Job Summary

About Us:

Come reimagine care with us! We’re on a mission to change the way medical care is delivered around the country.

By supplying home-based medical care to patients who need it most, WellBe is changing lives by providing care wherever our patients call home. WellBe’s primary care services are delivered by a team of licensed clinicians in the comfort of the patient’s home. By combining the strength of physicians, nurse practitioners, social workers, paramedics, and other healthcare professionals, WellBe delivers an extra level of support to the patients we serve in their communities. 

This high-risk population is typically underserved and challenged with access to care which we provide. To address these problems, we have elected to bring the care to the patient, instead of trying to bring the patient to the care. WellBe’s clinician-led geriatric care teams provide concierge-level medical care and social support in the home as well as delivering and coordinating across the entire care continuum – from chronic care and urgent care in the home to hospital to skilled nursing facility to assisted living to palliative care, to end-of-life care.

Joining WellBe means joining a growing, purpose-driven organization to deliver the highest quality care to our senior communities and to make an impact on lives every day.

Why WellBe?

WellBe’s Culture is Welcoming

• Be part of something important:
• Be part of pioneering a new way of healthcare that is revolutionizing the industry. 
• A patient-focused environment that ensures patients can live a fulfilling life whatever their health level is. Our focus is to give our patients more good days.
• Give yourself incredible opportunities:
• Growth and development opportunities across expanding markets in the company and celebrate success on a global scale.
• Training in the WellBe model and team-based care. Full in-person orientation, vision, mission, and values introduction, and instilling cultural ideals. Respect and trust for how you work and how you make a difference.
• Work as part of a collaborative team with a strong team culture.
• You own your role, contribute to the team, and feel the enormous impact on lives.
• Leadership that listens, trusts, empowers, and supports.
• Empowerment and ownership for solving problems that arise and doing the right thing in each interaction.
• Pioneering a new way of healthcare that is revolutionizing the industry.

What we offer: 

• Full-time permanent, work seeing patients in their home, traveling around to other home locations. Work during the daytime, flexible schedule, and on-call rotation.
• Rich and competitive total rewards package including health benefits, dental, vision, life insurance, dependent care reimbursement, STD/LTD, 401k match with immediate vesting, paid time off / floating holidays, commuter/transportation (mileage) reimbursement, and educational reimbursement.
• The opportunity to work with a progressive company, who is making a difference each day with every patient. 

About the Position:

The Clinical Liaison is responsible for managing the ongoing hospital census of WellBe's patients. This candidate will help educate patients about WellBe’s program, close gaps in communication between patients and attending physician, and coordinate smooth transitions post-discharge. This candidate will also be responsible for care coordination needs and supporting WellBe clinicians and Community Medical Director (CMD) with operational and clinical tasks.

Job Description

WellBe LPN/LVN - Clinical Liaison - What to Expect:

• Fosters a culture of best demonstrated practices, customer and peer service-orientation, measurement, performance, accountability, and continuous improvement
• Manage the Transition of Care Process from admission to transition home (i.e, admission, discharge planning and follow-up)
• Monitors active patients across care settings (hospitals and SNF’s)
• Visit facilities (hospital and SNF’s on a routine basis)
• Serves as a resource for the patient and their family to help solidify discharge and treatment plan
• Facilitation and clarification of patient’s goals of care with the facilities and attending physicians
• Assists with discharge planning from Inpatient or Skilled Nursing settings
• Works collaboratively with the clinical coordinator to ensure discharge data is appropriately documented and transition of care visits are scheduled and verified with the patient/family
• Collaborates with Community Medical Director daily to review the appropriateness of discharge plans
• Reviews with the CMD the medical necessity of Home Health orders, orders for DME, and follows up with those HH agencies and DME agencies on their treatment plan
• Facilitating access for the patients to verify their ancillary services such as DME, Home Health, OP Rehab are in place and meeting their needs
• Attends Interdisciplinary Team (IDT) meetings and provides additional information on patients
• Face of WellBe in the hospital/SNF if physicians cannot be onsite (e.g., bring in notes, POLST, etc.), patients know them as WellBe, and they are part of their WellBe program
• Assist physicians with communicating with attending of record
• Arranges family meetings in the SNF and hospital
• Develop relationships in admitting, ED and Case Management departments in facility setting
• Coordinates with Facility’s Case Management and Social Work Teams on the discharge
• Develops relationships with SNF Administrators
• Obtains access to clinical records in the facility setting, and reviews and facilitates medical records transfer to WellBe
• May conduct home visits based on community team needs
• Ability to explain the WellBe model and engage new members into the program
• Other tasks needed to accomplish team’s objectives/goals

Job Requirements

Must Haves:

Educational/ Experience Requirements:

• Minimum of 5 years as a Licensed Practical Nurse/Licensed Vocational Nurse Health Plan/ Hospice Liaison experience preferred.
• LPN/LVN Licensure required.
• Managed Care experience preferred.

 Required Skills and Abilities:

• Superior interpersonal skills
• Experience charting in EMR skills
• Detail orientation
• Problem solving and thinking autonomously and owning the solution
• Professional demeanor
• Knowledge of Geriatric Medical Practice/Terminology
• Innovative
• History of successful outcomes or quality-driven practices
• Ethical patient care
• Teamwork/Can-Do Attitude
• Advanced computer skills (ie. Excel filtering and advanced features, Google/Gmail, etc.)
• Strong communication skills (verbal and written)

Travel Requirements:

Travel requirements: Travel may be required up to 100% locally.

Work Conditions:

Ability to lift up to 20lbs. Moving lifting or transferring of patients may involve lifting of up to 50lbs as well as assist with weights of more than 100lbs. Ability to stand for extended periods.

Ability to drive to patient locations (ie. home, hospital, SNF, etc). Fine motor skills/visual acuity

WellBe Senior Medical is an equal opportunity employer. We embrace diversity, inclusion, and equity and encourage all interested readers to apply at wellbeseniormedical.com/careers.

The preceding functions may not be comprehensive in scope regarding work performed by an employee assigned to this position classification. Management reserves the right to add, modify, change, or rescind the work assignments of this position. Management also reserves the right to make reasonable accommodations so that a qualified employee(s) can perform the essential functions of this role.

City, State Zip Code Primary Location: City, State Zip Code Job: Clinical—Regular Shift. Full-Time Job Level: Day Job, 8 am, 5 pm, Travel, Monday, Friday, no evening, no weekend hours unless desired. Job, Clinical, Nursing, Work from Home Opportunity,Regular, Job Type, Standard, Travel, Flexible, Pay, Hours. Geriatric population