Clinical Liaison RN

Position Summary

The Clinical Liaison RN (Exempt) - PAH is responsible for modeling the Compassus values of Compassion, Integrity, Excellence, Teamwork, and Innovation, and for promoting the Compassus philosophy using the 6 Pillars of Success as the foundation. S/he is responsible for upholding the Code of Ethical Conduct and for promoting positive working relationships within the company, among all departments, and all external stakeholders.

• Demonstrates ability to cope with ambiguous and changing environment.
• Demonstrates the ability to remain calm under pressure.
• Works well independently; able to work effectively without day‑to‑day supervision.
• To acquire current knowledge of multiple managed care contracts and network provider subcontracts.
• To establish and maintain positive working relationships with facility customers and JV home health agency and hospice staff.
• To prioritize multiple tasks and work in a demanding, active setting.
• Understanding purpose and function of Value‑Based Enterprise agreement between Providence and JV for home health and hospice care coordination.
• Work cooperatively with Hospital discharge planning team to identify patients who would benefit from home‑based care and to effectuate efficient and effective discharges in cooperation with patient's physician/mid‑level provider.

Patient Population Served:
Not Applicable

• The job duties listed are essential functions of the position. However, other duties may be assigned, and may also be considered essential functions of the position.
• The caregiver must be sufficiently fluent in the English language to satisfactorily perform the essential functions of the position. The degree of fluency required will vary depending on the nature of the position.
• Caregivers are expected to honor the Mission, Values, Vision and Promise and adhere to the Code of Conduct, policies and standards of their organization.
• For direct patient care roles:
  Performs and maintains currency of essential competencies as required by specific area of hire and populations served.
• HOME HEALTH AND HOSPICE ADMISSIONS
• Assesses referrals for appropriateness for home care and hospice to include medical, physical, social, and emotional status, home environment and family's acceptance and ability to care for the patient in the home and determine the need for equipment.
• Coordinates discharge planning for hospital inpatients to home health and hospice service needs of referral sources including physicians and authorized mid‑level practitioners (e.g., ARNP or PA) including but not limited to those who are hospital‑based, work in clinics, physician offices or elsewhere in the community.
• Provides home care information/education at meetings with hospital service, utilization review/discharge planners/case managers, patients and patient's families and educates hospital medical and physician/mid‑level staff, patients, and patient's families to available home care services.
• Acts as liaison between patients, families, payors, physicians, Providence discharge planners, and the network providing complete physicians' orders, referral information to the network intake department.
• Assumes initial responsibility with Hospital discharge planning team for assessing patient/family needs for Home Health, Hospice and consults with the attending physician, Hospice Medical Director, intake team and other staff members as necessary.
• Plans for admission of patients to Home Health, Hospice in coordination with agency representative, patient/family, Hospitalist and primary physicians/attendings, Medical Directors and hospital case manager/discharge planner.
• Contributes to the clinical determination of a patient's appropriateness for Home Health and Hospice services consistent with applicable policies and admission criteria and in conjunction with patient's physician or appropriate mid‑level practitioner.
• Facilitates transition of patient/family to primary nurse and other members of the hospice Interdisciplinary Group (IDG) as indicated for patients who elect hospice after determined to be hospice eligible.
• Coordinate the expansion and implementation of the GIP…