The Hospital-Based Transitional Nurse Liaison (TNL) coordinates safe, timely, and effective transitions of care for patients within the HealthPartners enterprise hospital post-acute care network whose clinical needs may be appropriately managed through skilled home care, home infusion, ambulatory infusion suites, outpatient infusion, or other post-acute services. The TNL serves as the primary clinical liaison among the hospital care team, patients and caregivers, Hospitals, Park Nicollet Home Infusion (PNHI), infusion pharmacy, and other post-acute partners as needed. The TNL evaluates clinical, safety, payer, and service appropriateness; coordinates referrals, resources, education, and required documentation; and ensures the receiving team has the information, medications, supplies, equipment, and communication necessary to begin care successfully. The role collaborates closely with nursing, physicians, pharmacy, Care Management, rehabilitation services, community partners, patients, and families to facilitate safe and efficient discharge.
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Job Type
Full-time
Career Level
Mid Level