Registered Nurse-Clinical Liaison at Hrhs

The Clinical Analyst/Liaison is responsible for receiving referrals which includes information visits and evaluation of patients as indicated, identifying insurance coverage, planning and coordinating completion of admissions, as well as completing routine staffing assignments to ensure positive patient and agency outcomes.

In addition, is responsible for data abstraction, evaluation and submission of data and reports, and performance improvement to ensure agency compliance with organization and program specific policies and procedures, payor requirements, safety and health standards, Joint Commission standards, and state and federal regulations.

Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

ESSENTIAL FUNCTIONS:

• Completes intake/ referral processes and staffing assignments as needed to ensure timely response to patient’s needs and to maximize staffing utilization.
• Evaluates facility and non-facility patients referred for agency services.
• Collaborates with the facility’s discharge planning personnel, utilization review department and insurance case managers to facilitate safe, early discharge.
• Consults with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated plan of care.
• Interviews the patient/family/caregiver(s) and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan.
• Receives physician orders and triages patient phone calls. Facilitates patient visits as indicated post calls, to achieve desired patient outcomes for agency patients newborn thru geriatric.  Collaborates with physician, patient/family and other assigned disciplines regarding care needs and revisions to plan of care
• Established and maintains positive working relationships with patients, family members, co-workers, physicians and referral sources
• Completes supervision of HHA services provided as per agency policy
• Completes timely and accurate documentation as per agency policy.
• Participates in call coverage as per agency policy.
• Assists with data abstraction/evaluation/submission per CMS, payer, and vendor requirements; this includes concurrent and retrospective review of medical records, i.e.; OASIS, HIS, MACRA.
• Assists with data abstraction and evaluation of patient records for quality and risk measures, including monitoring compliance with CMS guidelines, Conditions of Participation, Joint Commission and vendor requirements; this includes concurrent and retrospective review of medical records
• Reports findings of evaluations to Quality/Risk Committee, participates in the development and updating of Performance Improvement Plan
• Reports on PDSAs and trending of data to Quality/Risk committee as well as Hutchinson Regional Healthcare System Performance Improvement Teams as assigned
• Reports required data to licensing boards, CMS, appropriate committees as per regulations, conditions of participation and agency policies.
• Facilitates or participates in multidisciplinary workgroups, as needed, to improve outcomes
• Facilitates agency accreditation process in conjunction with peers and Leadership of the agency.
• Focuses on providing quality, cost effective, and safe services to the patients served by the agency.
• Abides by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).

MINIMUM KNOWLEDGE AND SKILLS REQUIRED:

• Knowledge of MS Office software.
• Keyboarding skills.
• Demonstrated ability to communicate effectively.
• Multitasking and prioritization skills.
• Ability to apply advanced nursing principles.

PREFERRED KNOWLEDGE AND SKILLS REQUIRED:

• Clinical skills.
• Home Health OASIS Data Set.
• Home Health Joint Commission.

REQUIRED BEHAVIORAL SKILLS:

• Integrity:
  • A personal presence which is characterized by a sense of honesty and the willingness to do the right thing.
  • The ability to role model, inspire and motivate others to promote the philosophy, mission, vision, goals and values of Hutchinson Regional Healthcare System
• Compassion:
  • A personal presence which is characterized by a sense of caring that is reflected in a high level of empathy and customer service with all that we come in contact.
  • Ability to manage conflict, consider other points of view, and offer alternative solutions without jeopardizing overall project direction and the ability to manage customer expectations.
• Accountability:
  • Demonstrated track record of ownership of situations, projects and issues.
  • Able to work autonomously and have a high degree of flexibility to adapt to changing projects, priorities and work volumes.
• Respect:
  • Demonstrated ability to collaborate with a diverse population.
  • Treat all internal and external customers with a positive, proactive service orientation.
• Excellence:
  • Strong communication and presentation skills with a proven ability to influence and lead teams to conclusion/decision making.
  • Proven ability to think strategically but also must be able to lead day-to-day tactical processes.
  • Demonstrated ability to manage and provide coaching and leadership on complex projects.
  • Must be able to lead and/or facilitate process improvement.

MINIMUM EDUCATION AND EXPERIENCE REQUIRED:

• Graduate of an accredited school of nursing.
• Several years of clinical experience.

PREFERRED EDUCATION AND EXPERIENCE:

• BSN
• Previous Hospice and/or Home Health experience.
• Certified as Hospice and Palliative Care Nurse.
• Previous analyst or performance improvement experience.

LICENSURE OR REGISTRATION REQUIRED:

• Current licensure as an RN in the State of Kansas.
• BLS – BLS is required within three months of hire
• Valid Kansas State Driver’s License
• Auto Insurance equal to or greater than the Kansas insurance requirements.

We offer competitive pay, a generous benefit package and a reason to be proud of what you do, every day.

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