Job Description

Job Title: Post-Acute Hospital RN Liaison (UPMC Horizon)
Job ID: 684268467
Status: Full-Time
Regular/Temporary: Regular
Shift: Day Job
Facility: UPMC Community Provider Svcs
Department: Liaisons
Location: 2310 Jane Street, Pittsburgh PA 15203


UPMC is hiring a Post-Acute Hospital RN Liaison!


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.

The candidate for this position must be willing to work at UPMC Horizon Greenville with ability to float to UPMC Shenango, Jameson and Northwest as needed.

  • Adheres to company and departmental standards, policies and procedures.
  • Maintains service excellence with internal and external contacts as participating in community programs.
  • Maintains patient information and records confidentiality.
  • Follows established administrative and human resources policies and procedures to ensure compliance at all times.
  • Promotes and maintains the continuum of patient care from the hospital to home setting:
  • Completes Point of Care patient referral data and forwards all information to the servicing agency.
  • Participates in UPMC Health System educational activities as a community services resource and educator.
  • 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.
  • 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.
  • Gives high priority to patient satisfaction and in meeting their home care planning needs.
  • Complies with accepted ethical conduct and professional Standards of Nursing Practice.
  • 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
  • Attends educational in services, departmental staff meetings, and mandatory training and UPMC Health System meetings as required.
  • Assists and secures Physician Attestation form as per the Patient Protection Affordable Care Acct also referred to Face to Face encounter.
  • Educates the multidisciplinary team regarding the services available to assist the patient in the home setting.
  • Provides information to the patient and/or family on the home care agency that has been chosen.
  • Completes other duties as assigned.
  • Acts as an advocate for the patient and/or their family.
  • Identifies issues and concerns the patient and/or family may have and assist in issue resolution.
  • Adheres to CMMS Centers for Medicare /Medicaid Services and Commercial payers' standards, policies and procedures.
  • 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
  • Maintains the standards of excellence and acts as an educational and consultative resource to the institution.
  • Educates the patient and/or family regarding all services available in the home setting.
  • Communicates, in conjunction with the insurance verification department, the patient's insurance benefits and convey financial responsibility to the patient/family.


Educational/Knowledge Requirements: 
  • Registered Nurse required, licensed in the state of Pennsylvania, BSN preferred
  • 2 years nursing experience in LTC/Acute Care setting required 
  • Knowledge of home care qualifying guidelines and (1-2 years) home care experience preferred
  • Experience in the use of Point of Care preferred
Behavioral Dimensions:
  • Addresses and resolves issues and concerns with physicians and multidisciplinary team as they relate to the patient's 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 one's 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.

  • Registered Nurse (RN)
  • Act 33
  • Act 34

  • UPMC is an Equal Opportunity Employer/Disability/Veteran

    Salary Range: $27.98 to $47.14 / hour

    Union Position: No

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