Clinical Liaison - Berkshires

Berkshire Healthcare Pittsfield , MA 01202

Posted 4 days ago

Job Description

Clinical Liaison

  • Referral Coordinator

Are you motivated by working within an energetic team? Do you have a strong work ethic? Does having a full and busy day satisfy you? Join a team whose culture is embedded in doing purposeful work for those who need us most

  • Our frail elderly! We need a seasoned, licensed, professional nurse or social worker who understands the healthcare continuum.

As a Clinical Liaison for Integritus Healthcare, supporting our affiliates on the North Shore of Boston, you will be an integral component of how we provide essential and needed services to those individuals needing short-term rehabilitation or long-term skilled care. You will be our point person for coordinating and delivering on critical aspects of how our referred patients are reviewed and approved for placement in our affiliates.

Your excellent computer, communication, and organizational skills will be critical to obtaining authorizations from insurance companies, completing data reviews and document uploads from hospitals, and ensuring complete screenings and PASRRs before the resident transfers. You will also be trained and prepared to support fellow liaison team members to screen patients clinically and correspond with hospitals when needed.

If this work of helping people speaks to you, you need to join Integritus Healthcare! Please apply now for our clinical/client liaison position. We look forward to welcoming you to our team.

The referral coordinator is primarily responsible for referral coordination and communication through acute care organization referral and referral management systems. Clinical Liaison's responsibilities of screening and corresponding with critical care providers occur on an as-needed basis, as determined by the department and organizational focuses.


  • Completes essential referral input per the specific RACI tool outline for new referrals from acute care settings or direct facility referrals faxed into RMS.

  • Verifies payor source for all accepted referrals scheduled for admission providing referral manager with any payor-related issues or concerns.

  • Conducts insurance authorizations for accepted commercial insurance referrals scheduled for admission, including negotiating rates where applicable.

  • Aids referral manager for clinical screens, PASRR completion, or bed-hold updates as requested.

  • Supports and executes client/clinical liaison duties on an as-needed basis as determined by department and organizational leadership.

  • Functions as system administrator for the various electronic referral systems within the market assigned.

  • Monitors electronic referral systems for updated documents and attaches clinical documents into RMS patient records, as necessary.

  • Works collaboratively and cohesively with the various teams, including facility-based and Liaison teams, to understand 5 Star and Service mix goals and assist with ideas and plans supporting the common objectives.

  • Understands and works in support of the organization's mission, vision, and values, always conveying a positive image of Integritus Healthcare and its facilities to all audiences

Job Requirements


  • Successful experience of 1-2 years in a healthcare setting preferably LTC-related. Administrative, nursing, social work, or liaison experience preferred.

  • Associates degree in a health related or LPN, LCSW, or RN license required

  • Fully vaccinated and boosted

  • Valid Driver's License

  • Basic understanding of commercial insurances, Medicare, and Medicaid reimbursement. Advanced computer experience with Microsoft, Excel and clinical or sales software.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Pipeline Direct Care Worker I Berkshires MA Area Of The Central/West Region FullTime And PartTime

