Hospital at Home Liaison (On-Site)

Advocate Health•Charlotte, NC

7d•$38 - $57•Onsite

About The Position

The Hospital at Home Liaison collaborates with hospital and clinic caregivers as a resource for home care services, providing education on available services. They educate patients and families on home care, palliative care, and hospice services, answering questions to enable informed decisions about post-acute care discharge plans. The liaison regularly attends outcome facilitation team meetings to contribute insights on home-based services and communicates with social workers or case managers on complex cases. They serve as the primary communication link between patients, providers, and external partners, initiating the transfer process to the Hospital at Home program, including provider notification and care team coordination. Responsibilities include addressing patient and caregiver questions, reviewing admission packets, obtaining formal patient consent after medical clearance, and coordinating key steps for a smooth transfer to Hospital at Home. This involves notifying the care team, documenting acceptance, confirming logistics, and ensuring patient needs like medications, oxygen, and equipment are met before departure. The role also includes performing patient assessments (skin, cognitive, mobility) and applying critical thinking to evaluate patients holistically, demonstrating knowledge and skills appropriate for the age of the patients served.

Requirements

RN PT, OT or SLP
Licensed in state the teammate practices – RN, PT, OT or ST License
2 years of health care related experience
Strong understanding of the workflows of Hospital at Home, broad understanding of payors, and able to complete a medical, physical, and cognitive screen of the patient.
Excellent communication skills. Must be able to speak clearly and hear to communicate with people in person or over the telephone.
Good organizational, analytical and problem-solving skills.
Proficiency in clinical skills with the ability to work under direction and make sound judgments.
Demonstrated ability to educate clinical staff and the community.
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner.
Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs.
Must have a tolerance for differences and an appreciation of multi-culturalism and diversity of the patients and their families.

Nice To Haves

3 years of preferred experience
Ability to take initiative, strong verbal and interpersonal skills

Responsibilities

Collaborates with both hospital and/or clinic caregivers as a resource regarding home care services and provides general education of services.
Educates patients/families on home care, palliative care, and hospice services and is available to answer questions allowing patients to make an informed decision regarding their discharge plan for post-acute care.
Regularly attends the outcome facilitation team meetings on the individual hospital units to provide input regarding services that could be provided in the home.
Communicates with social workers or case managers on complex cases.
Serve as the main communication link between patients, providers, and external partners.
Initiate the transfer process to the Hospital at Home program, including provider notification and coordination with the care team.
Address any patient and/or caregiver questions and concerns through review of the admission packet.
Obtain formal patient consent to the program after medical clearance provided by provider.
Coordinate and execute the key steps required for a smooth and timely transfer to Hospital at Home. This includes notifying the care team, documenting acceptance, confirming logistics, and ensuring the patient’s needs—such as medications, oxygen, and equipment—are addressed before departure.
Performs assessment of patient to include skin, cognitive, mobility.
Applies comprehensive critical thinking to evaluate the patient wholistically.
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures. Age-specific information is developed further in the departmental job standards.

Benefits

Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program