Home Care Liaison II (RN)

Johns Hopkins Medicine•Baltimore, MD

44d•$36 - $56

About The Position

Make it happen at Hopkins The Home Care Nurse Liaison II is a registered nurse who has a thorough understanding of available home based services and products, eligibility requirements, and resources available in the community. The Liaison acts as a resource to staff involved in home care planning, and facilitates continuity of care for the patient transitions to home based services. The Liaison is actively involved in marketing activities and the presentation of educational programs to build referrals and promote the continuum of care needs for patients. Essential Job Functions In the liaison role, serves in a marketing capacity to build referral base by actively seeking new and margin-based referrals. Works in conjunction with the Business Development team in carrying out a jointly developed marketing plan which is actionable and based on referral development. Develops and maintains positive rapport with physicians, case managers, social workers to effectively develop referral base. Personally calls upon referral sources to assess needs, position services, and establish referral process to meet their needs. Prepares and carries out presentations. Develops safe and timely referrals for home care services. Reviews all pertinent health information and includes pertinent information in the referral that promotes a safe transition to home based services. Meets with patients or caregiver prior to discharge. Completes referrals according to standards of practice and are processed timely to meet patient and agency needs. Documents in Johns Hopkins electronic system and hospital system. In the home care coordination role, assists in the intake functions and coordinates the plan of care for patients being referred to JHCH. Coordinates care directly with JHCH staff to ensure safe hand-off and to avoid fall-throughs. Assists with basic pre-teaching (oxygen, enteral, infusion)and , participates in committees and initiatives to promote smooth transitions. Responsive to the discharge planning needs of the health care setting. Responds to all customer requests in a timely manner, provides proactive feedback to referral source and alerts of delays, ensures requested services are arranged; according to physician orders, oversees Assistant functions, and that all patient care referrals are processed as requested. Proactively provides referral sources with education about JHCH, trends in home care services, and any new regulations, secures information and feedback from referral sources and filters back to JHCH for clinical development..

Requirements

RN license in the State of Maryland
Must have valid CPR
Two (2) years home care or home care discharge planning experience preferred, demonstrated excellence in promotion, nursing assessment, home care planning and problem-solving skills, and demonstrated clinical expertise in the many clinical area; i.e. oncology, infusion therapy, pediatrics
Graduate of accredited RN program required

Nice To Haves

B.S. in Nursing preferred

Responsibilities

Serves in a marketing capacity to build referral base by actively seeking new and margin-based referrals.
Works in conjunction with the Business Development team in carrying out a jointly developed marketing plan which is actionable and based on referral development.
Develops and maintains positive rapport with physicians, case managers, social workers to effectively develop referral base.
Personally calls upon referral sources to assess needs, position services, and establish referral process to meet their needs.
Prepares and carries out presentations.
Develops safe and timely referrals for home care services.
Reviews all pertinent health information and includes pertinent information in the referral that promotes a safe transition to home based services.
Meets with patients or caregiver prior to discharge.
Completes referrals according to standards of practice and are processed timely to meet patient and agency needs.
Documents in Johns Hopkins electronic system and hospital system.
Assists in the intake functions and coordinates the plan of care for patients being referred to JHCH.
Coordinates care directly with JHCH staff to ensure safe hand-off and to avoid fall-throughs.
Assists with basic pre-teaching (oxygen, enteral, infusion)and , participates in committees and initiatives to promote smooth transitions.
Responsive to the discharge planning needs of the health care setting.
Responds to all customer requests in a timely manner, provides proactive feedback to referral source and alerts of delays, ensures requested services are arranged; according to physician orders, oversees Assistant functions, and that all patient care referrals are processed as requested.
Proactively provides referral sources with education about JHCH, trends in home care services, and any new regulations, secures information and feedback from referral sources and filters back to JHCH for clinical development.