RN Liaison Resume Samples

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NK
N Kozey
Newell
Kozey
357 Ignatius Tunnel
Dallas
TX
+1 (555) 696 6171
357 Ignatius Tunnel
Dallas
TX
Phone
p +1 (555) 696 6171
Experience Experience
San Francisco, CA
RN Liaison
San Francisco, CA
Yost Inc
San Francisco, CA
RN Liaison
  • 1 Uses basic knowledge of Rehabilitation Prospective Payment System (PPS) terminology and applies this during the prescreening process
  • 4 Initiates meetings with patients and /or families, physicians, and all other referral sources to inform and educate regarding the rehabilitation process
  • 2 Knows ICD-10 coding and how the codes affect the tier assignment for each case
  • Develops and maintains marketing communication materials
  • Determines patient eligibility criteria for hospice with guidance from agency leadership and/or medical director utilizing the Local Coverage Determinants
  • 5 Ensures accurate completion of pre-admission screening forms
  • Responsible for Pharmacy Services of UnitedHealth Group products in assigned geographical areas to specific target groups
Chicago, IL
RN Provider Clinical Liaison
Chicago, IL
Padberg, Bergstrom and Kreiger
Chicago, IL
RN Provider Clinical Liaison
  • Use Amerigroup/Anthem databases and tools, including PCMS, to identify opportunities for improvement in quality and costs for members in assigned practices
  • Develop an operational plan for each medical practice to deploy office personnel and coordinate with Amerigroup resources to optimize performance on targeted quality measures and to improve clinical and cost outcomes for members identified to have high clinical risk
  • Coordinate scheduling of high risk members and those having HEDIS gaps for appointments
  • Communicate with medical office personnel about identified gaps in care that will be apparent to the practitioner at the patient encounter
  • Meet with physicians and other clinical personnel to problem solve and develop engagement plans for high risk members
  • Work with practitioners and office staff to improve documentation of diagnoses, including specific manifestations, facilitate access of members to Amerigroup/ Anthem case management, population health, and behavioral health programs as indicated, and help coordinate services provided by practice and Amerigroup/ Anthem personnel
  • Serve as the subject matter expert for primary care practices on all Amerigroup/ Anthem clinically focused programs
present
Boston, MA
RN Liaison / Acute Care Sales Specialist
Boston, MA
Schmeler-Davis
present
Boston, MA
RN Liaison / Acute Care Sales Specialist
present
  • Identifies prospective, high volume clients in target groups for assigned area. Secures appointments and qualifies these accounts
  • In conjunction with AxelaCare’s overall marketing plan, makes a sales plan with specific target accounts and sales objectives
  • Upon approval of the plan, is responsible for the successful accomplishment of this plan including representing AHS and achieving budgetary goals set forth
  • Conducts follow-up on all maintenance accounts to ascertain continued satisfaction with AHS Infusion Services and identify areas to increase business
  • Responsible for problem-solving issues with referral sources and other hospital or clinic-based programs related to the delivery of home infusion and all related support services
  • Shares in the responsibility for administrative management of system-wide quality assurance monitoring programs, including managing of clinical database information and related work
  • Serve as liaison between the account and the branch to facilitate communication and resolve problems if they occur
Education Education
Bachelor’s Degree
Bachelor’s Degree
California State University, Los Angeles
Bachelor’s Degree
Skills Skills
  • Excellent organizational skills
  • Excellent computer skills
  • Excellent interpersonal skills
  • Responsible for Pharmacy Services of UnitedHealth Group products in assigned geographical areas to specific target groups
  • 2 Knows ICD-10 coding and how the codes affect the tier assignment for each case
  • 3 Understands and contributes to targets/benchmarks for success of the rehabilitation program
  • 4 Coordinates and conducts educational presentation(s),
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14 RN Liaison resume templates

1

RN Liaison Resume Examples & Samples

  • Responsible for Pharmacy Services of UnitedHealth Group products in assigned geographical areas to specific target groups
  • Leverages specialized knowledge, skills, and services of the organization to assist with coordination of infusion care for patients with complex health care needs to provide a comprehensive, coherent, and continuous response to a patient's unique care needs
  • Facilitate the appropriate delivery of health care services, this role works with internal and external customers needed to carry out all required patient care activities (This is often managed by the exchange of information among participants responsible for different aspects of care)
  • 3+ years of IV Infusion experience
  • CNRI Certification
2

