Care Transition Liaison



Posting Date October 5, 2021
Job Title Care Transition Liaison
Specialty RN, OT, PT, SW
Hours FT
Overview Current Opening: Monday - Friday 8 a.m. - 5 p.m. This position will report to an acute care setting in Concord, NH. The Care Transition Liaison works collaboratively with assigned referral sources to facilitate a smooth transition to wherever they call home with Granite VNA services. The Care Transition Liaison will be an ambassador for all Granite VNA services by providing education, in-services, and will provide guidance on how patients can access their home care and hospice benefit. This versatile position will cultivate relationships with a variety of professionals, peers, patients, and caregivers. Essential Functions Works with Director of Clinical Admissions to develop a business plan that is focused on maintaining strong relationships and promoting growth opportunities for lower performing accounts. Achieves monthly referral and admission goals as established in business plan. Works with assigned account(s) to coordinate and collect information for patient referrals to ensure smooth transitions of care from facility to home with Granite VNA services. Actively collaborates with patients and families to ensure that they are aware of our services and given an opportunity to ask questions and provide input. Serves as an ambassador for all Granite VNA programs and services and is skilled in using value proposition to set us apart from competitors. Monitors level of satisfaction of current clients and referral source contacts. Works with Director of Clinical Admissions to enhance relationships as needed. Utilizes problem solving skills in providing solutions to challenging referrals. Develops and maintains a working knowledge of the Agency’s referral process. Works directly with the Director of Clinical Admissions for questions regarding agency capabilities, coordination of care for complex patients, and any non-medical patient needs. Completes appropriate documentation in a timely manner in liaison log, referral forms, and electronic medical record. Other Job Functions Actively participates in team planning meetings and offers constructive input. Cross trains to learn coverage and support of team member accounts. Travel to assigned accounts is expected to be no less than 80% of time. Adheres to work schedule and attendance according to agency standard.
Qualifications Bachelor's degree in nursing, physical therapy, occupational therapy, social work, or health care related field Previous experience in customer service, sales or care coordination Proof of completed COVID-19 vaccine The employee will be scheduled to work based on the needs of the Agency. Work hours generally are scheduled between Monday – Friday during the hours of 8 a.m. – 5:00 p.m. Will rotate coverage for one minor holiday per year.
Agency / Location Granite VNA
30 Pillsbury Street
Concord, NH 03301
Contact Information Abby Ofrias
Granite VNA
30 Pillsbury Street
Concord, New Hampshire 03301
Phone: 603-224-4093
Fax: 603-227-7523
Email: abigail.ofrias@granitevna.org
Website: www.granitevna.org
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