Nurse Liaison

Consult Care Management staff on medical issues including diabetes, medication, wound care, and acute or chronic illnesses. Participate in multidisciplinary team meetings and care conferences to recommend safe levels of care. Ensure individuals transitioning from institutional settings have long-term supports for safe community living. Review discharge paperwork and consult with inpatient, outpatient, and primary care providers. Provide ongoing trainings to CalAIM staff and complete required assessments for waived services programs. Liaise with Care Management to ensure clinical documentation meets best practice guidelines. Analyze utilization patterns to assist staff with health promotion interventions. Monitor service quality and contribute to Continuous Quality Improvement efforts. Attend team meetings and apply regulatory requirements of the Institute on Aging.