RN Provider Clinical Liaison Resume Examples & Samples

  • Use Amerigroup/Anthem databases and tools, including PCMS, to identify opportunities for improvement in quality and costs for members in assigned practices
  • Develop an operational plan for each medical practice to deploy office personnel and coordinate with Amerigroup resources to optimize performance on targeted quality measures and to improve clinical and cost outcomes for members identified to have high clinical risk
  • Coordinate scheduling of high risk members and those having HEDIS gaps for appointments
  • Communicate with medical office personnel about identified gaps in care that will be apparent to the practitioner at the patient encounter
  • Meet with physicians and other clinical personnel to problem solve and develop engagement plans for high risk members
  • Work with practitioners and office staff to improve documentation of diagnoses, including specific manifestations, facilitate access of members to Amerigroup/ Anthem case management, population health, and behavioral health programs as indicated, and help coordinate services provided by practice and Amerigroup/ Anthem personnel
  • Serve as the subject matter expert for primary care practices on all Amerigroup/ Anthem clinically focused programs
  • Conduct periodic meetings with each practice to track progress towards implementing the project plan and attaining goals established in the engagement contract
  • Support the Amerigroup TN Provider Engagement Lead in organizing and implementing support to achieve targeted revenue, medical expense, and quality goals for the assigned region; and
  • Perform other activities as assigned by the Amerigroup TN RVP Medical Director
3

RN Home Care Services Liaison Abbott Resume Examples & Samples

  • Facilitate patient transitions from acute care, non-Allina or other community based facilities to the most clinically appropriate Home Care Services
  • Advises regarding insured/medicare/Medicaid coverage availability
  • Serve as direct resource for MDs, and community facilities regarding Home Care Services to provide in-service educational and informational information
4

Clinical Infusion RN Liaison, Sales Resume Examples & Samples

  • This position will focus on driving relationships within the Stanford University Medical Center health system
  • Provide clinical education and manage marketing services to Stanford University Medial Center to ensure awareness of AxelaCare’s programs and services
  • Assess and coordinate, in partnership with Stanford University Medical Center Case Managers and Discharge Planners, home infusion services to assist with determining the plan of care administered by AxelaCare Health Solutions under the direction of the patient’s physician
  • Conduct in - services and continuing education programs for referral sources and/or their support staff; partner with Regional Sales Director on presentations to current and potential accounts
  • 2+ years’ of IV related clinical experience
  • Reliable, insured transportation and the willingness to travel up to 90% within a local assigned territory
  • 1+ year of sales and customer service experience
5

Clinical Rehab Liaison RN Resume Examples & Samples

  • Proactively assists hospital discharge planners with early identification of patients who may qualify for, and benefit, from an acute inpatient rehabilitation facility (IRF) treatment program
  • Reviews all consults for compliance with the stated CMS guidelines for IRF admission and that the unit maintains compliance with the 60% rule for exemption status
  • Reviews all rehab consults, both internal and external, with assigned physician and/or Rehab Medical Director
  • Coordinates the various components of the pre-admission process, inclusive of completion of the Pre-Admission Assessment tool. Insures the rehab physician has reviews the Pre-Admission Assessment tool and verifies, through signature, that the patient meets CMS admission criteria for IRF admission
  • Meets with patients and/or families requesting formal rehab consult to review the rehab admission process, commitment to the IRF treatment program and assess potential barriers to achieving discharge to community goals
  • Responsible for the timely admissions of appropriate candidates to the Rehab program through daily rounding with hospital discharge planners and communication with referring and rehabilitation physicians. Insures discharge orders from the referring facility has been obtained and admission orders for IRF level of care have been obtained prior to patient arrival on the IRF unit
  • Maintains daily referral log and monthly rehab consult spreadsheet
  • Actively works with physicians, their offices, and case managers in other area hospitals and health care facilities to improve admission process
  • Acquires and maintains current knowledge pertinent to nursing practice in Rehabilitation, including the use of CMS guidelines and the current status of the patient to advise the physicians when a candidate for admission appears to be outside the admission criteria
6

Onsite RN Liaison Resume Examples & Samples

  • Promote current health and wellness offerings including member resources
  • Educate members on health education and condition management (formal and informal)
  • Track, monitor and evaluate customer specific health analytic data and develop targeted data driven strategic plans and programs
  • Provide support to clinical programs
  • May perform clinical assessments, non-invasive biometric screenings and associated health education and counseling
  • Referral of employees to available clinical programs including premium designated physicians
  • Create, manage and implement employer specific wellness programs based on employer's needs
  • Knowledge of community resources for referral and community outreach
  • Registered Nurse with active and unrestricted license for state of residence
  • Previous home health / hospice, school nursing or clinical educator experience
  • 3+ years managed care experience
  • Experience delivering group presentations and 1:1 coaching
  • Ability to work in an autonomous and self-directed environment
  • Program management experience
  • Corporate wellness experience
  • Experience working with HR leadership and C-Suite
7

