Transition Liaison

Who We Are

Valley Health System is a not-for-profit network of hospitals, urgent cares, physician practices, and services. Expanding across Virginia, West Virginia, and Maryland, we are devoted to the health of all who call our 18-county area home.

A vital resource for healthcare, we are the region's largest employer, a dependable community partner, and are at the leading edge of clinical innovations.

We are looking for passionate, innovative, and caring people who will each bring their unique skills and perspectives to our workplace.

What You Will Do:

The Transition Liaison will coordinate the transition to Home Health Services for patients discharged from Valley Health System (VHS) facilities with a home health referral.

Responsibilities include:

Communicates with physicians, case managers, and others from the healthcare team to develop an appropriate and safe transition from hospital to home. Communicates care options to patients and their families and coordinate with healthcare facility staff to ensure that each patient has a smooth transition through the discharge process to their home. Knowledge of the requirements and capabilities for home health and have the ability to perform a comprehensive assessment of health care needs and family/caregiver support to establish eligibility for home health services. Documents in the EPIC EMR assessment and needed DME for patient discharge to home. Maintains and establish Home Health transition team processes with collaboration from Home Health/Case Management Leadership. Facilitates a safe and timely discharge for positive patient outcome and positive organizational reimbursement. Maintains communication with hospital and attending physician regarding patient status by monitoring and reporting home care services rendered and/or modified; monitoring home care progress, and other patient information pertinent to patient hospital care or potential post hospitalization care; anticipating additional home care services needed (e.g. infusion therapy, wound therapy, physical therapy, psychiatric care and/or other specialty programs). Responsible to establish new relationships and enhance existing relationships with physician offices, acute care, rehab, SNF and ALF case managers and discharge planners from referral sources in their designated territory. Conducts education to referral sources to provide current programs and home health regulations as well as new and upcoming services within VHS Home Health. Gathers feedback from referral sources relative to their satisfaction with VHS and work with appropriate departments to improve and guarantee client satisfaction. Responsible for growth in referrals from the assigned hospital.

What You Will Bring:

Education

Bachelors Nursing (BSN) preferred

Certification & Licensures

Registered Nurse License in Virginia and West Virginia required

Valid driver's license and reliable transportation required

Qualifications

RN with a proven track record in sales required.

Computer experience required.

Ability to operate independently required.

Excellent interpersonal skills required.

Ability to work in a fast paced environment required.

Knowledge of the home health industry and previous home health experience a plus.

What You Will Get:

At Valley Health, we believe everyone is a caregiver, and our goal is to create an environment where our caregivers thrive physically, financially, and emotionally. In addition to a competitive salary, our most popular benefits for full-time employees include:

• A Zero-Deductible Health Plan

• Dental and vision insurance

• Generous Paid Time Off

• Tuition Assistance

• Retirement Savings Match

• A Robust Employee Assistance Program to help with many aspects of emotional wellbeing

• Membership to Healthy U: An Incentive-Based Wellness Program

Valley Health also offers a health savings account & flexible spending account for childcare, life insurance, short-term and long-term disability, and professional development. In addition, several perks come with working for the largest employer in the region, such as discounts to on-campus dining, and more.

To see the full scale of what we offer, visit valleyhealthbenefits.com.

Exclusions apply

We celebrate, support, and thrive on our differences for the benefit of our employees, our patients, and the communities we serve.

We are neighbors caring for neighbors, and our goal is always to help those we serve get well, feel well, and stay well.

EOE

Criminal Background Checks

VA State Police or WV State Background and Fingerprinting (WV Cares) (applicable state)

3rd party Background Check

Central Registry *required prior to working with minors

FLSA Classification

Exempt

Grade

506

Physical Demands

6 A Customer Service