Job Description

Job Title: Post Acute Hospital RN Liaison
Job ID: 718855
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: HOS00 LIAISONS
Location: 2310 Jane St, Pittsburgh PA 15203


The Post-Acute Hospital Registered Nurse Liaison will act as the key facilitator to assist the hospital in the discharge planning process for home health services; will maintain the standards of service excellence in the transition of the patient, from the hospital to the home setting, to achieve positive patient outcomes; will act as an educational and consultative resource to the institution concerning appropriate home care services and community resources; will act as an advocate for the patient and their family, maintaining the continuum of care from the hospital to the home setting. The Post-Acute Hospital Registered Nurse Liaison will be located in an assigned hospital and may be required to cover other acute care hospitals.

  • Acts as an advocate for the patient and/or their family.
  • Adheres to CMMS Centers for Medicare /Medicaid Services and Commercial payers' standards, policies and procedures.
  • Adheres to company and departmental standards, policies and procedures.
  • Assess the patient appropriateness for home care services and Offers Freedom of Choice to patients according to the UPMC Health system policy and procedure. Documents the patient's choice according to the institution standards.
  • Assists and secures Physician Attestation form as per the Patient Protection Affordable Care Acct also referred to Face to Face encounter.
  • Attends educational in services, departmental staff meetings, and mandatory training and UPMC Health System meetings as required.
  • Collaborates with the multidisciplinary team and servicing home health agencies to facilitate quality, cost-effective services in the home, while maintaining continuity of care and achieving positive patient outcomes
  • Communicates, in conjunction with the insurance verification department, the patient's insurance benefits and convey financial responsibility to the patient/family.
  • Completes Point of Care patient referral data and forwards all information to the servicing agency.
  • Completes other duties as assigned.
  • Complies with accepted ethical conduct and professional Standards of Nursing Practice.
  • Coordinates and communicates the home care arrangements to the multidisciplinary staff to ensure that all equipment, supplies, and services are in place along with documentation the electronic health record.
  • Educates the multidisciplinary team regarding the services available to assist the patient in the home setting.
  • Educates the patient and/or family regarding all services available in the home setting.
  • Follows established administrative and human resources policies and procedures to ensure compliance at all times.
  • Gives high priority to patient satisfaction and in meeting their home care planning needs.
  • Identifies issues and concerns the patient and/or family may have and assist in issue resolution.
  • Maintains current knowledge of appropriateness for home care in accordance with regulatory standards, i.e. TJC Standards, Federal/State regulations as well as Managed Care Organizations and other third party payer requirements
  • Maintains patient information and records confidentiality.
  • Maintains service excellence with internal and external contacts as participating in community programs.
  • Maintains the standards of excellence and acts as an educational and consultative resource to the institution.
  • Participates in UPMC Health System educational activities as a community services resource and educator.
  • Promotes and maintains the continuum of patient care from the hospital to home setting:
  • Provides information to the patient and/or family on the home care agency that has been chosen.


  • Registered Nurse required, licensed in the state of Pennsylvania, BSN preferred. 
  • Extensive clinical knowledge (3-5 years or equivalent) of the targeted patient population is required. 
  • Knowledge of home care qualifying guidelines and (1-2 years) home care experience preferred. 
  • Experience in the use of Point of Care preferred. 
  • Addresses and resolves issues and concerns with physicians and multidisciplinary team as they relate to the patients discharge plan. 
  • Expertise in interpersonal relationships, organizational relations, and effective communication, negotiation, and conflict resolution skills are required. 
  • The motivation and drive to work independently with minimal supervision to pursue continuous development of self and others are required. 
  • Strong sense of commitment and of being in control of ones practice is needed.  
  • Ability to effectively resolve discharge planning barriers as related to home care services needed.

Licensure, Certifications, and Clearances:
Licensed as a registered nurse in the Commonwealth of Pennsylvania.

  • Act 34 Criminal Clearance
  • Registered Nurse

UPMC is an equal opportunity employer. Minority/Females/Veterans/Individuals with D

Salary Range: $24.27 to $41.99 / hour

Union Position: No

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