RN Provider Clinical Liaison Resume Examples & Samples

  • *This position requires traveling of approximately 35% of the time.***
  • A BA/BS in Nursing; 5 plus years of oncology practice and physician dynamics and work flow experience with deep understanding of practice transformation/quality improvement, revenue cycle management, EMR/EHR applications and workflow impact, quality and efficiency metrics, and data analytics experience or any combination of education and experience, which would provide an equivalent background
  • MS or advanced degree preferred
  • Current unrestricted RN license in GA, VA, CT, IN, or OH required
  • Advanced knowledge of oncology care is highly desired
  • 35% travel time required
  • Strong communication and presentation skills and ability to think critically required
  • Advanced knowledge of MS Applications (e.g. Excel and PowerPoint, etc.) highly desired
8

RN Liaison, Home Infusion Resume Examples & Samples

  • Health Solutions under the direction of the patient’s physician
  • 2+ years’ of experience working with laptops and / or tablets – including the ability to type and talk at the same time and toggle between multiple applications
  • Demonstrated effective communication and teaching skills with patients, family members, and other staff members
9

TAR Home Care Liaison RN Resume Examples & Samples

  • Identifies patients requiring Home Care Services after discharge
  • Contacts and communicates with Home Care Agency per patient/family choice
  • Prepares Home Care Referral Form
  • Faxes Referral Form and other pertinent documents related to patient's history
  • Obtains outside vendors for IV Medications, Tube Feedings, DME/other needed equipment
  • Arranges with vendor teaching sessions for appropriately identified patient support system
  • Provides appropriate documentation in the Medical Record of Discharge Plan
  • Provides PRI completion
  • Participates in interdisciplinary collaboration
  • Documents in hospital and departmental databases
10

Senior RN Care Transition Liaison Resume Examples & Samples

  • Registered Nurse Licensure required in state of practice plus a minimum of three years clinical experience and two years as a Home Care Specialist or similar experience in a sales, account management role. BSN preferred
  • Excellent customer service, organization, time management, problem-solving and communication skills required
  • Demonstrates the ability to work independently
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
  • Registered nurse licensure required to perform patient assessments, secure physician orders and other responsibilities that require the skills and abilities of a registered nurse per practice
11

RN Liaison Resume Examples & Samples

  • Provides utilization oversight and management of Medicare services through
  • Works primarily with all nursing units to identify and assess patient and family needs for continuity of care
  • As appropriate, collaborates with the hospital social services and discharge planning personnel with the coordination of home health services
  • Makes daily rounds to assess discharge planning needs of agency patients and documents discharge plan for all agency patients within 24-48 hours of admission to hospital’s discharge planning department
  • Assures physicians orders are received for home care
  • Uses professional skills to screen patient/family issues and concerns. Informs hospice team of medical and psychosocial needs based upon information gathered
  • Provides information regarding community resources, advance care planning, and legal requirements in order to facilitate the admission process
12

RN Liaison / Acute Care Sales Specialist Resume Examples & Samples

  • In conjunction with AxelaCare’s overall marketing plan, makes a sales plan with specific target accounts and sales objectives
  • Conducts follow-up on all maintenance accounts to ascertain continued satisfaction with AHS Infusion Services and identify areas to increase business
  • Evaluates and monitors program needs, identifies unmet needs and works with referral source and internal partners to revise services as program needs change. Provides feedback to AxelaCare management on sales issues, customer and patient satisfaction / complaints, etc
  • Provide patient and caregiver training on therapy, monitoring, and side effects; demonstrate procedure for administering therapy in the home, with a return demonstration from the patient / caregiver
  • 3+ years’ healthcare sales / account management experience
  • Current, unrestricted RN license in the state of practice
13

Acute Care Sales Specialist / RN Liaison Resume Examples & Samples

  • In conjunction with AxelaCare’s overall marketing plan, makes a sales plan with specific target accounts and sales objectives. Upon approval of the plan, is responsible for the successful accomplishment of this plan including representing AHS and achieving budgetary goals set forth
  • Serve as liaison between the account and the branch to facilitate communication and resolve problems if they occur. Routinely conducts quality assurance activities through reviews, meetings, reports and observation of results, according to professional practice standards and regulatory compliance. Evaluates and monitors program needs, identifies unmet needs and works with referral source and internal partners to revise services as program needs change. Provides feedback to AxelaCare management on sales issues, customer and patient satisfaction / complaints, etc
  • Provide patient and caregiver training on therapy, monitoring, and side effects; demonstrate procedure for administering therapy in the home, with a return demonstration from the patient/caregiver
  • Bachelor's degree or equivalent years of work experience
  • Experience calling on Case Managers, Nurses, Physicians
14

