Rn Home Care Service Liaison

Department:
39105 Home Office WI - Home Health Liaisons
Status:
Full time
Benefits Eligible:
Yes
Hours Per Week:
40
Schedule Details/Additional Information:
Home Care experience or Case Management experience preferred. M-F 9-5:30 with weekend and holiday rotation. Knowledgeable on Home Care and DME services.

• 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.

Licenses & Certifications
Registered Nurse license issued by the state in which the team member practices.
Degrees
Associate's Degree in Nursing.
Required Functional Experience
Typically requires 3 years of experience in clinical nursing including experience with discharge planning and/or case management.
Knowledge, Skills & Abilities
Excellent 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.
Advocate Aurora Health is one of the 10th largest not-for-profit, integrated health systems in the U.S. with nearly 3 million patients served at more than 500 sites of care in Illinois and Wisconsin, including 28 hospitals. We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a variety of specialties. Advocate Aurora Health is one of the 10th largest not-for-profit, integrated health systems in the U.S. with nearly 3 million patients served at more than 500 sites of care in Illinois and Wisconsin, including 28 hospitals. We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a variety of specialties.