Job Description
Job Description
Serves as the face of Inbound Health’s Hospital-at-Home program and liaison between IH and hospital partners and patients. Provides patient care coordination for Hospital-at-Home to ensure continuity of care for program patients. Helps to identify qualified patients for Hospital-at-Home and CMS waiver program. Lead and coordinate patient care activities. Work collaboratively with internal and external partners/stakeholders to promote and cultivate the program.
Drive Growth Objectives
- Assist in the developing an outreach strategy
- Create and implement plans to achieve business goals
- Identify new opportunities to increase utilization
- Identify patients who require IP level of care in accordance with Milliman or InterQual criteria
Develop Clinical Recommendations
- Review and assess the eligibility of patients in preparation for hospital discharge huddle
- Make recommendations to discharge planning team and hospitalists for qualifying patients
Discharge Planning
- Assess prospective patients for eligibility
- Facilitate/coordinate transition from acute care setting
- Prepare patient for discharge by assisting with orders patients' clinical needs, and gathering clinical information
- Ensure all incoming patients are appropriate for the program
UM Function
- Performing Utilization Management functions, if needed, on behalf of the customer
Education
- Cultivate and maintain relationships at target sites to educate on program and eligibility criteria for potential patients
- Collaborating with respective site personnel regarding referrals, processes, and resources
Documentation
- Completing required paperwork, managing correspondence, and maintaining data in database for continuous improvement opportunities
- Documentation in CRM platform
- Other duties as assigned
Location and Schedule
- 1.0 FTE
- On-site presence required at respective customer location (Burnsville, MN)
- Participate in weekend and holiday schedule as needed
Education Experience:
- Bachelor's Degree in Nursing (BSN) – Preferred, or
- Associate's Degree in Nursing (ADN) – With appropriate clinical experience, or
Other clinical education backgrounds, including:
- Bachelor’s Degree in Health Sciences or related field
- Bachelor’s Degree or Master’s Degree in Social Work (BSW) – With clinical experience in inpatient healthcare settings
- Licensed Practical Nurse (LPN) with substantial healthcare experience may also be considered
- Certified Case Manager (CCM) or other relevant certifications in care coordination may be considered an asset
Previous Work Experience:
- 2+ years of nursing /care experience in a healthcare setting
- Preferred experience in marketing / program coordination / program management / health program sales / public health / home health
Knowledge and Skills:
- Knowledge of Stark Laws
- Strong computer skills
- Strong (verbal & written) communication and interpersonal skills
- Excellent organizational skills
Must have an active clinical license and valid Driver’s License.