RN-Referral Liaison, Continuum of Care

Job Highlights

SSM is looking for an experienced nurse with Hospice/Home Health Liaison or Case Management experience who has a dynamic personality with a ton of energy and passion for Hospice and Home based care. Someone with resilience, but who has a smile on their face all the time. Someone who knows all the challenges Home health and Hospice may have but sees a path forward to solving for them.

• Communication with patients/families to discuss continuum of care services.
• 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.
• Schedule is 3 days during the normal work week supporting Home Health, and then every weekend supporting Hospice. Weekend work primarily involves managing urgent hospice referrals, supporting timely admissions, and getting HH referrals started for Monday. This is potentially subject to change as we continue to work on staffing coverage across the teams.
• Must obtain licenses for MO, IL, OK and WI within 6 months of starting.

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.

• 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, demonstrates 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.

Graduate of accredited school of nursing or education equivalency for licensing.

No experience required.

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

• Illinois – Basic Life Support Health Care Provider (BLS HCP) – American Heart Association (AHA);
  Registered Professional Nurse (RN) – Illinois Department of Financial and Professional Regulation (IDFPR).
• Missouri – Basic Life Support Health Care Provider (BLS…