Home Care Liaison; RN - Advocate Christ Medical Center

REGISTERED NURSE - HOME CARE LIAISON

Advocate Christ Medical Center

HOURS:

DAYS WITH WKD AND HOLIDAY ROTATION

• Screen and accurately complete referrals ensuring patients meet agency admission criteria and comply with state and federal regulations.
• Process referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites and MD offices, determining patient qualification for home care based on established guidelines.
• Verify home health care benefits per payor plans and obtain authorizations as indicated.
• Obtain physicians’ initial home care orders.
• Identify risk management situations and complete high‑risk referral processes on appropriate patients per guidelines.
• Interpret company services, admission criteria, and medical policies to referral sources and patients seeking information.
• Document initial plan of home health care and initiate interdisciplinary communication.
• Interview patients/families in the hospital or SNF to assess and evaluate patient for home care appropriateness.
• Collaborate with care‑management staff to assist the patient/family in initiating home care services and respond to inquiries.
• Work within established productivity guidelines for assigned sites and report productivity daily to the supervisor.
• Train patients/families on using equipment (e.g., pump) at home.
• Provide quality customer service; promote collaboration and coordination between referral sources and home care services to promote continuity of care and effective use of resources.
• Act as a resource to physicians, physician offices, patients, families, hospital and skilled nursing facility staff regarding types of services and criteria for home care, including Medicare guidelines.
• Provide education to the care team on services that may enhance transitions of care including DME, Hospice, Palliative Care, Pediatrics, and Home Infusion Therapy.
• Maintain knowledge of Medicare, Medicaid, and HMO procedures.
• Attend site‑based multidisciplinary meetings (readmissions, capture, discharge planning) involving Advocate at Home patients.
• Ensure follow‑up on patient satisfaction issues related to home care services.
• Provide courteous service to patients, families, staff, and physicians.
• Ensure complete referral information is obtained for accurate and timely billing.
• Collaborate with insurance verification to achieve optimal reimbursement.
• Assist in developing policies and procedures to ensure compliance with current practice standards.
• Obtain Face‑to‑Face (F2F) encounter forms for all Medicare, Medicaid, and pending patients during referral process or within the first 7 days.
• Educate physicians on the Face‑to‑Face process.
• Maintain clinical skills and competency by attending monthly training and interdisciplinary team meetings.
• Provide suggestions or improvements in current practices (process, documentation, etc.) to enhance quality, productivity, and customer satisfaction.
• Exhibit a positive attitude and self‑management, contributing to a positive workplace culture.
• Provide input on performance and compliance with standards, and adapt to changing business needs and responsibilities.
• Partner with peers to achieve productivity levels and adhere to standard operating procedures during referral processing.
• Participate in precepting new hire training and orientation.
• Collaborate with other Advocate at Home product lines to provide comprehensive patient hand‑offs when appropriate.

Registered Nurse (RN)

RN with 3‑4 years of experience; 1‑2 years in home care preferred.

• Very good communication skills.
• Knowledge of Medicare rules and regulations.
• Experience in multi‑tasking on multiple computer systems.
• Strong customer service skills.
• Working knowledge of managed care environment.
• Critical thinking skills.
• Current RN licensure.

• On‑call and weekend rotation.
• Ability to work in a fast‑paced environment.
• Ability to drive to referral sites in all weather conditions and to corporate office for meetings and training/education.
• When position involves direct patient care or contact, lifting up to 35 lbs without assistance; for over 35 lbs, use patient handling equipment with at least one other associate, when available. Unique patient lifting situations will be assessed case‑by‑case.

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the incumbent. The incumbent may be required to perform other related duties.