Health Plan Liaison

Clinical Liaison

This position will be based out of Mary Free Bed Rehabilitation at Franciscan Health in Crown Point, IN.

Benefits: Annual Merit Increases, Health Insurance (Medical, Dental, Vision,) PTO, Holiday Pay

We have the great privilege of helping patients and families re-build their lives. Our hallmark is to carefully listen to patients and innovatively serve them. Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the system with access to our unique standard of care.

Restoring hope and freedom through rehabilitation.

A selfless drive to serve and heal connects all MFB employees.

Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.

Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.

Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in assigned department. Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to age-specific needs and to provide the care needed as described in the department's policies and procedures.

The Clinical Liaison serves as a key representative of the Mary Free Bed Rehabilitation Hospital System. This role is responsible for evaluating, coordinating and facilitating appropriate referrals for acute inpatient rehabilitation. This position requires advanced clinical judgement, strategic outreach, and cross functional collaboration to ensure high-quality patient transitions and territory growth.

Business Development

Analyzes market trends and referral patterns of physicians and prioritizes time appropriately to increase business to drive increased census.

Works with Mary Free Bed marketing department to determine needs of patients and referral sources to capitalize on education opportunities through new collateral materials and presentations.

Develops and grows relationships with current and potential referral sources including case managers, therapists, provider and resident groups, and insurance case managers.

Develops and executes strategic outreach plans in collaboration with the system continuum access team.

In collaboration with the acute care hospital staff, collects appropriate patient information and completes the Mary Free Bed documentation that is required for admission. Provides patient and family education related to inpatient rehabilitation. Collaborates with the referring hospital staff, inpatient staff and admitting physician to determine an admission plan, and to set a date and time that is appropriate for the patient and meets the needs of the referring hospital.

Completes the pre-admission screen in compliance with CMS requirements and assures that appropriate physician review and approval is completed prior to admission.

Facilitates professional communication with each employee of the referring hospital.

Acts on behalf of the MFB System to see patients for other MFB sites, gathers patient information and supports communication with key contacts.

Monitors customer satisfaction and facilitates problem solving with the admitting physicians, patients and families, and referral sources. Encourages a culture of personal accountability, solution-seeking behavior, mutual respect, open communication, openness to change, enthusiasm, and pride.

Maintains a high level of current knowledge about each referral hospital and the associated patient populations.

Develops and maintains excellent working relationship with Network and System Partners and their admissions team.

Maintains appropriate credentialing certification at all required facilities.

Customer Service Responsibilities

Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement

participates in departmental efforts to monitor and report customer service.

Active degree in nursing, physical therapy, occupational therapy or speech therapy.

Minimum of two years clinical experience in inpatient rehab, acute care, or post-acute setting

Proficient in clinical documentation in electronic medical record platforms

Previous experience working in a liaison, care management, clinical outreach or other access roles preferred.

Experience working in inpatient rehab, LTACH, or SNF/SAR referral processes.

Understanding of CMS guidelines and insurance authorization practices.

Demonstrated ability to analyze territory metrics and referral data.

Ascend/Descend equipment or ladder: Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at View email address on click.appcast.io.