Care at Home Liaison

WHY UT SOUTHWESTERN?
With over 75 years of excellence in Dallas-Fort Worth, Texas, UT Southwestern is committed to excellence, innovation, teamwork, and compassion. As a world-renowned medical and research center, we strive to provide the best possible care, resources, and benefits for our valued employees. Ranked as the No. 1 hospital in Dallas-Fort Worth according to U.S. News & World Report, we invest in you with opportunities for career growth and development to align with your future goals. Our highly competitive benefits package offers healthcare, PTO and paid holidays, on-site childcare, wage, merit increases and so much more. We invite you to be a part of the UT Southwestern team where you‿ll discover a culture of teamwork, professionalism, and a rewarding career! 

JOB SUMMARY
The Care at Home Services Liaison acts as a central coordinator and advocate for patients transitioning from hospital or clinic settings into a variety of home-based care programs. This role supports remote patient monitoring, home infusion therapies, and other post-acute or specialized “care at home” services. By fostering strong referral relationships, ensuring smooth handoffs, and educating patients and families, the Liaison helps optimize clinical outcomes, regulatory compliance, and patient satisfaction across all home-based service lines. 

BENEFITS
UT Southwestern is proud to offer a competitive and comprehensive benefits package to eligible employees. Our benefits are designed to support your overall wellbeing, and include:

• PPO medical plan, available day one at no cost for full-time employee-only coverage
• 100% coverage for preventive healthcare-no copay
• Paid Time Off, available day one
• Retirement Programs through the Teacher Retirement System of Texas (TRS)
• Paid Parental Leave Benefit
• Wellness programs
• Tuition Reimbursement
• Public Service Loan Forgiveness (PSLF) Qualified Employer
• Learn more about these and other UTSW employee benefits!

EXPERIENCE AND EDUCATION

Required

• Experience
  2 years experience in post-acute care, hospital discharge planning, case management, or a healthcare liaison role 
  Proven ability to build and maintain professional relationships with referral sources 
   

Preferred

• Education
  Bachelor’s Degree in Nursing, Healthcare Administration, Marketing, or related field 
   

• Experience
  Strong knowledge of home health services, CMS regulations, and OASIS processes 
   

• Licenses and Certifications
  (RN) REGISTERED NURSE or
  (LVN) LICENSED VOCATIONAL NURSE 
   

JOB DUTIES

• Establish, cultivate, and maintain collaborative relationships with referral sources, including hospitals, physician practices, case managers, discharge planners, and community partners to support referral growth and patient access to Care at Home services.
• Serve as the primary point of contact for referral inquiries, care transition coordination, and patient placement needs.
• Promote Care at Home programs and services by educating referral partners, patients, families, and community stakeholders on available service lines, clinical specialties, eligibility criteria, and program benefits.
• Meet with patients and families to assess service needs, explain available home- based care options, answer questions, and ensure understanding of home health care options.
• Facilitate a smooth handoff from acute or ambulatory settings to Care at Home services.
• Address patient/family concerns promptly and escalate as appropriate.
• Initiate and / or complete the Intake, collaborate with scheduling, and clinical leadership to ensure timely admission and continuity of care.
• Verify that all documentation meets CMS Conditions of Participation, state regulations, and organizational policies.
• Track and follow up on referrals to ensure conversion to admission when appropriate.
• Review referral documentation for completeness, accuracy, and regulatory compliance, ensuring adherence to CMS Conditions of Participation, state regulations, accreditation standards, and organizational policies.
• Monitor referral trends and provide feedback on barriers to access.
• Ensure all referral documentation meets CMS Conditions of Participation, State regulations, and organizational policies.
• Serve as a patient advocate, address concerns promptly and escalate clinical issues when necessary.
• Maintain accurate and timely records of referral activity, contacts, and outcomes.
• Collaborate with operational, clinical, and business development leaders to support customer service excellence, patient satisfaction, and strategic growth initiatives.
• Analyze referral volume, conversion rates, and service utilization data to identify opportunities for growth, strengthen referral partnerships, and improve access to Care at Home services.

Salary Information
Salary is commensurate with education, skills, and relevant experience.

SECURITY AND EEO STATEMENT

Security
This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

EEO
UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community. As an equal opportunity employer, UT Southwestern prohibits unlawful discrimination, including discrimination on the basis of race, color, religion, national origin, sex, sexual orientation, gender identity, gender expression, age, disability, genetic information, citizenship status, or veteran status.