as needed.
Assess the patient’s and family’s unmet health and social needs.
Identify high-risk, complex patients that would benefit from transitional care services, chronic care management and remote patient monitoring and assist patient and family in enrolling in programs.
Help support patient and caregiver with transition to next level of care including facilitating follow-up appointments and communication of plan of care to next level of providers.
Empower patients and caregivers to take an active and informed role in managing their care post-discharge.
Work closely with discharge planners to deploy patient’s plan of care.
Assist with transitional care clinic services.
Assist in data collection of key quality metrics and program performance improvement metrics.