Care Transition Liaison

Job Profile Summary   This role focuses on providing professional and nonprofessional nursing care services in accordance with physician orders. In addition, this role focuses on performing the following Nursing Support duties: Provides basic care services to patients, but does not have an RN or LPN license. Positions in this nursing support work under the direction of physicians, mid-level practitioners, and may work under the direction of registered nurses depending on their unit.

A professional individual contributor role that may direct the work of other lower level professionals or manage processes and programs. The majority of time is spent overseeing the design, implementation or delivery of processes, programs and policies using specialized knowledge and skills typically acquired through advanced education. An experienced level role that applies practical knowledge of job area typically obtained through advanced education and work experience.

Works independently with general supervision, problems faced are difficult but typically not complex, and may influence others within the job area through explanation of facts, policies and practices. Job Overview   This role is responsible for generating home health and hospice referrals in designated territory/facility while serving as liaison between the agency, hospitals, nursing homes, physicians, patients and families, and community organizations.

The Care Transition Liaison works to thoroughly identify the needs of referral sources, demonstrating a clear understanding of how referral sources make decisions and identifying decision-makers. Collaborating in a cross functional environment, assists with programs and protocols that provide for the delivery of improved home health care services, including performing complete and thorough pre-intake screens as appropriate.

Job Description   Minimum Qualifications :   1. Bachelor's Degree 2 . Valid state issued Driver’s License. 3 . Two (2) years of experience marketing to physicians, long-term care , and assisted living facilities to develop effective relationships and referrals. 4. If hired prior to 9/28/2026, CPR Certification is required upon hire. If hired after 9/28/2026, BLS Certification is required within thirty (30) days of hire.

Preferred Qualifications :   1. Massachusetts RN Licensure. Hours: Full Time, 40hrs/week, Mon-Fri Location: Melrose/Malden, MA Duties and Responsibilities : The duties and responsibilities listed below are intended to describe the general nature of work and are not intended to be an all-inclusive list . Other duties and responsibilities may be assigned. 1. Increase s census through marketing of geographically defined areas and develop specific referrer relationships with potential referrers.

2. Develops specific referrer relationships with hospitals/community in defined geographic areas with primary focus on case management departments or as determined by the marketing team. 3. Provides referring agencies with information on existing and new programs and services by arranging presentations to hospitals and personnel as per marketing plans developed by the marketing team. 4. Schedules educational programs at hospitals in geographically defined areas to be given by Liaison, Program Coordinators, or other HHF staff as appropriate .

5. Notifies referring agencies/personnel of patient’s progress at HHF as appropriate . Delivers/mail all discharge summaries to social workers and discharge planners in defined territory. 6. Achieves business development targets such as conversation ratio of referral to SOC, hospital admission targets, and contacts/evaluations through detailed marketing plans. Supplies data for statistical reports and Assesses implications of data collection and participates in strategic planning.

7. Seeks out opportunities to become a preferred provider or partner for the account rather than solely a vendor. 8. Maintains an on-going, intimate