RN, Home Care Liaison Job at University of Rochester (Rochester)

New

Home Care Liaison

Home Care Liaison for Good Shepherd and Sherman Hospitals. Responsible for proce...

Location

United States , Barrington and Elgin

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

Nurse, Registered (RN)
RN with 3-4 years’ experience
1-2 years in home care preferred
Very good communication skills
Knowledge of Medicare rules and regulations
Experience in multi-tasking on multiple computer systems
Strong customer service skills
Working knowledge of managed care environment
Critical thinking skills
Current RN licensure

Job Responsibility

Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations
Processes referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites, MD offices, utilizing standard work and determines whether patient qualifies for home care based on established guidelines
Verifies home health care benefits according to payor plans. Obtains authorizations for services as indicated
Ensure physicians initial home care orders are obtained
Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines
Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information
Documents the initial plan of home health care and initiates interdisciplinary communication
Interviews patients/families in the hospital or SNF, to assess and evaluate patient for home care appropriateness
Works in conjunction with the care management staff to assist the patient/family in the initiation of home care services. Responds to inquiries regarding home care services
Works within established productivity guidelines for assigned site(s). Reports productivity to supervisor daily

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Home Care Liaison

Location

United States , Oak Lawn

Salary:

38.20 - 57.30 USD / Hour

Advocate Aurora Health

Expiration Date

Until further notice

Requirements

RN with 3-4 years’ experience
1-2 years in home care preferred
Very good communication skills
Knowledge of Medicare rules and regulations
Experience in multi-tasking on multiple computer systems
Strong customer service skills
Working knowledge of managed care environment
Critical thinking skills
Current RN licensure
Ability to lift up to 35 pounds without assistance

Job Responsibility

Responsible for the screening and accurate completion of referrals to ensure patients meet agency admission criteria and comply with state and federal regulations
Processes referrals for all programs (Traditional, Peds, and Infusion Therapy) from hospital sites, MD offices, utilizing standard work and determines whether patient qualifies for home care based on established guidelines
Verifies home health care benefits according to payor plans
Obtains authorizations for services as indicated
Ensure physicians initial home care orders are obtained
Identifies risk management situations and completes high risk referral process on all appropriate patients based on established guidelines
Interprets company services, admission criteria and medical policies to referral sources and individuals seeking information
Documents the initial plan of home health care and initiates interdisciplinary communication
Interviews patients/families in the hospital or SNF, to assess and evaluate patient for home care appropriateness
Works in conjunction with the care management staff to assist the patient/family in the initiation of home care services

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Hospital at Home Liaison

Location

United States , Charlotte

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

RN PT, OT or SLP
Licensed in state the teammate practices – RN, PT, OT or ST License
2 years of health care related experience
Strong understanding of the workflows of Hospital at Home, broad understanding of payors, and able to complete a medical, physical, and cognitive screen of the patient
Excellent communication skills
Good organizational, analytical and problem-solving skills
Proficiency in clinical skills with the ability to work under direction and make sound judgments
Demonstrated ability to educate clinical staff and the community
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner
Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs

Job Responsibility

Collaborates with both hospital and/or clinic caregivers as a resource regarding home care services and provides general education of services
Educates patients/families on home care, palliative care, and hospice services and is available to answer questions allowing patients to make an informed decision regarding their discharge plan for post-acute care
Regularly attends the outcome facilitation team meetings on the individual hospital units to provide input regarding services that could be provided in the home
Communicates with social workers or case managers on complex cases
Serve as the main communication link between patients, providers, and external partners
Initiate the transfer process to the Hospital at Home program, including provider notification and coordination with the care team
Address any patient and/or caregiver questions and concerns through review of the admission packet
Obtain formal patient consent to the program after medical clearance provided by provider
Coordinate and execute the key steps required for a smooth and timely transfer to Hospital at Home. This includes notifying the care team, documenting acceptance, confirming logistics, and ensuring the patient’s needs—such as medications, oxygen, and equipment—are addressed before departure
Performs assessment of patient to include skin, cognitive, mobility

