Job Description

RN-Referral Liaison, Continuum of Care Full time at SSM Health summary:

As an RN-Referral Liaison at SSM Health, I facilitate continuity of care by coordinating with patients, families, and various healthcare professionals. My role involves ensuring accurate documentation for insurance and medical necessity while fostering a positive patient experience. With a background in Hospice and Case Management, I am dedicated to overcoming healthcare challenges and improving patient outcomes.

It's more than a career, it's a calling

WI-SSM Health St. Mary's Hospital - Madison

Worker Type:

Regular

Job Highlights:

SSM is looking for an experienced nurse with Hospice/Liaison or Case Management experience that has a dynamic personality with a ton of energy and passion for Hospice and Home base care. Someone with resilience, but has a smile on their face all the times. Someone who knows all the challenges Home health and Hospice may have but sees a path forward to solving for them.

We are looking for a nurse with Hospice, Case Management, or Home Health background!!!

The selected individual will be responsible for;

• Meeting with patients/families in person to discuss continuum of care services. 

• Meeting/communicating with referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc). 

• Care coordination between continuum of care departments, such as branch departments, business development etc. 

• Eligibility/Chart Review to determine appropriateness for continuum of care services

***Schedule is roughly 8-5 with on call rotation roughly every 10 - 12 weeks

***$10,000 Sign on bonus eligible for qualified candidates with a 24 month commitment! We also offer a full benefit package that starts on the first day of the month after you start!

Job Summary:

Creates an environment that leads to a positive patient care experience by facilitating problem solving and decision making. Ensures accuracy and timeliness on all functions related to insurance prior authorization, plan benefits, and medical necessity documentation. Serves as a liaison between patients, physicians and all other participants of the health care team.

Job Responsibilities and Requirements:

PRIMARY RESPONSIBILITIES

• Creates a positive patient care experience by greeting, preparing, exiting and following up with patients for providers according to established competency guidelines, policies and procedures.
• Creates an atmosphere of teamwork by contributing to opportunities to improve employee and customer satisfaction, including self development, continuing education (personal and technical), and achieving department objectives and goals.
• Provides support, both expected and directed, and collaborates with physicians and multi-disciplinary care team(s) for best care/results. Ensures accuracy of data collection and reporting for quality Initiatives.
• Maintains accountability for maximizing revenue capture and growth while optimizing cost savings. Communicates opportunities for organizational growth and improvement.
• Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service.
• As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

EDUCATION

• Graduate of accredited school of nursing or education equivalency for licensing

EXPERIENCE

• No experience required

PHYSICAL REQUIREMENTS

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.
• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.
• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.
• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.
• Frequent keyboard use/data entry.
• Occasional bending, stooping, kneeling, squatting, twisting and gripping.
• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.
• Rare climbing.

REQUIRED PROFESSIONAL LICENSE AND/OR CERTIFICATIONS

 
State of Work Location: Illinois 

• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• And
• Registered Professional Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) 

 
State of Work Location: Missouri

• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• And
• Registered Nurse (RN) - Missouri Division of Professional Registration
• Or
• Registered Nurse (RN) Issued by Compact State

 
State of Work Location: Oklahoma

• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• And
• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Oklahoma Board of Nursing (OBN)

 
State of Work Location: Wisconsin 

• Basic Life Support HealthCare Provider (BLS HCP) - American Heart Association (AHA)
• And
• Registered Nurse (RN) Issued by Compact State
• Or
• Registered Nurse (RN) - Wisconsin Department of Safety and Professional Services

Work Shift:

Day Shift (United States of America)

Job Type:

Employee

Department:

8071000114 Intake/Admissions

Scheduled Weekly Hours:

40

Benefits:

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave : we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE). 

• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.

• Upfront Tuition Coverage : we provide upfront tuition coverage through FlexPath Funded for eligible team members. 

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status , or any other characteristic protected by applicable law. Click here to learn more.

Keywords:

Registered Nurse, Hospice, Care Coordinator, Patient Liaison, Case Management, Healthcare Services, Continuum of Care, Home Health, Patient Care, Insurance Authorization

Job Tags

Hourly pay, Full time, Relocation bonus, Flexible hours, Shift work, Day shift,

Similar Jobs