Registered Nurse (RN) Hospital Liaison

Ohio State University Wexner Medical Center Home Care•Columbus, OH

1d•Onsite

About The Position

The Post-Acute Care Coordinator provides patient healthcare coordination services. Employee may attend discharge/multidisciplinary rounds in acute care, ambulatory and or other settings within the health system to share expertise and to assist the patient in transition of care from one setting to the next within the health system. Post-acute care is at the center of improving health outcomes. We care for patients where they spend the majority of their time – in their homes. This privileged position allows us to see things that are invisible to a patient’s primary care or hospital physician, and to deliver the best possible care tailored to each patient’s setting. As the healthcare industry continues to evolve away from hospital-centric care, our work, caring for patients in their homes becomes more important than ever. Our success helping patients recover comes from engaging with them. We start at the facility bedside and coordinate each patient's transition back to their home, ensuring a smooth transition and that their care plan is right for them. We support complex, high-acuity, medically-at-risk aging patients. This is the most challenging group of individuals to serve, and we find it the most rewarding. And we do this all in partnership with health systems. Together we create a seamless care environment that enables patients to receive excellent care in the setting that best meets their needs. Employees of The Ohio State University Wexner Medical Center Home Care are employed by Alternate Solutions Health Network, LLC. Speech Language Pathologists are directly employed by Alternate Solutions Homecare of Columbus, LLC.

Requirements

Maintain effective communication with patients, families, physicians, and co-workers
Compassionate and caring while working with patients
Ability to make appropriate clinical judgments
Ability to identify a situation and handle it with the best possible solution
Disciplined style of work ethic
Ability to follow directions and work as a team member
Associate degree with a minimum of two (2) years’ experience; or a combination thereof.
Licensed in state of services as a Registered Nurse (RN)

Responsibilities

Identifies future patients and determines home care eligibility
Reviews patient insurances and medical documentation
Coordinates health care services as ordered by the attending physician
Ensures coordination of all ancillary services patient following discharge
Participates in care conferences and coordination of case management
Functions as a resource nurse/social worker for your patients
Increases awareness of services offered
Services account(s) to maintain facility relationships
Assists hospital/facility personnel in the discharge planning process
Builds and maintains lasting positive relationships with patients/clients, facility/hospital personnel, physicians, and any other team members
Notifies the referring facility manager before contacting patients
Promotes well-being of patients as a part of the facility team(s)
Participates in Care Integration meetings
Attends in-service trainings and mandatory company meetings
Other duties as assigned