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Hospital at Home Liaison

Location

United States , Charlotte

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

RN, PT, OT or SLP
Licensed in state the teammate practices – RN, PT, OT or ST License
2 years of health care related experience
Strong understanding of the workflows of Hospital at Home, broad understanding of payors, and able to complete a medical, physical, and cognitive screen of the patient
Excellent communication skills
Good organizational, analytical and problem-solving skills
Proficiency in clinical skills with the ability to work under direction and make sound judgments
Demonstrated ability to educate clinical staff and the community
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner
Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs

Job Responsibility

Collaborates with both hospital and/or clinic caregivers as a resource regarding home care services and provides general education of services
Educates patients/families on home care, palliative care, and hospice services and is available to answer questions allowing patients to make an informed decision regarding their discharge plan for post-acute care
Regularly attends the outcome facilitation team meetings on the individual hospital units to provide input regarding services that could be provided in the home
Communicates with social workers or case managers on complex cases
Serve as the main communication link between patients, providers, and external partners
Initiate the transfer process to the Hospital at Home program, including provider notification and coordination with the care team
Address any patient and/or caregiver questions and concerns through review of the admission packet
Obtain formal patient consent to the program after medical clearance provided by provider
Coordinate and execute the key steps required for a smooth and timely transfer to Hospital at Home. This includes notifying the care team, documenting acceptance, confirming logistics, and ensuring the patient’s needs—such as medications, oxygen, and equipment—are addressed before departure
Performs assessment of patient to include skin, cognitive, mobility

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

New

Hospital at Home Liaison

Location

United States , Charlotte

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

RN PT, OT or SLP. Nursing experience preferred
Licensed in state the teammate practices – RN, PT, OT or ST License
2 years of health care related experience
Strong understanding of the workflows of Hospital at Home, broad understanding of payors, and able to complete a medical, physical, and cognitive screen of the patient
Excellent communication skills
Good organizational, analytical and problem-solving skills
Proficiency in clinical skills with the ability to work under direction and make sound judgments
Demonstrated ability to educate clinical staff and the community
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner
Ability to assess data reflecting the patient's status and the ability to interpret the appropriate information needed to identify each patient's requirements relative to their specific needs

Job Responsibility

Collaborates with both hospital and/or clinic caregivers as a resource regarding home care services and provides general education of services
Educates patients/families on home care, palliative care, and hospice services and is available to answer questions allowing patients to make an informed decision regarding their discharge plan for post-acute care
Regularly attends the outcome facilitation team meetings on the individual hospital units to provide input regarding services that could be provided in the home
Communicates with social workers or case managers on complex cases
Serve as the main communication link between patients, providers, and external partners
Initiate the transfer process to the Hospital at Home program, including provider notification and coordination with the care team
Address any patient and/or caregiver questions and concerns through review of the admission packet
Obtain formal patient consent to the program after medical clearance provided by provider
Coordinate and execute the key steps required for a smooth and timely transfer to Hospital at Home. This includes notifying the care team, documenting acceptance, confirming logistics, and ensuring the patient’s needs—such as medications, oxygen, and equipment—are addressed before departure
Performs assessment of patient to include skin, cognitive, mobility

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

Field Assessment RN

Healthfirst is New York City’s largest not-for-profit health insurer, dedicated ...

Location

United States , Bronx

Salary:

102000.00 - 120000.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

New York State RN license
Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester
Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities
Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills
Prior work experience requiring time management, critical/creative thinking, communication, and problem-solving skills
For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations

Job Responsibility

Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS)
make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills
Navigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently
Completes assessment of service needs per CMT and member's family/caregiver’s request to determine service needs or any necessary adjustments
Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and/or to assist with nursing home admission
Conducts in-person Care Management visits in support of person-centered service planning
Liaisons between the member and the CMT
assesses home environment and psychosocial status
Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance
Provides grass roots, community-based training for frail population care including self-care techniques and prevention strategies

What we offer

$10,000 Sign-On Bonus
Flexible work schedule (4x10s or M-F)
No weekends, holidays or night shifts
Full benefits
Medical, Dental, Vision, Retirement, Employee Wellbeing & Assistance Programs, Paid Time Off (PTO) & more
Immersive 6-week training program to support you and set you up for success
Professional growth & development opportunities

Fulltime

Field Assessment RN

Healthfirst is New York City’s largest not-for-profit health insurer, dedicated ...

