Case management clinical liaison

Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a(an) Clinical Liaison today with MountainStar Healthcare.

Job Summary and Qualifications

This position serves as the critical resource and strategic liaison between hospitals and post-acute providers to drive measurable improvements in patient outcomes, optimize acute care throughput, and support the HCA’s Value-Based Care objectives. This individual will strategically partner with hospitals, physician groups, and community agencies to co-develop and implement mutually agreed-upon objectives. These collaborative goals will be designed to optimize outcomes at the patient level while enhancing operational efficiency for care providers. If applicable, the liaison will support alternative payment arrangements with payers (value-based care program). Current programs supported include CMS’ Transforming Episode Accountability Model (TEAM).

Assures appropriate implementation of Value-Based Post-Acute Networks in markets and hospitals selected under Core-Based Statistical Areas (CBSAs) identified by CMS under the TEAM program. In the absence of TEAM program selection, the clinical liaison will continue to perform all duties outlined below, excluding items specific to the TEAM program and formal PCN networks.

Responsibilities:

• Responsible for assisting in the development a network of post-acute network providers/agencies to support the TEAM program.
• Informs local teams of preferred provider network selection criteria and assists local team by utilizing the criteria to develop their networks within TEAM markets.
• Ensure regulatory provisions and HCA compliance and privacy policies are adhered to including but not limited to the following: Referrals Sources, HCA Gifts policy, Entertainment policy, Educational Funding from Vendors, Vendor Relations, Patient Discharge Planning.
• Provides regular onsite visits to post-acute providers/agencies to build relationships and establish expectations of quality of care.
• Works to actively and quickly resolve interagency conflicts to positively impact patient outcomes and hospital throughput.
• Manages behaviors through influence and relationship, acting as a high-level negotiator to resolve complex operational and clinical issues that impact acute throughput and network integrity.
• Gathers and continuously monitors relevant data regarding all post-acute facilities and agencies and the changing dynamics within the market (e.g., new facility openings, competitor performance, regulatory changes).
• Engages with the hospital case management leaders/teams to assist in difficult patient placement based on capabilities within the local post-acute provider/agency arena.
• Presents quality monitoring metrics about the hospital and post-acute care providers/agencies to the Division VP and Dir of CM, hospital directors, hospital leadership, and post-acute providers/agencies at a regular cadence to ensure collaboration, high quality patient care and transparency.
• Coordinates, promotes and provides educational opportunities for the benefit of the hospital’s patients, which strengthen key stakeholder’s knowledge and further support quality of care and hospital throughput.
• Lead initiatives to standardize best practices in care transitions and patient handoffs across hospitals and PAC providers.
• Facilitate regular interdisciplinary meetings to ensure alignment on clinical protocols, documentation requirements, and shared goals to reduce variations in care and improve overall patient experience.

Strategic Relationships:

Develop and strengthen collaborative relationships with Division and Hospital Leaders, Physician Providers, and Post-Acute Care leaders to advance the care of our patients. Actively encourage collaboration and possess excellent interpersonal skills. Deliver information in a clear, concise and compelling manner. Deliver targeted and actionable communications that invites two-way professional communication. Adjust messages appropriately by audience.

Self-Development:

Excellent personal computer skills (MS Outlook, MS Office, Excel, EMR, 3M, Iodine and other related software). Independently take proactive steps toward problem resolution. Complete all mandatory and assigned education by established deadlines.

Requirements:

• Bachelor's degree in nursing, therapy, social work or healthcare related field
• 5+ years of experience in acute and/or post-acute care continuum
• 3+ years of experience in Case Management
• 75% Travel to the facilities within the division

Benefits

MountainStar Healthcare, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

• Comprehensive benefits for medical, prescription drug, dental, vision, behavioral health and telemedicine services
• Wellbeing support, including free counseling and referral services
• Time away from work programs for paid time off, paid family leave, long- and short-term disability coverage and leaves of absence
• Savings and retirement resources, including a 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service), Employee Stock Purchase Plan, flexible spending accounts, preferred banking partnerships, retirement readiness tools, rollover support and financial wellbeing counseling
• Education support through tuition assistance, student loan assistance, certification support, dependent scholarships and a partnership with Galen College of Nursing
• Additional benefits for fertility and family building, adoption assistance, life insurance, supplemental health protection plans, auto and home insurance, legal counseling, identity theft protection and consumer discounts

Learn more about Employee Benefits Note: Eligibility for benefits may vary by location.

HCA Healthcare (Corporate), based in Nashville, Tennessee, supports a variety of corporate roles from business operations to administrative positions. Like our colleagues in any HCA Healthcare hospital, our corporate campus employees enjoy unparalleled resources and opportunities to reach their potential as healthcare leaders and innovators. From market rate compensation to continuing education and career advancement opportunities, every person has a solid foundation for success. Nashville is also home to our Executive Development Program, where exceptional employees are groomed to take on CNO- and COO-level roles in our hospitals. This selective program focuses on ethics, leadership and the financial and clinical knowledge required of professionals at this level of the industry.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual." - Dr. Thomas Frist, Sr. HCA Healthcare Co-Founder

If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Clinical Liaison opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. Unlock the possibilities and apply today! We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.