health care liaison

SunState Medical Specialists

<div><p>Why Join Us?</p><p></p><p>
SunState Medical Specialists (SMS) is proud to be a part of OneOncology in delivering exceptional, community-based specialty care across Florida. With a team of 105 physicians spanning urology, radiation oncology, medical oncology, breast surgery, general surgery, and head and neck surgery, SMS is committed to providing high-quality, accessible care. Our practice continues to expand services by offering advanced radiation therapies, in-house pharmacy and laboratory capabilities, care management, theranostics, cutting-edge diagnostic imaging, and clinical research. We are dedicated to recruiting top-tier physicians to help increase access to affordable, high-quality care throughout the state.</p><p></p><div><div><div><div><div><div><div><div><div><div><div><div><div><div><p><b>
Job Description:</b></p></div></div></div></div></div></div></div></div></div></div></div></div></div></div><p>
This role will be responsible for devising and implementing a strategic plan to maintain and increase referrals from healthcare providers within their designated territory. This role emphasizes the use of data to drive analysis, targeted outreach, and territorial expansion. The <b>Physician Liaison</b> must achieve predetermined growth objectives within their assigned region and demonstrate a thorough understanding of the oncology landscape.</p><p></p><p><i>
This is a remote role in Florida. We will hire two Physician Liaison to cover East Central and Southeast Florida.</i></p><p></p><p><b>
Responsibilities</b></p><ul><li><p>
Develop new referral networks while strengthening relationships with current referring physicians.</p></li><li><p>
Initiate and maintain regular communication with referring providers and/or their office staff through various channels, including peer-to-peer interactions, scheduled or follow-up visits, email, and phone outreach.</p></li><li><p>
Leverage Salesforce and OneAnalytics to analyze market trends, monitor referral patterns and new patient volumes, inform territory strategy, and support growth initiatives.</p></li><li><p>
Meet weekly outreach goals and document all activities in Salesforce in a timely and accurate manner.</p></li><li><p>
Review monthly performance metrics, implement variance reporting, monitor, review, and report on all activity and outcomes.</p></li><li><p>
Identify and help resolve workflow or system issues that may hinder the referral process for providers.</p></li><li><p>
Serve as the primary point of contact and collaborate with physician organization groups for the practice.</p></li><li><p>
Assist in coordinating community speaking events for physicians and clinical staff.</p></li><li><p>
Gather and share competitive intelligence&mdash;including market dynamics, business risks, and referral trends&mdash;with relevant practice leadership.</p></li><li><p>
Report to the OneOncology Liaison leadership team to ensure seamless collaboration and alignment on strategic goals.</p></li><li><p>
Perform other duties and special projects as assigned.</p></li><li><p>
Other duties as assigned.</p></li></ul><p></p><p><b>
Key Competencies</b></p><ul><li><p>
Excellent verbal and written communication skills.</p></li><li><p>
Proficient with CRM and market analytics reporting, preferably Salesforce
</p></li><li><p>Ability to pull general analytical territory reports associated with the appropriate reporting tools and job functions.
</p></li><li><p>Strong knowledge of both Oncology and Non-Oncology Infusion Treatments a plus.</p></li><li><p>
Ability to work cooperatively.</p></li><li><p>
Initiative-taking, solution-oriented, and empathic to our patient population.</p></li><li><p>
Experience with marketing and communications.
</p></li><li><p>Strong computer skills; in Excel, Word, and PowerPoint
</p></li><li><p>Comfortable traveling locally 80% of the work week.</p></li><li><p>
Easily adjust to change.</p></li></ul><p></p><p><b>
Qualifications</b></p><ul><li><p>
Bachelor&rsquo;s Degree and 3-5 years of relevant experience within Oncology or the healthcare industry.</p></li><li><p>
May consider without bachelor&rsquo;s degree with additional relevant experience of 4+ years (equaling 8 years of experience).</p></li></ul></div>