Location

United States , Bronx

Salary:

102000.00 - 120000.00 USD / Year

Healthfirst

Expiration Date

Until further notice

Requirements

New York State RN license
Ability to travel around downstate New York which includes the 5 boroughs, Long Island, Rockland, and Westchester
Prior work experience requiring technological proficiency including the ability to navigate multiple technology platforms and modalities
Prior work experience requiring intermediate Microsoft Word, Excel, and Outlook skills
Prior work experience requiring time management, critical/creative thinking, communication, and problem-solving skills
For PEDS positions only: 1 year of pediatric clinical field experience and/or experience with families and child serving systems, including child welfare and/or medically fragile/developmentally disabled populations

Job Responsibility

Conducts home assessments (and virtual assessments, as needed) for prospective members and re-assessments of current members using the Uniform Assessment System (UAS)
make enrollment and continued eligibility determinations by utilizing clinical expertise and critical thinking skills
As needed, conducts assessments in settings other than home as needed, e.g. skilled nursing facilities or virtually
Navigates multiple technology/digital platforms such as UAS software, electronic medical records, TruCare, etc., to conduct and document comprehensive assessments accurately and efficiently
Completes assessment of service needs per CMT and member's family//caregiver’s request to determine service needs or any necessary adjustments
Reviews previous nursing assessments/medical notes to determine necessary adjustments/updates in Care Plan and//or to assist with nursing home admission
Conducts in-person Care Management visits in support of person-centered service planning
Liaisons between the member and the CMT
assesses home environment and psychosocial status
Provides feedback to home care agencies and CMT regarding home care issues and contract nurses and aides performance

What we offer

$10,000 Sign-On Bonus
Flexible work schedule (4x10s or M-F)
No weekends, holidays or night shifts
Full benefits: Medical, Dental, Vision, Retirement, Employee Wellbeing & Assistance Programs, Paid Time Off (PTO) & more
Immersive 6-week training program to support you and set you up for success
Professional growth & development opportunities

Fulltime

Hospital at Home Liaison

Location

United States , Charlotte

Salary:

38.20 - 57.30 USD / Hour

Advocate Health Care

Expiration Date

Until further notice

Requirements

RN, PT, OT or SLP
Licensed in state the teammate practices – RN, PT, OT or ST License
2 years of health care related experience
Strong understanding of the workflows of Hospital at Home, broad understanding of payors, and able to complete a medical, physical, and cognitive screen of the patient
Excellent communication skills
Good organizational, analytical and problem-solving skills
Proficiency in clinical skills with the ability to work under direction and make sound judgments
Demonstrated ability to educate clinical staff and the community
Demonstrated ability to work well with physicians and other professionals
Ability to assess data reflecting the patient's status and interpret the appropriate information needed to identify each patient's requirements

Job Responsibility

Collaborates with hospital and/or clinic caregivers as a resource regarding home care services and provides general education of services
Educates patients/families on home care, palliative care, and hospice services
Attends outcome facilitation team meetings to provide input regarding services that could be provided in the home
Communicates with social workers or case managers on complex cases
Serve as the main communication link between patients, providers, and external partners
Initiate the transfer process to the Hospital at Home program
Obtain formal patient consent to the program
Coordinate and execute the key steps required for a smooth and timely transfer to Hospital at Home
Performs assessment of patient to include skin, cognitive, mobility
Applies comprehensive critical thinking to evaluate the patient wholistically

What we offer

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program

Fulltime

RN, Home Care Liaison

University of Rochester

Location:
United States of America , Rochester

Category:
Nursing

Contract Type:
Not provided

Salary:

Job Description:

Job Responsibility:

Requirements:

Nice to have:

Additional Information:

Job Posted:
February 21, 2026

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