Home Health Nurse Liaison

This position is responsible to pre-screen patients for appropriateness of admission to Renown Home Health. Using discretion and independent judgment, this individual will make a preliminary determination as to whether a patient is appropriate for admission for all referrals originating from Renown Regional and South Meadows Medical Centers. The Liaison is a member of the interdisciplinary team. This individual will also provide education to Case Management, troubleshoot referral problems, collaborate with physicians, and obtain physician orders for continuation of care.

The Home Health Liaison will primarily receive orders to evaluate a patient from a physician or a member of the Renown Health care team who identifies a patient that has potential for home health services.

This liaison must be a Home Health expert that plays a key role in discharge planning and care planning in order to avoid concurrent denial of services. Evaluates the appropriateness and potential for admission based on the referral, patient current and future needs, family requests, discharge plan/support available and third-party payer recommendations.

As needed, obtains (and enters into Epic) physician orders for care, completes an in-person clinical assessment for HH appropriateness, completes consents for service with patient/family, helps facilitate safe discharge to appropriate location/level of care. Validates that the patient meets qualifying criteria including ensuring the primary diagnosis is compliant with CMS PDGM guidelines, the patient is homebound, and the patient has a skilled/clinical need.

Collaborates with the Home Health Clinical Leadership team and admission team as needed to determine capacity for referral acceptance and ensure timely admission to achieve optimal clinical outcomes.

Communicates daily with Case Management in acute care and Coordinators in other post-acute settings through multiple means regarding findings.

Utilizes and maintains documentation consistent with Renown Health’s Case Management department and the Renown Facility/Service receiving referral.

Educates physicians, case managers, social workers, discharge planners, caregivers, patients, and family members as to the availability and benefits of Home Health as determined by CMS/Insurers.

Confers continuously with attending physicians, nursing staff, social workers, case managers, and transfer/Intake Coordinators.

Demonstrates the knowledge and skills necessary to evaluate for Home Health needs, based upon physical, motor/sensory, psychosocial, and safety appropriate to the age of the patient served.

Participates in marketing initiatives both within Renown and with external providers to ensure consistent referral volumes and appropriate patients.

The incumbent must be able to evaluate all patients through coordination with the interdisciplinary team, the assessment, planning, implementation, and evaluation of adult and geriatric patients and families.

This position does not provide patient care.

The foregoing description is not intended and should not be construed to be an exhaustive list of all responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reflection of the general nature and level of the job.

Name

Description

Education:

Must have working-level knowledge of the English language, including reading, writing, and speaking English.

Experience:

Minimum of 5 years of clinical experience in an acute care and/or post-acute setting. Strongly prefer clinical experience in post-acute levels of care and case management. Experience with physician and community referral development required.

License(s):

Ability to obtain and maintain a State of Nevada license as an RN, PT, SLP or OT LSW, or MSW.

Certification(s):

Current CPR/BLS certification required.

Computer / Typing:

Must be proficient with Microsoft Office Suite, including Outlook, PowerPoint, Excel, and Word and have the ability to use the computer to complete online learning requirements for job-specific competencies, access online forms and policies, complete online benefits enrollment, etc.