Nurse Liaison Resume Sample
Helmer Fay
71508 Dickinson Dale,
Houston,
TX
+1 (555) 121 9748
Work Experience
Nurse Liaison
11/2015
-
PRESENT
San Francisco, CA
- Maintains current knowledge of Specialty’s services and programs, hospital outcome results and general hospital information
- Current state license, as appropriate
- EDUCATION AND/OR TRAINING REQUIRED: B.S.N. required
- EXPERIENCE: Three years of professional clinical experience; at least one year of previous, gastroenterology, or outpatient experience highly desirable
- Successfully promote to Delegated Groups, patients’ participation in clinical programs - providing information on participation, Clinical Program availability/descriptions and facilitating members with program engagement
- Monitor receipt of IPA’s required UM Delegation Reports
- Accurately define gaps in Humana’s service relationship with providers and facilitate resolution
- Two (2) years experience in business development within the Healthcare Profession
- Makes daily rounds to assess discharge planning needs of agency patients and documents discharge plan for all agency patients within 24-48 hours of admission to hospital’s discharge planning department
RN Nurse Liaison
01/2010
-
06/2015
Boston, MA
- Coordinates home care needs with the agency in accordance with the physician’s plan of care at the hospital/nursing home discharge
- Adherence to and compliance with information systems security is everyone’s responsibility. It is the responsibility of every computer user to: Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems
- Two (2) years experience in business development within the healthcare profession. Managed care/insurance experience required
- Authorize admission and continued stay at Skilled Nursing Facilities and Home Health care using approved medical care guidelines and collaboration with physicians and professionals within the healthcare setting
- Engages and coaches the patient/caregiver assigned using telephonic outreach and standard assessments, patient care plans, and document progress in Homebridge care coordination platform. Documents all interactions, problems, goals and interventions as well as criteria met ensuring documentation guidelines are maintained
- Facilitates obtaining appropriate home health physician orders for the home care services
- Communicates customer service/provider issues to supervisor for logging and resolution
- Assists team in implementing and maintaining standardized operational processes to ensure compliance to company policies, legal requirements and regulatory mandates
- Expertise in Utilization Management and knowledge of URAC standards. Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior utilization management/case management experience, and governmental home health agency regulations required
Nurse Liaison RN
12/2004
-
08/2009
Los Angeles, CA
- Travel frequently to hospitals, skilled nursing facilities, and physician practices within the geographic location assigned
- Works independently, utilizing sound clinical judgment and critical thinking skills under minimal supervision
- Manages the transition of assigned Post Acute patients from acute care setting to the skilled nursing facility and/or home setting utilizing face to face and telephonic outreach to accomplish the goals of the Post Acute Program. Care coordination and facilitation with hospital discharge planners, case managers and hospitalist to obtain Post Acute orders for engagement
- Works closely with the Post Acute patient home health agency nurse to facilitate education and adherence to establish health care goals and care plan
- Review all medical documentation and work with physicians to make clinical judgments about clients’ eligibility for home care services and if BAYADA has the resources to provide the ordered services
- Embrace Consulate Health Care’s five core values of compassion, honesty, integrity, respect and passion, and incorporate them into the daily job function
- Assists in the coordination of services for patients/clients discharge from the hospital into the home health, hospice program
- Assess appropriateness of referred patients/clients to the home health organization for home care, hospice
Education
Briar Cliff University
1999 - 2003
Bachelor's Degree in Nursing
Professional Skills
- Follow patient from hospital to skilled nursing location and documents final disposition or reason for not admitting, case load includes patients discharged from HCR centers back to the hospital
- Excellent intrapersonal and problem solving skills
- Prior clinical experience an acute care clinical setting
- Prior clinical experience in an acute care clinical setting
- Proficient computer skills, knowledge of Microsoft Office
- Patient assessment skills and knowledge of patient acuity levels
- Marketing Experience in healthcare required
How to write Nurse Liaison Resume
Nurse Liaison role is responsible for training, insurance, research, design, oncology, compensation, integration, travel, supervision, microsoft.
To write great resume for nurse liaison job, your resume must include:
- Your contact information
- Work experience
- Education
- Skill listing
Contact Information For Nurse Liaison Resume
The section contact information is important in your nurse liaison resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:
- First and last name
- Telephone number
Work Experience in Your Nurse Liaison Resume
The section work experience is an essential part of your nurse liaison resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous nurse liaison responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular nurse liaison position you're applying to.
The work experience section should be the detailed summary of your latest 3 or 4 positions.
