Transitional Care Liaison-Home Health

Luxe Home Health is a leading provider of home health care services, dedicated to offering high-quality care with compassion and respect. We are currently seeking a compassionate, detail-oriented, and experienced Transitional Care Liaison to join our growing team in the greater Northwest Indiana area. If you are passionate about supporting long-term care patients and their families, we want to hear from you!

As a Transitional Care Liaison at Luxe Home Health, you will play a key role in ensuring smooth transitions for patients moving from nursing home settings to home care. This position requires a strong background in discharge planning, social work, and long-term care, as you will coordinate care between patients, families, and healthcare teams to provide comprehensive support.

• Act as the primary liaison between nursing homes, patients, families, and home health care teams to ensure seamless care transitions.
• Ensure all patient needs are addressed and that resources are in place for a successful transition from nursing homes to home care.
• Provide counseling and support to patients and families, addressing emotional, social, and practical challenges related to long-term care and discharge planning.
• Maintain strong communication with multidisciplinary teams, including physicians, nurses, case managers, and other healthcare professionals.
• Accurately document assessments, care plans, and interventions in electronic health record (EHR) systems.
• Identify and connect patients and families with appropriate community resources and support services.
• Advocate for patients, ensuring their rights, preferences, and needs are respected throughout the care process.
• Ensure compliance with relevant regulations and professional standards in social work practice.

• Experience: 1-2 years of social work experience, ideally in a nursing home or long-term care setting. Discharge planning experience is highly preferred.
• Valid IN Driver's License: Must have a valid driver's license, reliable transportation, and the ability to travel within the greater Northwest Indiana service area.
• Skills:
• Excellent verbal and written communication skills.
• Strong proficiency in electronic health record (EHR) systems and other relevant computer software, including Microsoft excel, and data tracking.
• Ability to work independently, as well as collaboratively, in a fast-paced team environment.
• Empathetic and patient-focused, with strong problem-solving skills.
• Knowledge of community resources and services available for long-term care patients.

• Competitive salary ranging from $60,000 to $65,000 annually, plus a very competitive bonus structure.
• Comprehensive benefits package, including medical and dental insurance, plus paid time off (PTO).
• A supportive, team-oriented work environment focused on professional growth.

Job Type: Full-time

• Dental insurance
• Health insurance
• Paid time off
• Paid holidays
• Auto allowance

Work Location:

On the road