RN - Home Care Service Liaison
Company: Advocate Health
Location: Marinette
Posted on: April 18, 2024
Job Description:
Responsible for collaborating with hospital and/or clinic
caregivers as a resource regarding home care, palliative care,
hospice, durable medical equipment (DME), respiratory therapy (RT),
enteral and infusion services. Responsible for safely transitioning
patients along the Aurora continuum of care by coordinating the
admission process for Aurora At Home home care, palliative care,
hospice, DME, RT, enteral and infusion referrals from within the
hospital or clinic setting. Conducts patient visit(s) in the
hospital to assist patients in understanding and accepting the
transition to home care services. Develops relationships with
hospital and clinic based physicians, nurses, social workers, case
managers, and community partners by providing education regarding
services that can be provided in the home.Role
- Collaborates with both hospital and/or clinic caregivers as a
resource regarding home care services and provides general
education of services.
- Educates patients/families on home care, palliative care, and
hospice services and is available to answer questions allowing
patients to make an informed decision regarding their discharge
plan for post-acute care.
- Regularly attends the outcome facilitation team meetings on the
individual hospital units to provide input regarding services that
could be provided in the home. Communicates with social workers or
case managers on complex cases.
- Builds relationships of mutual respect with hospital and clinic
based physicians, nurses, social workers, case managers, and
community partners by providing good communication regarding
patient transitions.
- Visits patients prior to discharge to ensure patients meet
criteria for Centers for Medicare & Medicaid Services (CMS)
regulations and has an understanding of provider orders for home
care, palliative care, or hospice services upon patient selection
of Aurora At Home as the provider of choice.
- Collects and records medical, social, and reimbursement data
from the hospital and/or clinic record pertinent to initiating
Aurora At Home home care, palliative, hospice, DME, RT, enteral,
and infusion services.
- Follows Aurora At Home home care, palliative, and hospice
patients readmitted to the hospital and evaluates their need for
further services.
- Collaborates with hospital and/or clinic caregivers and
patient/family regarding financial coverage of all Aurora At Home
service lines, and if available, provides information prior to
hospital discharge.Scheduled HoursPer Diem with weekend
rotationsLicenses & CertificationsRegistered Nurse license issued
by the state in which the team member practices.DegreesAssociate's
Degree in Nursing.Required Functional ExperienceTypically requires
3 years of experience in clinical nursing including experience with
discharge planning and/or case management.Knowledge, Skills &
AbilitiesExcellent communication skills. Must be able to speak
clearly and hear to communicate with people in person or over the
telephone. Good organizational, analytical and problem solving
skills. Proficiency in clinical skills with the ability to work
under direction and make sound judgments. Demonstrated ability to
educate clinical staff and the community. Demonstrated ability to
work well with physicians and other professionals in a direct and
positive manner. Ability to work in a team based environment and
participate on multiple teams. Must have a thorough understanding
of home care reimbursement to include Medicare, Medicaid and
private insurance or ability to learn criteria. Ability to assess
data reflecting the patient's status and the ability to interpret
the appropriate information needed to identify each patient's
requirements relative to their specific needs. Must have a
tolerance for differences and an appreciation of multi-culturalism
and diversity of the patients and their families.
Keywords: Advocate Health, Green Bay , RN - Home Care Service Liaison, Healthcare , Marinette, Wisconsin
Didn't find what you're looking for? Search again!
Loading more jobs...