Transitional Care Liaison
Company: Ohio Living
Location: Toledo
Posted on: June 25, 2022
Job Description:
OVERVIEWThe Transitional Care Liaison is an integral member of
the health care team in representing the organization to the
greater community of health care providers by marketing the agency
services to influencers using a strategic marketing plan for the
purpose of generating consistent admissions from physicians,
hospitals, and post-acute care providers to maintain a census level
and payer mix at or above budget. RESPONSIBILITIESCommunity and
Provider Relations
- Develop relationships with case managers, social workers and
discharge planners to generate and facilitate new referrals.
- Meet with patients and/or families to evaluate their need for
home health and hospice services.
- Obtain pertinent demographic and medical information for
writing up referrals so that appropriate care can be initiated upon
patient discharge.
- Communicate with hospital staff when the organization s
patients return to the hospital, either through the ER or for
planned admissions to obtain a resumption of care when they are
discharged.
- Communicate with clinical staff/team managers at our agency
about patient admissions, expected discharge dates, and any other
problems or concerns related to our ability to care for the
patient.
- Meet with patients and families in the hospital setting to
explain the organization s services after receiving permission from
hospital to follow patient.
- Discuss agency hospice and private duty services with potential
referrals and write up referrals as necessary. Communication
- Communicate with key hospital staff when Accountable Care
Organization (ACO) beneficiaries are admitted to the hospital to
obtain orders for home health care, hospice, or Home to Stay.
- Communicate with office clinical staff and team members
regarding ACO patient admissions, expected discharge dates and
other problems or concerns related to our ability to care for the
patient.
- Communicate with ACO beneficiaries primary care physician
offices to obtain timely physician appointments following post
hospital discharge. Quality and Compliance Management
- Understand and easily access the company s EMR, as well as
other EMR computer systems in multiple healthcare facilities.
- Review patient medical information and write up referrals so
that appropriate care can be initiated upon patient discharge.
- Secure appropriate face to face documentation from discharging
physician. All other duties as assigned. QUALIFICATIONSEducation
- Bachelor s degree in business, marketing or nursing required;
or
- Current unencumbered license for the state of Ohio to practice
as a Registered Nurse (RN), Licensed Practical Nurse (LPN)
required. Experience
- Five years experience in nursing required.
- Two years experience in a hospital setting required.
- Strong knowledge of the full continuum of care and the
eligibility requirements for home health, hospice, skilled nursing,
and assisted living required.
- Proficiency with Windows, Microsoft Office (Word, Excel,
PowerPoint), and the internet required. Other Requirements
- Must be able to read, write, speak, and understand the English
language.
- Must possess a valid driver's license and acceptable driving
record. Must be insurable under professional liability and crime
coverage policies as specified by insurance carrier underwriting
standards.LOCATION INFORMATIONOhio Living Home Health and Hospice
in Greater Toledo is a premier provider in Defiance, Erie, Fulton,
Hancock, Henry, Lucas, Ottawa, Sandusky, Seneca and Wood counties.
Services include hospice and palliative care, private-duty home
care, long-term nursing care, physical/speech/occupational
therapies, home health aides, social work services, medication
administration, wound care management, IV therapy and more. Most
importantly, we re a company that:
- chooses to operate as a faith-based, not-for-profit
organization
- makes its mission the heart of our organization
- has a reputation for consistently exceeding the needs and
expectations of those we serve
- provides an engaging, team-oriented workplace dedicated to
career, family and faith
- commits to recognizing our employees for a job well done We re
looking for people who:
- have a passion for helping people, solving problems and
contributing to a positive work environment
- are excited about bringing their personal standards and ideals
to work each day
- understand that HOW you do your job is just as important as
WHAT you do in your job Why work at Ohio Living Home Health &
Hospice? Depending on an employee s status, they may benefit from:
- competitive wages
- medical, dental, and vision insurance
- 403b retirement savings
- paid time off including your birthday
- training, continuing education, and education assistance
- pay advances up to $500
- the latest technology
- mileage reimbursement
- unlimited career opportunities
- and much more! Who is Ohio Living? Headquartered in Columbus,
Ohio Living is one of the nation s largest not-for-profit,
multi-site senior living organizations. Since its founding in 1922,
Ohio Living has defined the highest standards of quality of life
for adults through its 12 life plan communities and Ohio Living
Home Health & Hospice in 50 Ohio counties. Our mission is to
provide adults with caring and quality services toward the
enhancement of physical, mental and spiritual well-being consistent
with the Christian Gospel.Our Values:Care Integrity Customer
Service InnovationFinancial Stewardship Leadership Inclusion
Keywords: Ohio Living, Toledo , Transitional Care Liaison, Other , Toledo, Ohio
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