Physician Liaison

Monroe Public Schools

<div></div><div><ul><div><div>JobID: 1400</div></div><br>
<p></p><div><div><b>
Position Type:</b><br>
 Summer School/Summer Health Liaison<br>
</div><div><b>
Date Posted:</b><br>
 4/13/2026<br>
</div><div><b>
Location:</b><br>
 Summer School<br>
</div><div><b>
Closing Date:
</b><br>
 04/30/2026</div><div><b><br>
MPS Summer Program - Health Liaison  3rd Party Contracted</b></div><div><b>
Locations:</b> Waterloo Elementary and MHS</div><div><b>
Contract Commitment &amp; Compensation</b></div><ul><li>
Current contracted Health Liaisons placed at MPS will be compensated at their current individual hourly rate.</li><li>
Work Schedule:<ul><li>
7 hours per day, Monday  Thursday at MHS; 4 hours per day Monday-Thursday at Waterloo</li><li>
Session Dates:<ul><li>
June 22-July 2</li><li>
July 6-16</li></ul></li></ul></li></ul><div></div><div><b>
Qualifications</b></div><ul><li>
Current Medical Assistant Certification or Certified Nurse Assistant (CNA) required.</li><li>
Experience in school nursing or pediatric nursing preferred.</li><li>
CPR and Basic First Aid certification required.</li><li>
Strong analytical, computer, organizational, and interpersonal skills.</li><li>
Knowledge of applicable state and federal laws, rules, and regulations related to public health.</li><li>
Ability to work independently and make informed decisions based on policies and regulations.</li><li>
Familiarity with public health management information systems and their role in the school environment.</li><li>
Proficiency in Microsoft Word, Access, and Excel (MOS Certification preferred) with a willingness to learn district-standard software.</li><li>
Demonstrated commitment to professional growth through coursework, in-service training, and conferences.</li><li>
Proven ability to build positive, productive relationships with individuals of all backgrounds.</li><li>
Other qualifications as deemed acceptable by the Board of Education.</li></ul><div></div><div><b>
Reports to: </b>Summer Lead Nurse</div><div><b>
Job Goal: </b>Under the direction of the Summer Lead Nurse, the School Health Liaison will provide support, planning, and documentation for student health needs, assist in implementing the summer school health program, and ensure appropriate care and referrals for ill, medically fragile, or injured students.</div><div></div><div><b>
Performance Responsibilities</b></div><div><b>
Responsibilities to Students</b></div><ul><li>
Maintain updated site lists of significant student health conditions, exemptions, and medication recipients.</li><li>
Follow up on health care referrals and assist families in accessing necessary services.</li><li>
Review health information and screening data for special education students in compliance with state IEP guidelines.</li><li>
Report incidents (e.g., fights, suspected child abuse, weapons) to ensure student safety and compliance with laws and district policies.</li><li>
Handle student health records with discretion, maintaining strict confidentiality.</li><li>
Assist in organizing school procedures related to medication distribution and student health plans.</li><li>
Perform routine first aid and assist in screening ill or injured students.</li></ul><div><b>
Responsibilities to Staff &amp; District</b></div><ul><li>
Work with the Summer Lead Nurse to implement programs that enhance student and staff health standards.</li><li>
Read, interpret, and follow district policies, procedures, and regulations.</li><li>
Maintain and update medical emergency cards and health records in compliance with legal and professional standards.</li><li>
Monitor and restock classroom and field trip first aid kits.</li><li>
Communicate effectively with the school nurse, staff, and parents regarding student health needs and concerns.</li><li>
Investigate and report communicable diseases (e.g., measles, chickenpox) as required.</li><li>
Utilize available resources such as the Clara Manning Sick Fund and Child Wellness Fund to assist children in need of medical, dental, or vision care.</li></ul><div></div><div><b>
APPLICATION PROCEDURE</b></div><ul><li>
Applications are accepted until a position is filled- Deadline to apply is <b>April 30, 2026</b></li><li>
Only applicants who supply the requested documents outlined below and fully complete the application will be considered.</li><li>
Faxed, mailed, and emailed applications will not be accepted.</li></ul><div><b>
External Applicants:</b><b> </b>Must complete an online application at www.monroe.k12.mi.us. Click on &quot;Employment Opportunities&quot; and &quot;Applitrack&quot; and follow the instructions to apply for this position. Supporting documents (resume, transcripts, and applicable certifications/license) are required and must be uploaded with the application.</div><div><b>
Internal Applicants:</b><b> </b>Must complete an online application at www.monroe.k12.mi.us. Click on &quot;Employment Opportunities&quot; and &quot;Applitrack&quot; and follow the instructions to apply for this position. Supporting documents are required and must be uploaded with the application.</div><div></div><div><b>
Notice of Nondiscrimination</b><br>
It is the policy of Monroe Public Schools not to discriminate based on religion, race, color, national origin, disability, age, sex, sexual orientation, gender identity or expression, height, weight, familial status, or marital status in its programs, activities, or employment. For information, contact the Office of the Superintendent of Schools at 1275 N. Macomb St., Monroe, MI 48162, 734-265-3070. The Monroe Public School District is an equal opportunity employer and complies with the Michigan Civil Rights Act and Title IX Guidelines.</div></div></ul></div><p></p>

