Traveling Clinical Liaison - Oak Brook, United States - Community Home Physicians LLC

Description

The clinical liaison is responsible for coordinating patient transitions of care by developing effective partnerships with patients, their caregivers/families, facility staff, community resources and physicians.

Through these partnerships, the clinical liaison promotes high-quality care that is patient and family centered within and across healthcare settings.

• Must be able to travel to several locations in the area.

Collaborate with patients, their families/caregivers, healthcare professionals and community resources to develop a comprehensive plan of care that promotes health and meets the patient's care goals.

• Round with physician and communicate information to patient and facility staff as appropriate.
• Conduct patient social risk factor assessment and anticipate potential gaps in care.
• Provide education to improve patient and family health literacy on patient's condition and treatment plan.
• Facilitate patient access to appropriate medical and specialty providers as well as other care coordination team support.
• Provide timely communication and follow up with patients, families, and healthcare providers regarding changes in patient condition.
• Serve as a point of contact, advocate, and informational resources for patient, family, care team and community resources as needed.
• Assess the patient's and family's unmet health and social needs.
• Identify highrisk, complex patients that would benefit from transitional care services, chronic care management and remote patient monitoring and assist patient and family in enrolling in programs.
• Help support patient and caregiver with transition to next level of care including facilitating followup appointments and communication of plan of care to next level of providers.
• Empower patients and caregivers to take an active and informed role in managing their care postdischarge.
• Work closely with discharge planners to deploy patient's plan of care.
• Assist with transitional care clinic services.
• Assist in data collection of key quality metrics and program performance improvement metrics.

• 401(k)
• 401(k)

• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

• 8 hour shift
• Monday to Friday

• High school or equivalent (preferred)

• Older adults: 2 years (required)
• Case management: 1 year (required)

• Oak Brook, IL: Relocate before starting work (required)