RN-Referral Liaison, Continuum of Care Remote PRN

SSM Health Care • Madison, WI

3d • Remote

About The Position

It's more than a career, it's a calling WI-REMOTE Worker Type: PRN Job Highlights: SSM is looking for an experienced nurse with Home Health, Hospice or Case Management experience that has a dynamic personality with a ton of energy and passion for Home base care. Someone with resilience, but has a smile on their face all the times. Someone who knows all the challenges Home health and Hospice may have but sees a path forward to solving for them. The selected individual will be responsible for; • Meeting with patients/families in person to discuss continuum of care services. • Meeting/communicating with 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/Chart Review to determine appropriateness for continuum of care services Must live in the southern to Central WI Region and be within 1 hour of branch offices. Some coverage onsite. Flexible schedule: 8-430 Days. Minimum requirements: 3 shifts/month. Ideally 2-3 shifts per week. Schedule will typically be available 2 months in advance. 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.

Requirements

• Must live in the southern to Central WI Region and be within 1 hour of branch offices.
• 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

Nice To Haves

• Home Health, Hospice or Case Management experience
• Ideally 2-3 shifts per week.

Responsibilities

• Meeting with patients/families in person to discuss continuum of care services.
• Meeting/communicating with 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/Chart Review 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.
• 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: No Education Listed
• Number of Employees: 5,001-10,000 employees