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Humana · 1 month ago

Clinical Liaison, Home Health

United States

Full-time

Remote

Mid Level

$59K/yr - $81K/yr

3+ years exp

Humana is a leading provider of home health services, specializing in personalized care for patients managing chronic conditions. The RN Clinical Liaison will be responsible for increasing admissions, maintaining relationships with healthcare facilities, and ensuring effective communication with program staff to support patient care and program growth.

Health CareHealth InsuranceInsuranceVenture Capital

Responsibilities

Increase admissions within assigned accounts, meet or exceed targets

Develop/maintain contact with key hospital, skilled nursing, assisted living facility discharge planning services and/or management to provide ongoing updates on Company’s services available in a market

Promote exemplary customer service to physicians, facility personnel, client and client family at all times

Primarily conduct facility visits at the physicians' request to assist program clinical team in determining eligibility

Ensure effective communication and collaboration with program staff and other field sales resources via weekly meetings. Actively participate in weekly program business development meetings, bringing relevant data, reports, as well as information regarding changes within accounts and referral sources

Assist program in timely processing of physician orders as directed

Work collaboratively with Hospice Division counterparts as applicable, representing the Company’s comprehensive home health and hospice deliverables

Follow up on all referrals within their facilities not admitted to the program

Follow up on live discharges related to their facilities

Abide by all operational compliance with internal controls and reporting

Provide education and/or continuing education programs for referral sources within guidelines of facility and company policy. Utilize appropriate company resources to maintain and develop business opportunities. Maintain market awareness and prepare competitive updates

Actively participate with program in development of business and market growth plans

Maintain positive relationships with referral sources, facilitate communication between referral sources, client and family populations within assigned accounts, and attend professional organization meetings as approved. Maintain and follow patients in the facility and monitoring status

Assist the program as needed with informational visits

Qualification

Nursing degreeRegistered Nurse LicensureClinical experienceMedicareCustomer service skillsComputer proficiencyAccount developmentCommunication skillsProblem-solving skillsTime management skills

Required

Nursing degree or the equivalent required

Registered Nurse Licensure required in state of practice

A minimum of three years clinical experience

Must have strong knowledge of governmental regulations, Medicare eligibility requirements, comprehensive understanding of potential care plan needs for the patient and coordination of necessary resources

Strong knowledge of the facility protocols and industry regulations is required

Excellent customer service, account development capabilities, organization, time management, problem-solving, communication and selling skills required

Demonstrates the ability to work independently as well as in a team

Computer proficiency required

Has the ability to appropriately represent company service capabilities and value to assigned referral source audience, patients and families