RN-Referral Liaison, Continuum of Care Remote PRN

SSM Health is a Catholic, not-for-profit health system serving the comprehensive health needs of communities across the Midwest through a robust and fully integrated health care delivery system. The organization’s 40,000 team members and 15,000 providers are committed to providing exceptional health care services and revealing God’s healing presence to everyone they serve. ​​​​​​​With care delivery sites in Illinois, Missouri, Oklahoma and Wisconsin, SSM Health includes 23 hospitals, more than 490 physician offices and other outpatient and virtual care services, 9 post-acute facilities, comprehensive home care and hospice services, a pharmacy benefit company, a health insurance company and an accountable care organization. It is one of the largest employers in every community it serves. We are deeply rooted in our Mission​ and Values and guided by a strong commitment that it takes exceptional people to provide an exceptional experience that will deliver exceptional care and value. We are committed to helping our talented employees continue to grow on a personal and professional level.

It's more than a career, it's a calling WI-REMOTE Worker Type: PRN Job Highlights: SSM is looking for an experienced nurse with Home Health, Hospice or Case Management experience that has a dynamic personality with a ton of energy and passion for Home base care. Someone with resilience, but has a smile on their face all the times. Someone who knows all the challenges Home health and Hospice may have but sees a path forward to solving for them. The selected individual will be responsible for; Meeting with patients/families in person to discuss continuum of care services. Meeting/communicating with referral sources (case management, social work, clinics, providers, SNF/ALF facilities etc). Care coordination between continuum of care departments, such as branch departments, business development etc. Eligibility/Chart Review to determine appropriateness for continuum of care services **Must live in the southern to Central WI Region and be within 1 hour of branch offices. Some coverage onsite. Flexible schedule: 8-430 Days. Minimum requirements: 3 shifts/month. Ideally 2-3 shifts per week. Schedule will typically be available 2 months in advance. Job Summary: Creates an environment that leads to a positive patient care experience by facilitating problem solving and decision making. Ensures accuracy and timeliness on all functions related to insurance prior authorization, plan benefits, and medical necessity documentation. Serves as a liaison between patients, physicians and all other participants of the health care team.

Creates a positive patient care experience by greeting, preparing, exiting and following up with patients for providers according to established competency guidelines, policies and procedures. Creates an atmosphere of teamwork by contributing to opportunities to improve employee and customer satisfaction, including self development, continuing education (personal and technical), and achieving department objectives and goals. Provides support, both expected and directed, and collaborates with physicians and multi-disciplinary care team(s) for best care/results. Ensures accuracy of data collection and reporting for quality Initiatives. Maintains accountability for maximizing revenue capture and growth while optimizing cost savings. Communicates opportunities for organizational growth and improvement. Applies the existing body of evidence-based practice and scientific knowledge in health care to nursing practice, ensuring that nursing care is delivered based on patient’s age-specific needs and clinical needs as described in the department's Scope of Service. As an SSM Health nurse, I will demonstrate the professional nursing standards defined in the professional practice model. Uses the ANA Code of Ethics for Nurses to guide his/her response to the current and evolving health and nursing needs of our patients and our patient populations. Works in a constant state of alertness and safe manner. Performs other duties as assigned.