Clinical Liaison (RN/LPN)

Work With Excellence, Serve With Heart 

Westminster Communities of Florida is a national leader in senior living and dedicated to a Mission and ministry of service to older adults.

We provide senior living communities offering an active lifestyle and excellent care to our residents  

"Be the vital link between compassionate care and patient recovery—join us as a Clinical Liaison and make a meaningful impact every day."

JOB SUMMARY:

Performance of clinical assessments for potential and current Westminster Services health center residents.

Negotiation for residents who are clients of managed care
organizations.

Liaise between community relations, discharge planners, and Physicians.

Must support the Marketing efforts at the community.

Maximize cost effectiveness across the entire continuum of care; improve customer satisfaction and enhance quality of care.

ESSENTIAL JOB FUNCTIONS:

1.

Works as community liaison for referrals from physician, hospitals, insurance based case manager, or marketing personnel on all potential sub-acute patients,
ensures initial and on-going fiscal appropriateness of member admissions in conjunction with Business Office and Director of Nursing. 

2.

Assists the community with tracking of authorization numbers of residents on Managed Medicaid and other Managed Care Insurance plans.

3.

Works with community staff to monitor and track resident's progress and communicate relevant information between resident, referrer, family, insurance company, and treatment team, communicates with the interdisciplinary member care team. 

4.

Works with residents, families and other staff as needed to ensure that residents are evaluated for the appropriate level of care.

5.

Assists with coordination, monitoring, and communication of resident’s progress and costs.

6.

Fosters positive relationships with insurance representatives and providers in the local market.

7.

Address quality measures issues for potential admissions and returning residents.

8.

Complete Pre-Admission process in EHR for new admissions.

Ideal candidate will have knowledge and experience in the following areas;


* Comply with all rules, standards and guidelines related to employment with Westminster Services and it's communities.


* Promotes and communicates Legendary Service and honors and upholds the mission of the organization.


* Demonstrated clinical assessment skills.


* Two years prior experience in long term care.


* Working knowledge of Medicare and Managed care protocols..

The above job description is not to be construed as a complete listing of the assignments and responsibilities assigned to any employees; nor are such assignments restricted to those precisely listed in this description.

ESSENTIAL QUALIFICATIONS:

Education/Licensure:


* Must be a licensed RN or LPN in the state of Florida; or possess a
degree in a related healthcare field.


* Certification in Case Management or Geriatrics preferred


*...