Lead Clinical Liaison

Compassus•Torrance, CA

8d•$39 - $61

About The Position

The Lead Clinical Liaison - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation . They are responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders. This position serves as the Supervisor/Lead Clinical Liaison to the Hub Team(s) and provides leadership and coordination for the home care services between Providence hospital facilities and the JV Agencies for home health and hospice, and other community providers when specifically requested by the patients. This position is responsible for identifying 'best practices' for care delivery and may network with community resources and consult with case management at the hospital. The Lead Clinical Liaison position is salaried and will not receive any bonus or compensation related to assisting with admissions to the JV home health agencies or hospices. The Lead Clinical Liaison may be assessed for success of achieving Value-Based Enterprise measures.

Requirements

Education sufficient for clinical licensure for discipline (e.g., LPN LVN, MSW)
5 years experience in clinical discipline required
Current state professional license or certification appropriate to discipline.

Nice To Haves

Bachelor's degree in Social Work or Nursing, or a Diploma in Nursing or an Associate's Degree in Nursing (ADN)
A minimum of three (3) years of staff supervision experience preferred.
Previous liaison, marketing, sales, or health care industry experience
3 years home health, hospice and/or palliative care experience preferred.
Knowledge of Electronic Medical Record (Epic) desired.

Responsibilities

Provide clinical and administrative oversite to the care coordination liaison staff to include RN's and Care Transition Associates assigned to the hub.
Lead staff in clinical problem-solving as needed.
Participates as a decision make for escalated patients.
Coordinate adequate staffing schedule of liaisons and techs.
Ensure regulatory compliance for assigned staff; participate in development of polices and procedures to ensure compliance in accordance with standard home health & hospice procedures. Medicare Conditions of Participation and other regulatory agencies.
Maintain and build existing referral base relationships by serving as a resource for education and information.
Establish and maintain positive working relationships with facility customers and JV home health agency and hospice staff.
Evaluate referrals received on hospitalized patient from a variety of care settings for appropriateness for Home Health, Hospice, and/or other in-home services as appropriate.
Provide information to patients and their families interested in Hospice or Home Health.
Participates, when appropriate, in health care facility care conferences regarding specific patient consult requests.
Coordinate discharge planning for Hospice and Home Health patients who have been admitted to the hospital and act as a liaison to Ministry staff for smooth transition.
Accept referrals from hospital discharge planner after they have identified patient agency choice and type of home service needed.
Coordinate with the Inpatient Hospital Team and primary RN/MSW to ensure discharge planning is comprehensive and communicated efficiently.
Collaborate in Care Plan development, implementation and evaluation with discharge planners. Participates, when appropriate, in discharge planning rounds in health care facilities.
Appropriately document activities in the Providence at Home electronic medical system; tracks referrals received by nursing unit and accepted by each Providence at Home agency.
Maintains open positive communication with appropriate agency staff (Hospice, Home Health, and/or other in-home services) regarding referrals received.
Effectively manages customer resolution issues independently or seeks management/leadership involvement as needed.
Schedule, coordinate and present in-services and other information presentations at community events, health fairs, care-giver series, and other outreach activities.
In furtherance of the VBE care coordination goals, coordinate with Account Representative to support care coordination efforts; facilitate growth of Home Health andHospice services and promote Providence at Home according to growth strategies.
Actively participate in the development and execution of strategic initiatives that include increased Value Based Enterprise care coordination and discharge planning services for applicable post-acute care patients who will receive home health or hospice care following the hospital inpatient discharge. Comply with all applicable Federal, State, and local laws, regulations, and requirements as well as facility specific policies and procedures. In addition, all employees who have contact with participants/residents/patients/clients are expected to promote the Patients' Bill of Rights and Responsibilities and understand the basic procedures for receiving and documenting grievances in order to initiate the appropriate process for participant concerns.
Maintain confidentiality of all patient demographics, medical and financial information at all times. Maintain confidentiality of all company and client information; ensure proper handling and disposal of confidential document and adheres to all HIPPA rules and regulations.
Additional duties may include the following: in collaboration with Care Liaison Manager and Regional Market Executive, lead local outreach team in execution of tactical plans to build business.
Lead team meetings to review and report weekly metrics and problem-solve customer service or account-related issues.
Provide support to local Team members for escalated customer service issues.
Respond to daily needs of local Team, including facilitation of excellent communication channels between Growth and Intake Department.
Serve as a local champion for service-line standardization and consistency efforts.
Performs other duties as assigned.
Acquire current knowledge of multiple managed care contracts and network provider subcontracts
Work cooperatively with Hospital discharge planning team to identify patients who would benefit from homebased care and to effectuate efficient and effective discharges in cooperation with patient's physician/mid-level provider.