Care Management Liaison

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Care Management Liaison

REPORTS TO POSITION: Manager-Care Coordination

DEPARTMENT: Care Management

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENT SUMMARY: The Care Management Department at St. Charles Health System; engages in a collaborative process that assesses, plans, implements, coordinates, monitors and evaluates the options and services required to meet the client's health and human service needs throughout the acute care stay and proactively manages the coordination of a safe and timely discharge. It is characterized by advocacy, communication, and resource management and promotes quality and cost- effective interventions and outcomes.

POSITION OVERVIEW: The Care Management Liaison works directly with unit Nurse Case Manager(s) and Social Service Specialist(s) and reports to the Manager of Nurse Case Management & Nurse Navigation. The Care Management Liaison provides assistance and support to the Care Management team to assist with the completion of required forms/documentation, coordination of care, and post-acute follow-up arrangements. The Care Management Liaison collaborates with the Care Management team and other members of the interdisciplinary team to ensure that patients receive exceptional care and avoid unnecessary delays in discharge.

This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Supports discharge planning activities under the direction of the Nurse Case Manager (CM) or Social Service Specialist (SSS).

Complies with all documentation requirements. Thoroughly and appropriately documents all work completed within the medical record.

Assists with identification of Primary Care Provider (PCP) / Specialist for follow-up appointment(s), as appropriate.

Schedules follow up appointment(s) with PCP / Specialist / post-acute provider.

Provides choice lists to patient / caregiver for post-acute services.

Provides patient / caregiver with information regarding community resources, indigent programs, and refers to temporary housing (i.e. shelter or Ronald McDonald house), as appropriate.

Communicates with vendors, physician offices, clinics, etc. for discharge planning purposes, as appropriate.

Gathers all necessary information and submits referrals for post-acute services.

Confirms and documents payor authorizations for post-acute services (i.e. placements, Home Health / Home Care, DME, etc.).

Follows-up with post-acute agencies to identify patient acceptance for post-acute services.

Finalizes communication of post-acute service with patient / caregiver.

Arranges post-discharge transportation.

Coordinates medication delivery from onsite pharmacy at the time of discharge, as appropriate.

Presents and explains regulatory notices (i.e. Medicare Letter (IMM), Beneficiary Notification Letter (BNL) etc. (as appropriate); obtains patient / caregiver acknowledgement.

Identifies any post-acute delay/avoidable days tied to placement and reports/escalates to Nurse Case Manager and/or Social Service Specialist.

Provides misc. information to payors as it relates to discharge planning activities, as appropriate.

Faxes, copies, scans EMR information for discharge planning purposes, as appropriate.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION

Required: High school diploma or equivalent

Preferred: Associate’s degree or higher

LICENSURE/CERTIFICATION/REGISTRATION

Required: N/A

EXPERIENCE

Required: One (1) year of relevant experience in the healthcare or service environment.

Preferred: Prior Care Management experience.

PERSONAL PROTECTIVE EQUIPMENT

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Understanding of Microsoft Office products.
Interpersonal skills and the ability to communicate effectively and professionally via phone, email, and in person.
Ability to manage multiple tasks and prioritize level of importance.
Works as a team player with the interdisciplinary team to reach care goals.
Performs duties in a manner to promote quality patient care and customer service/satisfaction, while promoting safety and a commitment to AH principles.
Working knowledge of medical terminology.
Ability to work with people of all social, economic, and cultural backgrounds; be flexible, open-minded and adaptable to change.
Ability to work with minimal supervision.
Critical thinking and problem-solving skills.
Ability to self-direct and work toward team goals

Schedule Weekly Hours:

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