Referral Services Liaison - Mass General Brigham : Job Details

Description:

At Mass General Brigham Home Care, we place great value on being a diverse and inclusive community. Mass General Brigham Home Care is dedicated to diversity, equity and inclusion as we aim to reflect the diversity of the patients in our local community. We have a dedicated focus on equity. Thus, we believe in equal access to quality care, employment and advancement opportunities encompassing the full spectrum of human diversity: race, gender, sexual orientation, religion, ethnicity, national origin and all the other forms of human presence and expression that make us better able to provide innovative and cutting-edge healthcare and research.

Referral request information is reviewed for clinical appropriateness to determine acceptance for home health services and to ensure certified home health guidelines are met. Referrals are accepted for services and fully completed in the MGB Referral Platform. (4Next) Review and reconcile physicians orders and update medical data. Communicate pertinent information to involved parties according to RSC and MGB Home Care guidelines. Primary contact will be with physician practices, acute care facilities, skilled nursing and extended care facilities for both current and potential patients. Ensure that physician orders and all Medicare required documentation is received and communicated to appropriate staff. Maintain professional and collaborative external relations with referral sources. Uphold the MGB Home Care Organizational Values of Innovation, Collaboration, Accountability, Respect, and Excellence.

This is a hybrid position with training in Newton, MA. Hours will be 7am - 5:30pm Sat/Sun. This is a 10 hour a work week position working every other weekend.

Key Responsibilities

Referral information is reviewed to ensure compliance with established agency guidelines and compliance with local, state, and federal regulations including homecare, and/or lifeline.

Referral process is coordinated to ensure a smooth transition of patients to MGB Home Care in accordance with the RSC procedures and established timeframes.

Patient assessment information is obtained from a variety of sources, Electronic, Fax, Phone and data is transmitted in appropriate system (4Next).

Referral requests for services are processed in 4Next ensuring all information is complete and accurate according to RSC policies.

Clinical and non-clinical data is updated and corrected in the 4Next system as appropriate.

Collaborative relationships are developed and maintained with internal staff to ensure customer satisfaction.

Referral source relationships are nurtured to ensure and maintain customer satisfaction.

Complex admissions are supported using internal clinical and supervisory resources.

Pertinent information from MGB Home Care is communicated to the current medical provider to meet patient and provider needs.

Account/territory referral and admissions targets are achieved.

Educational information and updates are shared with the referral sources to ensure an understanding of the benefits of MGB Home Care

Referral requests are reviewed for clinical appropriateness to determine acceptance for services according to MGB Home Care standards.

Physicians orders for home care are reconciled with initial referral and reviewed for clinical significance as needed.

Referral requests for services are processed ensuring all information is complete and accurate according to Intake policies as needed.

Clinical and non-clinical data is updated and corrected in the 4 Next, as appropriate, and communicated to receivers of referral information

All referrals with next day SOC, generated by RSC liaison, are completed and finalized by end of day.

All referrals with next day SOC, generated by RSC liaison, have physician orders by end of day or SOC is delayed by a day

Communication is practiced in an effective and efficient manner according to Referral Service Center guidelines of excellence in customer service

Referral source relationships are nurtured to ensure a high level of customer satisfaction

Education/Degree Requirements

Associate degree or equivalent clinical education

Licensure, Certifications or Registration

Required: LPN or other clinician with current MA license required (RN, PT, OT, PTA)

Experience

LPN or other clinician with current MA license required (RN, PT, OT, PTA)

Minimum 2 years homecare, acute hospital, extended care, case management or managed care environment required.

Computer literate with ability to learn new software applications.

Strong written, verbal and electronic communication skills.

Highly developed interpersonal and communications skills with ability to interact with a diverse population.

Strong organizational skills with aptitude for obtaining detailed information accurately.

Understanding of insurances preferred.

Mass General Brigham Home Care is an Equal Opportunity Employer. By embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.

Primary Location MA-Waltham-Home Care Waltham

Work Locations Home Care Waltham 281 Winter Street Waltham 02451

Case Management

Job Case Management

Organization Mass General Brigham Healthcare at Home

Schedule Part-time

Standard Hours 10

Shift Day Job

Employee Regular

Job Posting Dec 5, 2024