MPS Summer Program - Health Liaison – 3rd Party Contracted (Internal Only)

Avenues Recovery

<div><p><b>Who We Are</b></p><p>
Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with eighteen locations across seven states. Offering the very highest standard of medical and clinical treatment, our services span every level of care - including detox, residential, PHP IOP, and outpatient services. Avenues is both JCAHO and CARF accredited, and in full compliance with all ASAM standards. Yet despite our excellence, our greatest strength remains the staff we cull from across the nation. If you're a compassionate professional who appreciates stimulating yet meaningful work, we warmly invite you to join our all-star team.</p><p><b><i><br>
Now hiring a Medical Liaison for our residential facility in South Bend, Indiana!</i></b></p><p><b><i>
Hours: M-F 9am-5pm</i></b></p><p><b><br>
What You'll Do</b></p><p>
The primary focus is to assist the medical personnel in the daily operations of the medical department.</p><p><b>
Medical Care Protocols and Documentation
</b></p><ul><li>Schedule medical appointments with the providers upon admission and follow-ups
</li><li>Schedule external appointments for patients as assigned  Coordinate with the BHT for patient transportation
</li><li>Obtain records from any external appointment and upload to electronic medical record (EMR)
</li><li>Documentation of all external appointments in EMR  Utilize and maintain medical tracker on a daily basis
</li><li>Schedule labs as ordered
</li><li>Maintain patient records in EMR, including but not limited to, uploading PDMP
</li><li>Clear orders from eRx for discharged patients
</li><li>Ensure pharmacy orders and prescription authorizations are completed
</li><li>Review rejected prior authorizations and document appropriately
</li><li>Perform other duties as assigned.
</li></ul><p><b>Coordination of Care</b>
</p><ul><li>Obtain and process all pharmacy authorizations, pending refills
</li><li>Obtain prior authorization for Sublocade and Vivitrol injections
</li><li>Schedule MAT injections and communicate with the nursing staff
</li><li>Ensure pharmacy delivers based on facility set-up
</li><li>Communicate with the pharmacy on any issues
</li><li>Communication and collaboration with treatment team is critical
</li><li>Notify appropriate staff of all patient concerns
</li><li>Managing supplies needed for medical department.
</li><li>Follow up and accountability for medication issues</li></ul><p><b><br>
What We're Looking For</b></p><ul><li>
High school diploma</li><li>
QMA license in IN preferred</li><li>
Experience in substance use disorder (SUD) and/or behavioral health settings strongly preferred, with demonstrated understanding of recovery-oriented care and patient-centered support.</li></ul><p><b><br>
Why Join Us</b></p><p>
Avenues features a rich, fulfilling workplace culture where every person is valued and greatness is pursued. We support our employees unconditionally, and work to provide them with every resource they need to excel! Aside from generous PTO and compensation, when you join the Avenues family, you'll be eligible for the following benefits package:</p><ul><li><b>
401K with employer match</b></li><li><b>
Medical Insurance
</b></li><li><b>Dental
</b></li><li><b>Vision</b></li><li>
Accident</li><li>
Critical Illness</li><li>
Hospital Indemnity</li><li>
Voluntary Short-Term Disability</li><li>
Voluntary Long -Term Disability</li><li>
Employer-Paid Life and AD&amp;D</li><li>
LifeTime Benefit Term Insurance with Long Term Care</li><li>
Legal Coverage</li><li>
Pet Insurance</li><li>
Identity Theft Protection</li><li>
Employer-Paid Employee Assistance Program</li><li>
Flexible Spending Account (FSA) - Medical</li><li>
Dependent Care FSA (DCF)</li></ul><p></p><p><b><i><br>
Join our growing team and discover the magic here at Avenues!</i></b></p><p><b><i><br>
Apply today!</i></b></p></div><p></p>

