Clinical Liaison - Transplant Division

The Clinical Liaison assists the Corporate Director of Transplant in implementing and maintaining the patient management program, the quality management, quality assurance and quality control program and quality improvement activities; the regulatory compliance program by ensuring compliance with ACHC and URAC standards, federal and state laws and regulations (including HIPAA). Risk management, safety, security, infection control, other responsibilities include the completion and a care plans and patient assessment or re-assessment, audit of patient management program records; staff training and in-service; and collaborating with home health agencies. This position is remote, with some travel when needed.

QUALIFICATION REQUIREMENTS

·      Bachelor’s Degree in Nursing

·      Valid RN license in good standing- preferrable compact RN license.

·      3 + years related work experience in Transplant patient care

·      Proficient level computer and internet skills (e.g. Microsoft Office, etc).

·      Willing to travel for business purposes (when necessary to attend meetings, conferences, seminars, etc.)

QUALIFICATIONS PREFERRED

·      Master’s Degree in Nursing preferred, but not required.

·      Solid Organ/Transplant experience and management of patients background preferred, but not required.

·      Knowledge of all Transplant software (UNOS, SRTR) preferred.

·      Knowledge of pharmacy software a plus.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

·       Assists Corporate DON and field RNs in maintaining a timely patient management program (PMP); obtains patient demographic and clinical information; pertinent to patient safety and care.

·       Assists intake and pharmacy staff in searching and coordinating with home health nursing agencies in the care of patients (if applicable). Also provides training for nurses contracted by home health nursing agencies in Transplant Specific therapies and protocols.

·       Provide clinical review of new transplant referrals to ensure completeness, accuracy and appropriate diagnosis.

·       Maintain and report active patient lists for high-volume centers and facilitate recurring virtual meetings to address issues, improve coordination, and enhance patient care

·       Assists in data collection and monitoring of all clinical trials and protocols as assigned by Director of Transplant.

·       Assists pharmacists with BioMatrix regulatory compliance program including the implementation of tracking systems and audits to ensure compliance with federal, state and pharmacy regulatory standards including HIPAA, and health and safety codes (i.e. risk management, medication - use safety, fire safety and infection control).

·       Maintains a working knowledge and is up-to-date on federal, state and pharmacy laws and regulations as applied to operations.

·       Provides HIPAA compliance and Medicare’s Fraud, Waste, and Abuse training to employees, annually and ongoing as needed.

·       Maintains patient confidentiality in remote work environment as per HIPAA Privacy Rule standards.

·       Maintain and review a list of active patients with current issues that requires attention, and partner with various internal teams to solution and resolve.

·       Coordinate with field team to resolve any issues, pressing concerns, MD communication coordination support needs, and office visit schedule in order to provide status updates for both pending and active patients (post start of care/first infusion follow up).

·       Support all PA submission activities including case evaluation for completeness of diagnosis, appropriate DX, conformance to payor medical policy prior to PA submission, creation of LMN, support Peer to Peer when necessary. Work with Operations to establish a clinical review for each new referral.

·       Function as main POC (in collaboration with Transplant Services Program Manager) for referred patients, MD/MDO for order verification, clinical questions, general question regarding care process.

·       Partner with field nursing team on care of active patients including next infusion schedule/scheduling, and MD visit schedule.

NON-ESSENTIAL FUNCTIONS & RESPONSIBILITIES

·       Participation in membership in professional societies and organizations.

·       Ability to prioritize and handle multiple tasks and projects concurrently.

·       Careful attention to detail.

·       Performs related duties as requested.

·       Participates in quality assurance activities and audits as directed.

KNOWLEDEGE, SKILLS AND ABILITIES REQUIREMENTS

·       Able to function independently under remote supervision

·       Excellent written and verbal skills

·       Attention to detail and high level of accuracy in work

·       Excellent patient engagement and clinical assessment skills

·       Demonstrates sound judgement consistent with evidence based medicine

·       Demonstrates critical thinking and excellent problem solving

Communication Skills

·       Oral Communication - Speaks clearly and persuasively in positive or negative situations; listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings.

·       Written Communication - Writes clearly and informatively; Edits work for spelling and grammar; Varies writing style to meet needs; Presents numerical data effectively; Able to read and interpret written information.

Computer Skills

·       Become and remain proficient is all programs necessary for execution of position.