Traveling Clinical Liaison (North Rockford)

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.

Role and Responsibilities:

*Travel to 2 Skilled Nursing Facilities in North Rockford*

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.

· Attend IDT-care plan meetings at facilities.

· 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 high-risk, 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 follow-up 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 post-discharge.

· 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.

Job Type: Full-time

Pay: $25.00 - $32.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to Commute:

• Rockford, IL 61114 (Preferred)

Ability to Relocate:

• Rockford, IL 61114: Relocate before starting work (Preferred)

Work Location: In person

Salary : $25 - $32