Clinical Liaison - Home Health

Why Join Pathways?

• Work in a supportive team environment and amazing corporate culture.
• Impact patients' lives directly by providing in-home care.
• Opportunities for continued growth and professional development.

Position Details:

• Main Office location: Fall River, MA
• Job Type: Full Time
• Schedule: Monday - Friday
• Salary Range: $65,000.00-75,000.00 Annual Salary

Essential Job Functions/Responsibilities

• Evaluates hospitalized patients referred for home care.
• Identifies and verifies insurance coverage of home health care services.
• Obtains and documents prior authorization for home care services from insurance providers.
• Meets performance standards set forth by Director of Marketing in coordination with COO. Performance standards subject to change at any time.
• Collaborates with the hospital's discharge planning personnel, utilization review department and insurance Case Managers to facilitate safe, early discharge.
• Consults with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care.        
• Interviews the patient, family, and caregiver and discusses the home situation, current needs, and any psychosocial factors that are relevant to the plan of care.
• Completes referral information that includes intake data, essential background information, hospital course, and the plan of care.
• Maintains liaison relationship with hospital and insurance personnel, providing information and education on Pathways services, coverage issues and related areas.
• Participates in patient care conferences and in-services.
• Collects and maintains statistical data on all referrals and submits them regularly as required.
• Attends meetings and participates on committees as required.
• Performs other duties as assigned.        

Position Qualifications

• Experience meeting goals, deadlines and performance benchmarks preferred.
• Clinical or Healthcare Sales Background Preferred.
• Demonstrates an ability to work with other health care clinicians, development of home plan of care, knowledge of third party reimbursement, and ability to negotiate payment rates.
• Self-directed and able to work with minimal supervision.
• Strong ability to cultivate new relationships 
• Demonstrate excellent observation verbal and written communication skills

Benefits & Compensation

• Competitive Salary and Bonus Structure
• Robust 401(k), HMO & PPO Plans, Dental, Vision and Life Insurance
• Flexible Schedule & Work-Life Balance
• Leadership Development & Growth Opportunities
• Consistent, day-shift hours

Pathways Healthcare is committed to providing exceptional care to our patients and fostering a positive work environment for our team members. If you're passionate about making a difference in people's lives and possess the required qualifications, we encourage you to apply for this exciting opportunity!