Home Infusion Liaison, RN Resume Examples & Samples

  • Provide clinical education and manage marketing services to ensure awareness of OptumRx’s programs and services
  • Assess and coordinate, in partnership with Case Managers and Discharge Planners, home infusion services to assist with determining the plan of care administered by OptumRx under the direction of the patient’s physician
  • Meet or Exceed quarterly revenue and referral goals
  • 1+ year of hospital liaison experience
  • Ability to work a flexible schedule (alternating weekends based on the business)
  • Knowledge of the Infusion Nursing standards (INS) and nursing process
15

RN Liaison Resume Examples & Samples

  • 1 Uses basic knowledge of Rehabilitation Prospective Payment System (PPS) terminology and applies this during the prescreening process
  • 2 Navigates Microsoft Office, Meditech & Cerner software efficiently
  • 3 Understands rehabilitation admission criteria and applies it appropriately during assessments of patients referred for inpatient rehabilitation services, including making recommendations for alternate levels of care within the continuum to referral sources if the patient is not a candidate for admission
  • 4 Initiates meetings with patients and /or families, physicians, and all other referral sources to inform and educate regarding the rehabilitation process
  • 5 Ensures accurate completion of pre-admission screening forms
  • 6 Ensures accurate documentation of clinical findings in the medical record
  • 7 Participates in clinical rounding where appropriate
  • 8 Provides support for the rehabilitation Medical Director by gathering data for internal and external inpatient rehabilitation referrals from various sources including the medical record, onsite and telephonic interviews, and through other electronic media
  • 9 Coordinates information with the Medical Director, patient admissions coordinator, nursing unit manager(s), and other team members in a timely and effective manner to advocate for patients by providing the fastest decision regarding admission
  • 10 Collaborates with team members in the admission decision making process quickly and effectively to discern time of admission, patient bed placement, and any special needs of the patient to provide a tmey turnaround for referral sources
  • 11 Facilitates the admission process with the payer sources and the admissions coordinator for inpatient rehabilitation
  • 12 Manages all referrals, admissions, and denials from a proactive approach and exhibits behavioral skills that promote a positive customer relations environment
  • 2 Knows ICD-10 coding and how the codes affect the tier assignment for each case
  • 3 Understands and contributes to targets/benchmarks for success of the rehabilitation program
  • 4 Coordinates and conducts educational presentation(s),
  • 2 Participates in identifying trends and issues within the facility to promote improved clinical outcomes
  • 3 Participates in community health organizations related to rehabilitation services
16

RN Hospital Liaison Resume Examples & Samples

  • Upon referral, meets with patient/family to educate about home infusion services and to perform initial assessment of home care needs, including medications, skilled services, and supplies. Evaluates and implements individualized patient education plan based on age-specific criteria
  • Notifies referral source and other appropriate parties when patient does not meet admission criteria for home care and discusses possible alternatives
  • Collaborates with physician and patient/caregiver to develop initial plan of care and obtain necessary physician's order for needed medications, services and supplies. Demonstrates a thorough knowledge of the care planning process that includes developing realistic and measurable age-appropriate patient goals
  • Completes all necessary admission documentation and coordinates start of service with appropriate intake and clinical staff at Horizon Healthcare and external agencies to facilitate the referral process
  • Discusses funding sources with patient/family as appropriate. Serves as a liaison between patient/family and agencies to ensure effective communication and acts as a patient advocate to promote goal attainment
  • Serves as HHS representative in communicating information related to HHS services, policies, billing, etc., to patients, families, other agencies, hospitals, physicians and members of the community
  • Maintains existing and establishes new business by developing and maintaining professional relationships with physicians, nursing agencies, hospital staff and other referral sources and educating referral sources through formal and informal encounters
  • Identifies trends in hospital-based referral patterns and participates in activities to accommodate such changes. Participates in the development of new programs and services and educates referral sources regarding those services
  • Proactively works to improve communication between HHS and internal and external departments and agencies
  • Maintains records of referral information as requested
17

Rn-rehab Clinical Liaison Resume Examples & Samples

  • Participates in weekend rotation schedule to ensure continuous access by referral sources to inpatient rehab, such as referral, evaluation and admission to program; 7 days a week
  • Licensed Professional in a clinical health care specialty REQUIRED (i.e. RN, Physical Therapist, Occupational Therapist, or Speech Therapist)
  • Current state licensure in clinical practice area or eligible for state license transfer
  • Graduate of an accredited school in clinical specialty. BSN in nursing is required
  • Minimum 2 years recent clinical care experience required
18

