About The Position

This role is responsible for identifying and evaluating potential LTACH candidates during their acute hospital stay, ensuring they meet the clinical and regulatory criteria for LTACH admission. The Clinical Liaison coordinates closely with physicians, case managers, and hospital staff to facilitate appropriate transitions of care. This position also includes a strong emphasis on insurance verification and payor source evaluation to ensure authorization and reimbursement eligibility.

Requirements

  • Current active VA RN License
  • Graduate of and accredited School of Nursing
  • Basic Life Support (BLS)
  • 2 Years RN experience

Nice To Haves

  • Prior experience in healthcare admissions, patient intake, or a similar role preferred.

Responsibilities

  • Patient Evaluation & Tracking: Conduct clinical assessments of hospitalized patients to determine medical appropriateness for LTACH admission. Monitor patients during their acute care stay for changes in condition that may affect LTACH eligibility. Maintain up-to-date tracking and documentation of potential referrals.
  • Care Coordination & Communication: Collaborate with acute hospital case managers, discharge planners, physicians, and families to advocate for transition to LTACH when clinically appropriate. Serve as the primary liaison between the acute care facility and the LTACH to ensure timely and appropriate handoffs. Attend interdisciplinary rounds and care conferences as needed.
  • Admission Criteria & Regulatory Compliance: Ensure all patients meet CMS and internal medical necessity criteria for LTACH admission. Complete and document clinical evaluations in accordance with hospital and regulatory standards.
  • Insurance and Payor Review: Review patient insurance and payor source information to determine coverage and authorization requirements for LTACH admission. Work closely with internal financial counselors and admissions teams to ensure a smooth and financially viable transition of care.
  • Marketing & Relationship Management: Build and maintain positive relationships with referral sources, acute care hospitals, and physician partners. Represent the LTACH at community and hospital events, as appropriate
  • Other Functions: Performs other duties as assigned.
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