Medical Liaison

Shriners Children's

<div>
 Shriners Children&rsquo;s is an organization that respects, supports, and values each other. Named as the 2025 best mid-sized employer by Forbes, we are engaged in providing excellence in patient care, embracing multi-disciplinary education, and research with global impact. We foster a learning environment that values evidenced based practice, experience, innovation, and critical thinking. Our compassion, integrity, accountability, and resilience define us as leaders in pediatric specialty care for our children and their families.
 <br/>
 <br/>
 All employees are eligible for medical coverage on their first day! In addition, upon hire all employees are eligible for a 403(b) and Roth 403(b) Retirement Saving Plan with matching contributions of up to 6% after one year of service. Employees in a FT or PT status (40+ hours per pay period) will also be eligible for paid time off, life insurance, short term and long-term disability and the Flexible Spending Account (FSA) plans and a Health Savings Account (HSA) if a High Deductible Health Plan (HDHP) is elected. Additional benefits available to FT and PT employees include tuition reimbursement, home &amp; auto, hospitalization, critical illness, pet insurance and much more! Coverage is available to employees and their qualified dependents in accordance with the plans. Benefits may vary based on state law.
 <br/>
 <br/>
 The Physician Liaison effectively plans, analyzes, and implements outreach efforts in the market area. Develops and maintains relationships within the physician community to enhance lines of communication and build the referral base for Shriners Children&rsquo;s. Conducts referral assessments to support strategic initiatives and identify opportunities and threats posed by competitive forces in the market area. This position reports to the Corporate Director of Professional Provider Relations
 <br/>
 <br/>
 <strong>
  This is a remote position covering the South KY area.
 </strong>
 75% regional travel to visit with provider practices and healthcare organizations. Eligible incumbents may earn up to 10% of their annual salary if performance incentives are met.
 <br/>
 <br/>
 <strong>
  Cultivates new and existing referral relationships
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Markets Shriners Children&rsquo;s directly to referring physicians, other healthcare providers, and physician offices via office visits, electronic media, professional meetings, continuing education or any other appropriate methods to effectuate new referral growth
  </li>
  <li>
   Maintains existing referring relationships through exceptional customer service, communication and retention related activities.
  </li>
  <li>
   Actively participates in regional and state professional provider organizations, attends, displays, and coordinates exhibits at associated events to generate leads.
  </li>
  <li>
   Maintains complete and comprehensive Customer Relationship Management (CRM) record on existing and potential referring provider activity to increase effectiveness of communication and to serve as a basis for strategy development and new business opportunities.
  </li>
  <li>
   Establishes and meets outreach activity production goals, as set forth by, Corporate Director of Professional Provider Relations and documents trends, successes, and problems to assess and analyze yield, driving process improvement.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Utilizes marketing and communication techniques