State Of Massachusetts

Posted 2 months ago

VIEW JOBS 10/2/2022 12:00:00 AM 2022-12-31T00:00 <p>This is an open and continuous posting for full-time and part-time positions on multiple shifts throughout the Berkshire MA Area of the Central/Western Region of DDS.</p><p>The Department of Developmental Services (DDS) seeks caring and compassionate applicants for the role of DIRECT CARE WORKER I who are committed to building meaningful relationships and provide outstanding care and service.</p><p>The Direct Care Worker I provides programmatic direct care services and supports to individuals with intellectual and developmental disabilities. This is to be accomplished by the provision of an environment consistent with participants' needs in daily living and those skills necessary for community life.</p><p>Direct Care Worker I POSITIONS AVAILABLE IN THE FOLLOWING</p><p>Berkshire Area CITIES &amp; TOWNS:</p><p>Lee | Pittsfield | Stockbridge</p><p>Duties and Responsibilities (these duties are a general summary and not all inclusive):</p><ul><li><p>Provide support to individuals by assisting in the development and implementation of habilitative, behavioral and recreational programs in accordance with the Individual Service Plan (ISP) objectives</p></li><li><p>Coordinate with direct supervisor(s) to ensure successful implementation of ISP's, use of appropriate methods, coordination of services and crisis intervention</p></li><li><p>Assist and facilitate activities of daily living, such as household maintenance, self-care and hygiene, food shopping and preparation, budgeting, leisure activities and socialization skill development</p></li><li><p>Attend individuals' review meetings and accompany them to various appointments; Transport individuals to work, recreational activities and other engagements as needed</p></li><li><p>Maintain individuals' confidentiality and records; preserve individuals' human rights by complying with applicable laws and regulations</p></li></ul><p>Preferred Qualifications:</p><ul><li><p>Demonstrated ability to develop and maintain a respectful, caring, tolerant, ethical, and empowering relationship with individuals with intellectual and developmental disabilities;</p></li><li><p>Capacity to assist/lift individuals with physical disabilities and/or limited mobility;</p></li><li><p>Aptitude to transcribe, read and comprehend the English language</p></li></ul><p>Agency Requirements:</p><ul><li><p>Possess current and valid Class D Motor Vehicle Operator's License</p></li><li><p>Applicants must pass the Medication Administration Program (MAP) certification</p></li><li><p>Upon successful completion of a training program, incumbents must obtain and maintain Cardiopulmonary Resuscitation (CPR) and First Aid (FA) certification</p></li></ul><p>Please Note:</p><p>DDS fills this entry-level position on an ongoing basis as staff turnover and new program development occurs. The Department has full and part-time positions available on various shifts. Many of the positions require working every weekend with two days off in the middle of the week. Applicants must be flexible in work schedule. This is a 24-hour/7 days a week staff position. The Department requires employees in this position to be able to perform mandatory overtime when circumstances dictate the need.</p><p>This position is designated as an &quot;EMERGENCY&quot; position in the Department of Developmental Services Emergency Plan. This means that whenever the Governor declares that the Commonwealth is in a state of emergency, you will be required to report to work.</p><p>About the Agency:</p><p>The Department of Developmental Services is dedicated to creating, in partnership with others, innovative and genuine opportunities for individuals with intellectual disabilities to participate fully and meaningfully in, and contribute to, their communities as valued members.</p><p>Pre-Hire Process:</p><p>Recommended candidates must successfully complete pre-employment screening which includes:</p><ul><li><p>Disabled Persons Protection Commission (DPPC) Abuse Registry Search:</p></li><li><p>Criminal background check (CORI) by regulations set forth by the Executive Office of Health and Human Services.</p></li><li><p>National Background Checks, Chapter 234 of the Acts of 2014, conduct fingerprint-based check. ·</p></li></ul><p>Education, licensure and certifications will be verified in accordance with the Human Resources Division's Hiring Guidelines. Education and license/certification information provided by the selected candidate(s) is subject to the Massachusetts Public Record Law and may be published on the Commonwealth's website.</p><p>If you require assistance with the application/interview process and would like to request an ADA accommodation, please click on the link and complete the Reasonable Accommodation Online Request Form</p><p>For technical help with MassCareers, including logging into your profile and/or resetting your password, please call the Employee Service Center at 617-979-8500 for assistance.</p><p>For questions concerning the information in this requisition, please contact Human Resources at 857-262-6378.</p><p>Minimum Entrance Requirements: None</p><p>Incumbents are required to possess a current and valid motor vehicle driver's license at a class level specific to assignment.</p><p>Comprehensive Benefits</p><p>When you embark on a career with the Commonwealth, you are offered an outstanding suite of employee benefits that add to the overall value of your compensation package. We take pride in providing a work experience that supports you, your loved ones, and your future.</p><p>Want the specifics? Explore our Employee Benefits and Rewards!</p><p>Executive Order #595: As a condition of employment, successful applicants will be required to have received COVID-19 vaccination or an approved exemption as of their start date. Details relating to demonstrating compliance with this requirement will be provided to applicants selected for employment. Applicants who receive an offer of employment who can provide documentation that the vaccine is medically contraindicated or who object to vaccination due to a sincerely held religious belief may make a request for exemption.</p><p>An Equal Opportunity / Affirmative Action Employer. Females, minorities, veterans, and persons with disabilities are strongly encouraged to apply.</p><p>The Commonwealth is an Equal Opportunity Employer and does not discriminate on the basis of race, religion, color, sex, gender identity or expression, sexual orientation, age, disability, national origin, veteran status, or any other basis covered by appropriate law. Research suggests that qualified women, Black, Indigenous, and Persons of Color (BIPOC) may self-select out of opportunities if they don't meet 100% of the job requirements. We encourage individuals who believe they have the skills necessary to thrive to apply for this role.</p><br> State Of Massachusetts Pittsfield MA

Clinical Liaison - Berkshires

Berkshire Healthcare