RN Home Care Services Liaison Resume Examples & Samples

  • Acceptance and evaluation of referrals for Allina Home Care Services programs including Hospice, Palliative Care, Home Health and Home Oxygen and Medical Equipment within Allina facilities and any other community based facilities as assigned
  • Assess and assist patient , family and other caregivers to identify any/all patient post-acute services needs that can be provided by Allina Home Care Services or other community based services as warranted
  • Facilitates communications with referring facilities, primary or attending MDs and clinical program staff
  • Medical information management
19

RN Liaison Resume Examples & Samples

  • Establishes and maintains relationships for the program
  • Develops and maintains marketing communication materials
  • Performs communication and outreach activities
  • Builds and maintains relationships within discipline to develop business
  • Five years of experience working as a Registered Nurse required
  • Five years of experience working in Physician Office Management, Charge Entry and Reconciliation required
20

Post Acute Hospital RN Liaison Resume Examples & Samples

  • Acts as an advocate for the patient and/or their family
  • Adheres to CMMS Centers for Medicare /Medicaid Services and Commercial payers' standards, policies and procedures
  • Adheres to company and departmental standards, policies and procedures
  • Assess the patient appropriateness for home care services and Offers Freedom of Choice to patients according to the UPMC Health system policy and procedure. Documents the patient's choice according to the institution standards
  • Assists and secures Physician Attestation form as per the Patient Protection Affordable Care Acct also referred to Face to Face encounter
  • Attends educational in services, departmental staff meetings, and mandatory training and UPMC Health System meetings as required
  • Collaborates with the multidisciplinary team and servicing home health agencies to facilitate quality, cost-effective services in the home, while maintaining continuity of care and achieving positive patient outcomes
  • Communicates, in conjunction with the insurance verification department, the patient's insurance benefits and convey financial responsibility to the patient/family
  • Registered Nurse required, licensed in the state of Pennsylvania
  • Extensive clinical knowledge (3-5 years or equivalent) of the targeted patient population is required
  • Knowledge of home care qualifying guidelines and (1-2 years) home care experience preferred
21

Outpatient Utilization RN Liaison Resume Examples & Samples

  • Current Missouri License as a Registered Nurse
  • Experience with electronic medical records and insurance programs (Preferably Cerner and McKesson/STAR)
  • Minimum of three (3) years experience working in a healthcare setting
  • Experience with insurance prior authorizations and medical necessity criteria for various payers
22

Onsite RN Liaison Resume Examples & Samples

  • Member specific health education and condition management (formal and informal)
  • Track, monitor and evaluate customer specific health analytic data to develop targeted strategic plans and programs
  • Promote current health and wellness offerings including UHC member resources
  • Referral of employees to available clinical programs and resources including premium designated physicians
  • Effective interpersonal skills, collaboration and listening skills in understanding customer needs
  • Registered Nurse with active and unrestricted license in the state of WI
  • Basic level of experience with Excel, Microsoft Word and with the ability to navigate a Windows environment
  • Must be able to travel 3-4 days a week in a defined city location
  • 3+ years of managed care experience
  • Previous public health or public sector experience
  • Experience working with large, diverse populations
23

Hospice RN Liaison Resume Examples & Samples

  • Must have two years of varied work experience as a professional nurse, preferably in hospice/home health, oncology or medical surgical units
  • Must have a current CPR certification
  • Preferably candidate will have knowledge of federal and state regulations that apply to Hospice programs
  • Demonstrates knowledge and skills in assessing the hospice care needs of patients, including: nursing knowledge and skills which encompass a broad range of clinical, psychosocial and pathophysiological theories relevant to nursing diagnoses and treatment
  • Demonstrates experience in coordination of activities, good organizational skills and ability to work independently
  • Demonstrates ability to relate effectively with patients, staff, physicians, community agencies and institutions
  • Demonstrates ability to communicate effectively with members of the hospice interdisciplinary team (IDT)
  • Must be able to set and maintain priorities and execute independent judgment
  • Must have organizational skills in planning and troubleshooting when working with patients’ follow-up care
  • Ability to work well with others as a team and individual
24

RN Liaison Resume Examples & Samples

  • Graduate of a two (2) or three (3) year approved nursing program, required. Bachelor’s of Science Degree in Nursing, preferred
  • Licensed to practice as a Registered Professional Nurse in New York State. Current Drivers License
  • Minimum of one (1) year medical/surgical nursing experience, and one (1) year of Discharge Planning or Community Health experience, required
  • Bilingual Spanish, preferred