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Using Definitive Healthcare and Sg2 data provided, analyzes and identifies primary, secondary, and tertiary referral sources and geographic opportunities to prioritize efforts and target meaningful new relationships in an effort to increase referral levels.
  </li>
  <li>
   Evaluates payer mix and explores opportunities to support referral efforts. Develop and implement strategies based on payor opportunities.
  </li>
  <li>
   Analyzes demographic and clinic activity linked to referring providers through market intelligence, to create strategic referral goals and determine outcomes and effectiveness.
  </li>
  <li>
   Collaborates with market directors, Marketing &amp; Communications, and appropriate Shriners Children's corporate staff to provide a consistent and effective marketing program through distribution of marketing collateral, alignment with marketing campaigns and communication of intelligence from the field.
  </li>
  <li>
   Acts as a communication bridge between referring provider and Shriners Children's providers to maximize customer satisfaction.
  </li>
  <li>
   Develops and presents feedback reports to market directors, and corporate leadership as required.
  </li>
  <li>
   Collaborates with other physician referral liaisons across the system to execute the standard process for referral management, eliminate duplicative work, and share best practices.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 <strong>
  Identifies areas in the referral loop for performance improvement and barriers to success
  <br/>
  <br/>
 </strong>
 <ul>
  <li>
   Maintains accurate record of referring physician complaints/issues in the CRM and works to ensure corrective action is taken by collaborating with facility partners and report results to market directors, facility leaders and the impacted physician.
  </li>
  <li>
   Participates and confers with market directors, local facility department heads and various departments (Intake, HIM, Medical Staff, etc.) on process improvement in support of increased physician satisfaction concerning the referral process from first contact through patient discharge.
  </li>
  <li>
   Communicates appropriately with the persons served regardless of their gender, age, ethnicity, race, creed, nationality or religious beliefs.
  </li>
  <li>
   Performs other duties as required or assigned.
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 This is not an all-inclusive list of this job&rsquo;s responsibilities. The incumbent may be required to perform other related duties and participate in special projects as assigned.
 <br/>
 <br/>
 Required
 <br/>
 <br/>
 <ul>
  <li>
   1 year of sales or marketing combined with 5 years of clinical background - or 2 years of healthcare sales/marketing experience
  </li>
  <li>
   General medical knowledge especially related to organization services, treatment offerings and equipment
  </li>
  <li>
   Experience with CRM/PRM tools
  </li>
  <li>
   MS Office Suite proficiency
  </li>
  <li>
   Ability to interpret market data
  </li>
  <li>
   Bachelor's in Marketing or related field
   <br/>
   <br/>
   <br/>
  </li>
 </ul>
 Preferred
 <br/>
 <br/>
 <ul>
  <li>
   2 years of healthcare sales/marketing experience
  </li>
 </ul>
</div>