Representative Nurse Liaison resume experience can include:
- Schedule high level meetings with executive hospital personnel as well as hospitalists, physician groups, specialists, home health and hospice providers in order to discuss center’s clinical capabilities and outcomes is required in order to align center as the provider of choice in assigned market
- Work collaboratively with Business Development Coordinator and center’s management team in order to ensure admissions are communicated effectively prior to actual admission so that the process remains streamlined and fluid
- Continuously promotes a positive, approachable, and professional demeanor with referral sources, internal team, and external customers in order to establish self as “go to” person for referrals, new business, and to increase community awareness of center’s capabilities to manage both short term and long term admissions
- Demonstrate patient assessment skills and knowledge of patient acuity levels
- Progressive nursing in an acute care setting with at least one year of experience in utilization review or managed care required
- Experience performing scan authorizations, medication authorizations
Education on a Nurse Liaison Resume
Make sure to make education a priority on your nurse liaison resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your nurse liaison experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.
Additional details to include:
- School you graduated from
- Major/ minor
- Year of graduation
- Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.
Professional Skills in Nurse Liaison Resume
When listing skills on your nurse liaison resume, remember always to be honest about your level of ability. Include the Skills section after experience.
Present the most important skills in your resume, there's a list of typical nurse liaison skills:
- Effective critical thinking, problem solving and decision making skills
- Display dynamic communication skills (verbal and written) in dealing with trainees, associates, and internal/external customers
- Effectively articulates the needs of the individual customer (Knows what the customer wants)
- Demonstrates effective use of available sales tools & materials
- Prior clinical experience preferably in an acute care
- Nursing experience in an Acute Inpatient Hospital setting
List of Typical Experience For a Nurse Liaison Resume
1
Experience For Care Liaison / Nurse Liaison Resume
- As appropriate, engages the patient/caregiver using tools such as standard assessments, patient care plans, and documents all interactions in the Homebridge care coordination platform
- Facilitates obtaining appropriate home health physician orders for the home care services when needed
- Works with DSIG intake team, pharmacy and nursing to onboard new patient referrals
- Communicates pertinent patient information to the attending provider on a regularly scheduled basis, through formal or informal meetings
- When needed, contacts referral sources to advise them of referral status
- Participates in performance, operational and quality improvement activities and ensures the collection of data for improvement analysis and prepares reports as requested
2
Experience For RN Nurse Liaison Resume
- Licensed in the state where providing PAC services
- Expertise in Utilization Management and knowledge of URAC/NCQA standards. Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior utilization management/case management experience, and governmental home health agency regulations required
- Coordinates hospital discharge with case manager, hospital team and patient/family
- Obtains clinical documentation and orders required for reimbursement purposes from case managers and/or physician office
- Assists with initial home visits for newly discharged patients within defined geography
- Communicates care plan and patient visits with home health agencies, as needed
- Participates as necessary in internal and external patient care conferences
3
Experience For Nurse Liaison Supervisor Resume
- Timely and appropriate documentation in the patient medical record, as indicated
- Assist in the design and implementation of a program that elicits desired outcomes on an organizational level
- Communicate and work with physicians, physician office personnel, associates, case managers, third party payer review personnel, and others in order to expedite the intake/utilization review process to avoid negative financial impact on the facility
- Display effective time management and organizational skills to identify, prioritize and reach goals and objectives faster and easier, cope with multiple demands in a timely manner, and overcome changing priorities
- Interpret insurance contract guidelines and expectations and make recommendations for compliance
- Interpret third party payor contract requirements and recommend, design and implement procedures for compliance with regulations and standards
- Maintain knowledge of SI/IS criteria for commercial, Medicare, and Medicaid insurance products
- Maintain strict confidentiality within and outside the organization
- Negotiate with insurance vendors, medical directors, and third party payors when appropriate in order to facilitate the delivery of care in the most appropriate setting
4
Experience For Nurse Liaison RN Resume
- Possess self-motivated spirit and seek educational opportunities to increase professional competency
- Serve as a change agent, coach, mentor, team builder and facilitator
- Serve as a role model to others
- Successfully plan, monitor, support and improve multiple activities
- Use knowledge of insurance criteria and regulations in order to expedite appropriate use of resources and compliance with third party payer contracts
- Partners with facility staff in the identification of discharge goals that are appropriate to the patient's overall condition and circumstances
- Participates in weekly or more frequent facility review and discussion of patient's progress towards goals, as well as barriers to goals and other issues of concern, and engages in problem solving activities with facility staff that identify appropriate options for patients and their caregivers
- Establishes and implements a clinical process for coordination of discharged patients with appropriate transitional services, including primary care visits and home care services
