Clinical Liaison - Hospice

Overview

Responsible for managing all aspects of organization marketing including managing the members of the marketing team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and negotiating service contracts with managed care organizations, government agencies, and other payers. Evaluates for hospice appropriateness and facilitates the transition of care from a community facility to hospice care. Coordinates care with the community referral and hospice clinical team, including an admission nurse.

Responsibilities

• Participates in daily marketing operations including providing direct oversight of the establishment and implementation of marketing initiatives
• Adheres to all laws, statutes and regulations regarding anti-kickback, lawful marketing activities (gifts and services), patient solicitation, and accurate marketing materials
• Ensures maximum third-party reimbursement through effective negotiation of service contracts with managed care organizations, government agencies, and other payers
• May assist in conducting market assessments and develop a comprehensive marketing plan designed to meet budgetary volume projections
• Employs marketing and promotional initiatives to achieve budgetary volume projections.
• Establishes and maintains positive working relationships with current and potential referral and payer sources
• Negotiates service pricing with insurance Case Managers and other payers within established financial and credit parameters
• Builds and monitors community, customer, payer and patient perceptions of the hospice as a high-quality provider of services
• Provides leadership in strategic planning including identifying opportunities for additional or improved services to address customer needs
• Coordinates care, in the best interests of the potential client, from community care to hospice care
• Uses clinical skills to assess for appropriate clients that would meet the Medicare Hospice Guidelines for all levels of care, Routine Home Care, Respite, General Inpatient, and Continuous Care
  • Would communicate effectivity that assessment to the clinical team including the admission nurse
• Maintains comprehensive working knowledge of Organization’s Name markets including government agencies, major payer groups, key referral sources, and competitor’s market positioning
• Maintains comprehensive working knowledge in the field of marketing and shares information with appropriate organization personnel
• Maintains comprehensive working knowledge of community resources and assists customers in accessing community resources should services not be provided by the hospice
• Monitors and reports cost effectiveness of marketing efforts

The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.

Qualifications

• Completion of a Registered Nurse accredited program with an unrestricted state nursing license
• One year of nursing experience required, 1 year in hospice preferred
• Ability to market effectivity and deal tactfully with customers, the community, and the hospice clinical team
• Demonstrated knowledge of disease processes and comprehensive medical record reviews
• Demonstrates good communications skills, negotiation skills, and public relations skills
• Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities