• Care Transition Liaison

    Location : Facility Name
    Commonwealth Home Health of Moses Taylor
    Requisition ID
    Location : Postal Code
    Position Type
    Work Schedule
    Normal (Based on FT, PT, PRN)
    Location : City
    Location : State/Province
  • Overview

    The Care Transition Liaison (CTL) within a facility or physicians office acts as a resource for all patients referred to home health.

    The CTL will facilitate transition of patients between referring physician or host hospital to LHC agency. The CTL will educate the

    patient and/or family on HH practices and confirm acceptance of the agency based on the ability to meet patient needs.


    Additional Details

    Essential Functions

    * Facilitate referral of new/ existing patients to home health agency following Right of Choice

    * Following choice, collaborates with Physician and/ or Case Manager in identifying the referred patient’s needs and obtains

    approval for admission from LHC agency

    * Obtains appropriate medical record information needed and sends to appropriate agency

    * Coordinates start of care between hospital/ Physician and LHC agency

    * Under the direction of the branch, collaborates with appropriate CM and/ or Physician for completion of order sets needed to

    facilitate admission

    * If license allows, reduce to writing any verbal orders received from physician and follow up to have orders signed by physician

    * For physician office referrals, assists with processing requests to the physician for medication refills for patients admitted to

    LHC Agency, when applicable, based on licensure of employee

    * Communicates to Executive Director any complaints/ concerns from the Physician office/ Host Hospital. The Executive Director

    will follow up to ensure issues are handled appropriately

    * Serves as a resource to the CM, Physician office, and patient as it relates to HH

    * All other duties assigned by manager



    Experience Requirements

    * Prior hospital, Physicians office, Home Health, or Hospice experience preferred


    License Requirements

    * Current Drivers license, vehicle insurance, and access to a dependable vehicle or public transportation

    * LPN/ LVN License required


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