- Works cooperatively with hospital and BIDCO nurse care managers and other key stakeholders on complex patients and other high risk situations as needed to support continuity of care
5
Experience For RN Onsite Nurse Liaison Resume
- Related work experience required in medical-surgical clinical background, skilled nursing facility settings, care management
- Target selected institutions to be determined by VP of Marketing, Chairmen and local Administrators
- Car and driver¿s license required for facility visits, and hospital and practice meetings
- Develop a partnership with Administrators and Chairmen to set expectations
- Make daily external sales calls on targeted institutions
- Generate referrals to selected facilities to support their census and quality mix goals
- Collaborates and coordinates with physicians and all disciplines involved in the patient’s care to assure timely progress toward the best clinical outcome in the most cost effective manner
6
Experience For Acute Care On-site Nurse Liaison Resume
- Coordinates the complex management and education of patients to ensure seamless integration with the healthcare team. Works closely with the scheduling team to ensure prompt facilitation of appointment(s) with providers
- Identifies opportunities for patient participation in clinical trials whenever feasible. Communicates information to research coordinators and referring physicians as necessary to promote enrollment
- Conducts patient interview, explains procedures to patient/significant others, reviews patient’s chart and answers questions
- Assesses cardiovascular health status
- Organizes patient transfers in and out of Service
- Ensures office hour coverage for pre/post operative patients
- Ensures optimal quality of care for all patients in the practice
7
Experience For IPA Nurse Liaison Resume
- Reviews all protocols to maintain quality control and patient safety, and to assist physicians with patient compliance
- Determine the optimal site of care for patients post hospital discharge in collaboration with hospital discharge planners, case managers and hospitalist
- Manages and influences the transition of assigned Post-Acute Care patients from acute care setting to the SNF, IRF, LTACH or home setting utilizing face to face and/or telephonic outreach to accomplish the goals of the Post-Acute Care Program
- Coordinate care and facilitate with hospital discharge planners, case managers and hospitalist to obtain Post-Acute Care orders for next site of care
- Authorize admission and continued stay at SNF, IRF, LTACH and Home Health care using approved medical care guidelines and collaboration with physicians and professionals within the healthcare setting
- Upon a patient’s discharge to home, facilitates obtaining appropriate home health physician orders for the home care services
- Contacts referral sources to advise them of referral status. Relays referral status and updates to the appropriate individuals. assigned health plan case managers
8
Experience For Onsite Nurse Liaison Resume
- Excellent negotiation, communication, influencing, problem solving and decision making skills also required
- Partners closely with the PAC Medical Director in reviewing discharge plans and length of stay status to ensure optimal outcomes
- Expertise in Utilization Management and knowledge of URAC & NCQA
- Broad knowledge of health care delivery/managed care regulations, contract terms/stipulations, prior utilization management/case management experience, and governmental home health agency regulations required
- Travel frequently to hospitals, SNF, IRF, LTACH and physician practices within the geographic location assigned
- Manages the transition of assigned Post Acute patients from acute care setting to the skilled nursing facility and/or home setting utilizing face to face and/or telephonic outreach to accomplish the goals of the Post Acute Program. Care coordination and facilitation with hospital discharge planners, case managers and hospitalist to obtain Post Acute orders for engagement
- Develop and execute a target referral development plan to include: analyzing the local healthcare system; identifying and meeting the needs of institutional customers; marketing our facility’s core competitive advantages; building a core selling message; establishing reach and frequency for target customers and prospects and; coordinating selling strategies and tactics with our facilities
List of Typical Skills For a Nurse Liaison Resume
1
Skills For Care Liaison / Nurse Liaison Resume
- Experience with admission, utilization management, discharge planning or marketing roles in post-acute care settings
- Previous experience in Utilization Management, Case Mgt and/or discharge planning
- Previous Utilization Review, Case Management and/or discharge planning experience
- Experience in marketing, preferably hospice or other healthcare environment
- Previous Utilization Review, Discharge Planning or Case Mgt experience
- Five years previous experience working in a healthcare role
2
Skills For RN Nurse Liaison Resume
- Obtain new high acuity inquiries and assesses special patients to evaluate care needs prior to admission, and directs to appropriate center
- Clinical experience in corporate wellness, pharmaceutical sales, case management or home health / hospice
- Clinical experience in a hospital, acute care, home health / hospice, direct care or case management
- Two (2) years experience in business development
- Actively live and demonstrate University of Pittsburgh Medical Center Health System core values
- Adapt quickly to changing conditions, assimilating new processes into job functions and taking ownership
- Communicates directly with clinical staff in addressing OR scheduling, patient acuity and other patient needs
3
Skills For Nurse Liaison Supervisor Resume
- Assists staff with assessing patient needs and developing a plan of care. Assures proper documentation of all treatments
- This is a patient facing role, so a TB test is required if hired
- Live within daily driving distance to Palm Beach County, FL
- : Marketing and Admissions
- Completes clinical rounds at designated hospitals on an ongoing basis to follow-up on hospitalized patients and to solicit new referrals
- Keeps current with infusion nursing research and regulations
- Interpret complex medical data to analyze applicability of review criteria to ensure optimal patient care while maximizing reimbursement
- Maintain creativity in making process recommendations
4
Skills For Nurse Liaison RN Resume
- Develop a positive working relationship with referral facility staff (Admissions, DON, etc.) to identify and support their needs
- Assist in building a relationship between facility and targeted institution leadership teams
- Provides clinical expertise, close medical communication and quality assessment for the successful referral and scheduling of patients to the Service
- Acts as a liaison between patient and surgeon in dealing with pre and post operative issues
- Addresses post-discharge issues with patients, referring doctors and home care nurses
5
Skills For RN Onsite Nurse Liaison Resume
- Complete daily rounds in designated hospitals, responds electronically to e-discharge referrals
- Evaluate inquiries, makes the decision and communicates information to case manager, admissions coordinator, and facilitates patient’s smooth transition into center
- Develop relationships with hospital social workers, physicians, hospital discharge planners and administrators, clergy, attorneys, civic/professional organizations, home health agencies, families, etc. to understand the need for program services and to communicate services offered which meet these needs
- Demonstrate growth in quality hospital referrals and admissions, as reflected in an increase in inquiries and admissions from assigned hospitals to HCR centers
- Consistently focuses efforts on building and/or maturing relationships with referral sources
- Provide additional support and resources to the OSF hospital system in Peoria, IL due to admission growth
- Maintains monthly established productivity measures
- Portrays a competitive sales approach
6
Skills For Acute Care On-site Nurse Liaison Resume
- Accountable for business development and volume growth initiatives
- Seeks opportunities to penetrate into new territories/new referral sources
- Maintains market level intelligence on competitors and consumers
- Comply with standards as set forth by the Joint Commission Accreditation of Hospital Organizations (TJC), state and federal agencies, and hospital requirements, including annual TB skin test and in-service
- Active RN license in Florida
- Self-starter with ability to create own leads
- Able to maintain an organized approach to territory management and work with limited supervision
7
Skills For IPA Nurse Liaison Resume
- Able to work as part of an inter-disciplinary team
- Current state licensure or eligibility for state licensure as a Registered Nurse(RN) required
- Extensive knowledge of clinical symptomology and related treatment required
- Knowledge of insurance policies
- Knowledge of 3rd party payer review criteria
- Reliable transportation to travel to client locations within the Mundelein, Waukegan and Libertyville area
- Current driver’s license and automobile insurance
8
Skills For Onsite Nurse Liaison Resume
- Approximately 75% Work at Home and 25% Onsite at acute care facility in Tampa, FL
- Active RN license in Mississippi
- TB test required if hired for role
- RN OR BSN. CPR Certification. CPI Certification. FIM Certification
- Evaluate and coordinate admissions for multiple care centers with appropriate team members
- Medical, Dental, Vision, STD, LTD, Life, insurance, Vacation/Sick/Holiday Time Off and more…
- Serve as primary resource for Humana’s clinical programs to internal and external audiences as required
9
Skills For Traveling Care Liaison / Nurse Liaison Resume
- Continually strives to improve and develop the Care Liaison program, regularly identifying improvements and suggests changes as needed. Supports team members in the field
- Performs clinical screens and evaluations of patients referred to the GSPP PIRM or LTACH consult service for potential admission. Monitors the progress of patients who are pending admission
- Coordinates the inpatient referral process by collecting information from the referral source and communicating information to the admissions coordinator and Medical Director to determine appropriate placement of patients
- Assess patients insurance status to ensure eligibility and expedite admission process. Collects third party payer information and communicates justifying clinical information as needed
- Communicates with nursing staff, physicians, therapists, discharge planners/case managers, administrators, and other referral sources to ensure coordination, continuity, and effective resource utilization in the provision of care
- Communicates with the Admissions Coordinator, and Medical Director regarding incoming referrals for all admissions. Collects pre-admission patient data needed from CMS PPS program and outcomes/quality assessment for inpatient rehabilitation facilities
10
Skills For Acute Onsite Nurse Liaison Resume
- Consults with Medical Director, Director of Nursing, Admissions Coordinator, and Administration as needed to discuss patient needs, operational concerns, and staffing issues that could potentially impact the admission process or satisfaction of clients served
- Develops and implements strategies to enhance the communication and relationship of GSPP with current and potential referral sources. Determines needs of referring sources, and availability of resources to accommodate a smooth flow of patients through GSPP PIRM and LTACH and PENN Medicine
- Assess and teach patients on home nutrition support and other medication administration, as needed, during initial visit and ongoing, as needed
- Contributes to monitoring and development of accessibility of the consult system
- Documents admission decisions in the patient record and communicates with physicians, discharge planners, and patients concerning the decisions
- In partnership with the UM team, authorize admission and continued stay at Skilled Nursing Facilities and Home Health care using approved medical care guidelines and collaboration with physicians and professionals within the healthcare setting
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