Clinical Liaison - Hospice

Essential Job Functions

Review physicians’ and patients’ clinical needs and gather clinical information to transition referred patient to home. Transfer patients from hospital/skilled nursing facility to home care services by establishing and maintaining relationships with referring hospitals; consulting with nursing, social services, hospital business office, physical and occupational therapy, and other support services. Resolves patient care issues by working one-to-one with Clinical Supervisor/Director of Nursing to standardize patient home care assessments; collecting relevant information; conferring with co-caregivers; assessing patient home-care needs.

Educates hospital/skilled nursing team by attending nursing team meetings; providing orientation/in-service programs concerning home care intake coordinator and hospital/skilled nursing facility relations; providing input relating to clinical concerns for individual patients. Provides information by responding to queries of hospital/skilled nursing facilities, attending physicians and their practice staff; sorting and distributing messages and documents; answering questions and requests; preparing information for patient transfer; preparing statistical reports related to referral and intake activities from assigned hospitals/skilled nursing facility; maintaining databases. Keeps hospital/skilled nursing facility and attending physician informed of patient status by monitoring and reporting home care services rendered and/or modified; monitoring progress; documenting emergency department episodic illness care visits; following up on outpatient information; anticipating additional services needed, i.e. infusion therapy, wound therapy, physical therapy, psychiatric care and/or other specialty programs.

Performs pre-discharge hospital assessments, coordinates required treatment plan of care. Designs agency information and marketing literature and tools for use in the marketing program. Attends community business functions to gain exposure for the agency.

Identifies self-learning needs and utilizes educational programs to assist in learning. Contributes to and participates in team and individual efforts to improve the quality of service. Assists with health plan contracting activities.

Speaks effectively before groups of customers and employees of the organization. Complies with Agency policies on attendance/punctuality. Perform other duties, as assigned.

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.