RN-Referral Liaison, Continuum of Care Part time

SSM Health • Monroe, WI

10d • Remote

About The Position

It's more than a career, it's a calling WI-SSM Health Monroe Home Health & Hospice Worker Type: Regular Job Highlights: SSM is looking for a experienced nurse with Hospice/Liaison or Case Management experience!! The selected individual will be responsible for; • Meeting with patients/families in person to discuss continuum of care services. • Meeting/communicatingwith referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc). • Care coordination between continuum of care departments, such as branch departments, business development etc. • Eligibility/ChartReview to determine appropriateness for continuum of care services Schedule: This position is primarily a weekend position and Fridays. The hours are 8am-4:30pm with no on-call requirements. This is a remote position, covering our entire service areas of; WI, IL, OK, and MO. Multistate licensure required. it is not required at time of hire but would need to work towards it started (this is reimbursed by SSM). Job Summary: Creates an environment that leads to a positive patient care experience by facilitating problem solving and decision making. Ensures accuracy and timeliness on all functions related to insurance prior authorization, plan benefits, and medical necessity documentation. Serves as a liaison between patients, physicians and all other participants of the health care team. Job Responsibilities and Requirements: PRIMARY RESPONSIBILITIES Creates a positive patient care experience by greeting, preparing, exiting and following up with patients for providers according to established competency guidelines, policies and procedures. Creates an atmosphere of teamwork by contributing to opportunities to improve employee and customer satisfaction, including self development, continuing education (personal and technical), and achieving department objectives and goals. Provides support, both expected and directed, and collaborates with physicians and multi-disciplinary care team(s) for best care/results. Ensures accuracy of data collection and reporting for quality Initiatives. Maintains accountability for maximizing revenue capture and growth while optimizing cost savings. Communicates opportunities for organizational growth and improvement. Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service. As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations. Works in a constant state of alertness and safe manner. Performs other duties as assigned. EDUCATION Graduate of accredited school of nursing or education equivalency for licensing EXPERIENCE No experience required PHYSICAL REQUIREMENTS Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs. Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements. Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors. Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc. Frequent keyboard use/data entry. Occasional bending, stooping, kneeling, squatting, twisting and gripping. Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs. Rare climbing. REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS State of Work Location: Illinois Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Missouri Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) - Missouri Division of Professional Registration Or Registered Nurse (RN) Issued by Compact State And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Oklahoma Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Oklahoma Board of Nursing (OBN) And Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) State of Work Location: Wisconsin Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA) And Registered Nurse (RN) Issued by Compact State Or Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Requirements

• SSM is looking for a experienced nurse with Hospice/Liaison or Case Management experience!!
• Multistate licensure required.
• Graduate of accredited school of nursing or education equivalency for licensing
• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR)
• Registered Nurse (RN) - Missouri Division of Professional Registration
• Registered Nurse (RN) Issued by Compact State
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)
• Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Responsibilities

• Meeting with patients/families in person to discuss continuum of care services.
• Meeting/communicatingwith referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc).
• Care coordination between continuum of care departments, such as branch departments, business development etc.
• Eligibility/ChartReview to determine appropriateness for continuum of care services
• Creates a positive patient care experience by greeting, preparing, exiting and following up with patients for providers according to established competency guidelines, policies and procedures.
• Creates an atmosphere of teamwork by contributing to opportunities to improve employee and customer satisfaction, including self development, continuing education (personal and technical), and achieving department objectives and goals.
• Provides support, both expected and directed, and collaborates with physicians and multi-disciplinary care team(s) for best care/results.
• Ensures accuracy of data collection and reporting for quality Initiatives.
• Maintains accountability for maximizing revenue capture and growth while optimizing cost savings.
• Communicates opportunities for organizational growth and improvement.
• Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service.
• As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model.
• Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

Benefits

• SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.
• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).
• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.
• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: Associate degree