Post-Acute Clinical Care Liaison

Tandigm Health, LLC is a value based population health organization. We engage our physician network by aligning economics and rewarding them for the value of the care they provide rather than for the volume of services. We enable our physicians with innovative tools, actionable data, expert training and education, and clinical delivery support. We empower our physicians by building community-oriented care delivery systems that facilitate collaboration across the continuum of care.

At Tandigm you will find a culture where all Teammates have the opportunity to collaborate in an energized, multi-disciplinary work environment focused on improving patient outcomes and enabling our staff to do some of the most rewarding work of their careers.

Post-Acute Clinical Care Liaison

Philadelphia, PA territory (Bucks, Chester, Montgomery, Delaware, Philadelphia counties)

The Post-Acute Clinical Care Liaison is responsible for the development and expansion of our post-acute management program establishing relationships and facilitating processes with local hospitals. This role educates hospital administration, physicians, and discharge planners on high quality facilities available for post-acute care. The Post-Acute Clinical Care Liaison works collaboratively with the Post-Acute team to ensure seamless admission and discharge processes are met.

Essential Functions

  • Educate hospital staff on Tandigm’s post-acute care programs. This person will be responsible for independently developing relationships and managing communications with hospital staff including Care Managers, Discharge Planners, Social Workers to ensure Tandigm/assigned patients learn about Tandigm programs in particular preferred SNF program;
  • Identify Tandigm/assigned patients in hospital/ED by utilizing Tandigm’s patient lists, EMR alerts. Proactively identify Tandigm patients getting readmitted (or at higher risk of readmissions) and funnel them into appropriate Tandigm programs that could help them avoid hospitalization;
  • Educate patients and families about the benefit of Tandigm’s preferred SNF program, address their concerns in ED or Hospital. If patients, choose nonpreferred SNFs, be open to patients and families and potentially direct them to preferred SNF when they might need SNF level care;
  • Coordinate and obtain authorizations for SNF care from UM department, as assigned, to assist patient’s speedy admission to preferred SNFs;
  • Provide comprehensive handoff to SNF Care Managers/clinicians alerting them about salient patient care issues for patients going to preferred SNFs. Be available to communicate needs of outpatient programs e.g. House Calls to Hospital teams (based on receptivity of hospital teams) to hospital teams;
  • Develop and build new programs, relationships in support of value based programs aligned with Tandigm’s goals – improving patient care, reducing admissions/readmissions, better transitions of care to support patient and their families;
  • Consistently exhibits behavior and communication skills that demonstrate Tandigm Health’s commitment to superior customer service, including quality, care and concern with each and every internal and external customer;
  • Develops strong working relationships with Hospital and SNF staff (i.e. Care Managers, Discharge Planners, Physicians, Nursing, and Administrative Staff) to ensure the effectiveness of Tandigm’s continuum of care;
  • Uses, protects, and discloses Tandigm’s patients protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards; and
  • Performs additional duties as assigned.

Education

Bachelor’s degree and/or a professional certification requiring formal education beyond a two-year college with;

Licenses/Certifications

Valid U.S. State Driver’s License as well as proof of liability and property damage insurance on any vehicle used for business purposes; with

Experience

1-3 years’ experience in healthcare or hospital environment or experience as Skilled Nursing Facility liaison.

Essential Knowledge, Skills, and Abilities

  • Must be able to demonstrate the ability to work independently, prioritize tasks, communicate effectively demonstrating both verbal and written skills, and gain proficiency in the use of computer systems and software;
  • Must be able to demonstrate strong oral and written communication skills, and communicate with healthcare professionals and patients and families effectively, knowledgeably, and with confidence and sensitivity.
  • Must be able to demonstrate the ability to build trust based relationships and demonstrate ability to navigate difficult relationships.
  • Ability and availability to travel independently to sites within the five county Philadelphia region, on a flexible schedule, as required.
  • Customer-service oriented; responsive and respectful to colleagues, clients, patients, and providers.
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