Registered Nurse Home Care Liaison (RN) - Lutheran General/Condell Hospital

Department:

39105 IL Home Health Divisional - Home Health Liaisons

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday through Friday 830-5pm with 4 required weekend days in an 8 week period. also required one summer and one winter holiday. this is to cover Lutheran and Condell Hospitals- with some remote coverage.

REGISTERED NURSE HOME CARE LIAISON

LOCATION: LUTHERAN GENERAL AND CONDELL HOSPITALS

HOURS: Monday through Friday 830-5pm with weekend rotation. Also required one summer and one winter holiday. No on call responsibility required.

Major Responsibilities:

• Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations.
  •     1)Processes referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites, MD offices, utilizing standard work and determines whether patient qualifies for home care based on established guidelines.
  •     2)Verifies home health care benefits according to payor plans. Obtains authorizations for services as indicated.
  •     3)Ensure physicians initial home care orders are obtained.
  •     4)Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines.
  •     5)Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information.
  •     6)Documents the initial plan of home health care and initiates interdisciplinary communication.
  •     7)Interviews patients/families in the hospital or SNF, to assess and evaluate patient for home care appropriateness.
  •     8)Works in conjunction with the care management staff to assist the patient/family in the initiation of home care services. Responds to inquiries regarding home care services.
  •     9)Works within established productivity guidelines for assigned site(s). Reports productivity to supervisor daily.
  •     10)Trains patient/families in using equipment (e.g. pump) at home.
• Provide quality customer service; promote collaboration/coordination between referral sources and home care services to promote continuity of care and utilization of home care resources effectively.
  •     1)Acts as a resource to physicians, physician offices, patients and families, hospital and designated skilled nursing facility staff (i.e. care management, discharge planners, social workers, nursing) regarding types of services available and the criteria for home care, including Medicare guidelines.
  •     2)Provides education to the care team as requested on services that may enhance the transition of care for patients including DME, Hospice, Palliative Care, Pediatrics and Home Infusion Therapy.
  •     3)Maintains knowledge of Medicare, Medicaid and HMO procedures.
  •     4)Attends site based multidisciplinary meetings (e.g. readmissions, capture, discharge planning) that involve Advocate at Home patients.
  •     5)Assures appropriate follow-up to patient satisfaction issues relating to home care services.
  •     6)Provide courteous service to patients, families, staff, and physicians.
• Accountable for insuring complete referral information is obtained for accurate and timely billing.
  •     1)Maintains knowledge of agency payers including Medicare, Medicaid and contracted commercial insurance reimbursement guidelines.
  •     2)Collaborate with insurance verification to insure optimal reimbursement.
  •     3)Assists in the development of policies and procedures to ensure compliance with current practice standards.
  •     4)Obtain Face-to-Face (F2F) encounter form for all Medicare, Medicaid and Medicaid pending patients during referral process or within first 7 days.
  •     5)Educates physicians in the Face to Face process.
• Teamwork
  •     1)Maintains own clinical skills and com