Centene

<div><p>You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you&rsquo;ll have access to competitive benefits including a fresh perspective on workplace flexibility.<br>
</p><div></div><div><div><div><div><div><div><div><div><div><p><b>Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future. Sponsorship and future sponsorship are not available for this opportunity, including employment-based visa types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.</b></p></div></div></div></div></div></div></div></div></div><p><b><i>
Candidates must reside in Wisconsin and be able to travel up to 30%, including in‑person provider visits in Waukesha, Dane, and Milwaukee counties, along with virtual and telephonic engagement.</i></b></p><p><b><i>
The ideal candidate will have healthcare experience, preferably working with providers and community partners, strong communication skills, the ability to interpret data, and be organized, independent, detail‑oriented, and able to manage multiple priorities and deadlines.</i></b></p><p><b><i>
A valid driver&rsquo;s license is required. LPN or LVN licensure preferred.</i></b></p><p><b>
Position Purpose:</b><br>
Responsible for connecting with plan providers regarding quality initiatives and key quality performance indicators. Shares HEDIS, CAHPS, HOS, Part D and Administrative Operations reports and gap lists with providers. Use existing resources to collaborate with provider offices and internal partners on performance measure barriers, actions to mitigate low performing measures, and the sharing of quality best practices to support providers.</p><ul><li>
References and connects providers with existing resources to educate provider practices in appropriate HEDIS (Healthcare Effectiveness Data and Information Set) measures, medical record documentation guidelines and Member Experience measures.</li><li>
Acts as an ongoing resource to providers for quality improvement via regular touch points and meetings.</li><li>
Educates, supports, and resolves provider practice sites issues around P4P (Pay for Performance), RxEffect, CAHPS (Consumer Assessment of Healthcare Providers and Systems), HOS (Health Outcomes Survey), CTMs (Complaints to Medicare), Disenrollment's, Appeals, and Grievances.</li><li>
Collaborates with Provider Relations and other provider facing teams to improve provider performance in Quality (Clinical and Member Experience measures). Provides clear insight into provider group dynamics, identifies areas of opportunity, builds action plan and collaborates cross functionally to support quality performance.</li><li>
Develops, enhances and maintains provider relationship across all product lines (Medicare, Medicaid, Ambetter). Supports the development and implementation of quality improvement interventions in relation to Plan providers</li><li>
Conducts telephonic outreach to members to encourage members to visit the physician in an effort to close quality care gaps.</li><li>
Performs other duties as assigned.</li><li>
Complies with all policies and standards</li></ul><p><b>
Education/Experience:</b><br>
High school diploma or equivalent. Associate&rsquo;s degree preferred. 2+ years of experience with clinical and member experience quality.<br>
<br>
<b>License/Certification:</b> Driver&rsquo;s License required. Pharmacy Technician, Medical Assistant Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure preferred.<br>
</p>Pay Range: $19.43 - $32.98 per hour<p>
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.</p><p>
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.</p><p><br>
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act</p></div>

Provider Quality Liaison

Interim HealthCare

<div><p><b>Description</b>
</p><p>Hospice Account Liaison</p><p>
Coshocton, OH</p><p>
As an Account Liaison<b>, </b>you will be called to care when you're needed most. As part of Interim HealthCare, you'll support a full range of patient services to bring comfort and dignity to our clients.<br>
<br>
<b>What we offer our Account Liaison:</b>
</p><p>Competitive pay, benefits, and incentives</p><p><b>
Daily Pay option available</b>
</p><p><b>Excited to hear more? Apply below.</b>
</p><p>Working at Interim HealthCare means a career unlike any other. With integrity at the center of all we do, we know that when we support you and your community, you'll change lives every day.
</p><p><b>As an Account Liaison, you will:</b>
</p><p>Prepare sales plan with Executive Director/Administrator, including forecasts, target accounts, contacts within accounts and budget for achieving objectives</p><p>
Cause profitable growth by establishing and maintaining contact and relationships with referral sources through which prospective clients might be reached and influenced</p><p>
Develop and implement marketing plan for Home Health and Hospice Services
</p><p>Increase awareness of and interest in Interim HealthCare and by preparing and conducting presentations regarding Interim HealthCare and Hospice to organizations where prospective clients might be reached or influenced
</p><p><b>To qualify for an Account Liaison with us, you will need:</b>
</p><p>Education: Bachelor's Degree in a business-related subject or equivalent work experience and training
</p><p>Five (5) years' successful sales experience with comparable customers, preferably to Hospitals and/or Nursing Home</p><p><b>
Knowledgeable in Hospice required</b></p><p>
Experience in selling a service</p><p>
Proven ability to work independently with minimal supervision while being an active team player</p><p></p><p><br>
At Interim HealthCare Hospice &amp; Palliative Care, we know that being our best is non-negotiable &ndash; that's why we treat your family like our own. We take a patient-centric approach to address each individual's mind, body, and spirit, our caregivers work tirelessly to help their patients and families find peace. From our unmatched referral response times to our focus on quality improvement, the most beautifully complicated time of your life is our life's work.
</p><p>We are an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.</p><p>
 #RMC</p></div>

