Community Liaison

Brown Medicine • Providence, RI

19h • Onsite

About The Position

Reports to the Manager of Discharge Planning or designee. Provides coordinated care support and case management to high-risk patients and families throughout hospitalization and post hospitalization. The focus of this position is to reduce hospital readmissions and length of stay. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate

Requirements

• BASIC KNOWLEDGE: Bachelor’s Degree in Social Work (or equivalent).
• Knowledge of health care and health care delivery systems.
• Analytical skills necessary to evaluate patients’ concrete needs and to formulate and implement a treatment plan.
• Interpersonal skills to effectively interact with patients, families, medical staff, and outside agencies in providing services.
• EXPERIENCE: One-year professional experience working in health care setting or human service agency preferred.
• Must exhibit strong interpersonal skills as well as a collaborative approach and style of communication in order to interact successfully on a daily basis with a wide and diverse population of both health care providers, patients and their families.
• Must demonstrate knowledge and skill necessary to provide care to patients throughout the life span, with consideration of aging processes, human development stages and cultural patterns in each step of the care process.
• A basic proficiency in the use of Microsoft office software programs including email, Outlook calendar and basic keyboard skills are also required.

Responsibilities

• This position will follow patients who are high utilizers of our hospital or have high risk for readmission. This would include, but not be limited to, patients with the following concerns: substance use, mental health, uninsured or underinsured, homeless, or those with various psychosocial stressors.
• The Community Liaison will work collaboratively with a High-Risk Case Manager, patients and an interdisciplinary team throughout the patient’s admission and then continue to follow the patients in the community post discharge.
• This position will be able to meet with patients in both the hospital and community settings (i.e., in Skilled Nursing Facilities, in community agencies where patients are being connected to care/resources, in medical offices, or in patient homes/community settings).
• The liaison will be expected to collaborate with community providers to ensure that patients are provided with the appropriate support needed to engage with resources and improve their overall health and well-being.
• Connects patients and assists with follow up to medical, mental health and substance use providers.
• Connects patients to appropriate community resources to prevent a return to the hospital for assistance
• Follows and assists patients who need to complete Medicaid applications post discharge to ensure follow up and completion (specific to LTSS for longer term services and access to higher levels of care; access to nursing home placement or increased home care supports).
• Conducts community visits to identify firsthand patient/environment needs.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Number of Employees: 101-250 employees