Account Liaison Hospice- Coshocton, OH

Eastern Shore Rural Health System

<div><p>The Case Management Specialist works with providers, patients, and insurance companies to help ensure patients receive the highest level of care, assisting them with their chronic care and preventative care needs to help reduce long-term health concerns and hospitalizations. They educate patients on the benefits of recommended preventative care services and build rapport with them to improve patient engagement, self-care management, and adherence to their individualized plan of care. They track patients&rsquo; chronic care needs and work with teams within the organization to identify barriers for patients accessing care and link them to community resources. They act as a liaison, collaborating with our community partners and other healthcare organizations to ensure continuity of care and care coordination activity within the EMR.</p><br>
<p></p><ul><li>
LPN/RN license with clinical experience required, or Medical Assistant (MA) certification with a minimum of five years clinical experience in a medical setting.</li><li>
Clinical experience with an understanding of chronic disease management and knowledge of all life cycles required.</li><li>
Knowledge of Microsoft Excel required.</li><li>
Individual must be professional, self-motivated and have strong attention to detail, communication, teamwork, customer service and computer skills.</li><li>
Must maintain current CPR for all life cycles.</li><li>
Must demonstrate excellent internal and external customer service skills.</li><li>
Employee must demonstrate an understanding of the intent, and follow standards, guidelines and protocols related to achieving and maintaining certifications by outside agencies.<br>
</li><li>
Ability to provide bilingual patient care is a plus.</li><li>
Must have valid driver's license and reliable transportation.</li></ul><ul><li>
Identify patients who are at risk for attribution loss and coordinate care to improve patient engagement and self-care management, while assessing barriers to care.</li><li>
Responsible for monitoring emergency room/ discharge reports from the hospital to identify patients in the population and assist in the coordination of services for high-risk patients and focused populations while utilizing appropriate triage protocols.</li><li>
Initiate transitions of care visits daily.</li><li>
Assist in closing healthcare gaps to improve Uniform Data System (UDS) and Healthcare Effectiveness Data and Information Set (HEDIS) quality measures that align with health system goals.</li><li>
Generate a minimum of 750 telephone encounters annually.
<ul><li>The Case Management Specialist assigned to Medicare is expected to complete a minimum of 150 Medicare outreach attempts per month (approximately 37.5 calls per week).</li></ul>
</li><li>Access electronic medical record (EMR) of referral sources to obtain diagnostic and lab results to update the patient's EMR.</li><li>
Act as liaison to community partners and capture care coordination activity within the electronic medical record (EMR) while effectively communicating with the hospital case management team and local skilled nursing facility personnel to facilitate coordination of specific patient care issues.</li><li>
Attend a minimum of two community events per year.</li><li>
Other duties and tasks as directed by the Case Management Coordinator.<br>
<p></p>
</li></ul>
<p><b>ADDITIONAL DUTIES IF ASSIGNED TO CHRONIC CARE:</b></p>
<ul><li>
Act as a liaison between Chronic Care Management (CCM) vendor and communication with patients and ESRH staff.</li><li>
Routinely audit enrollment and monthly calls for quality assurance purposes.</li><li>
Ensure all required elements are documented for CCM and related Annual Wellness Visits (AWV) component billing.</li><li>
In collaboration with the Health Education Team, schedule and complete Annual Wellness Visits (AWV) or Initial Preventative Physical Exam (IPPE).
<ul><li>The Case Management Specialist assigned to Medicare Annual Wellness Visits (AWV) is required to complete at least fifteen (15) AWVs per month.</li></ul>
</li><li>Collaborate with community partners to promote Chronic Care Management.</li><li>
Scan schedules for eligible patients for the CCM program and promote at point-of-care, based on volume.</li></ul></div>

Case Management Specialist

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