Hospital and Managed Care Liaison - Nurse Practitioner/Physician Assistant

Location: Advent Health Ocala

Reports To: Medical Director/ Chief Quality Officer

Position Summary

The APP Hospital and Managed Care Liaison will play a central role in managing inpatients at Advent Health Ocala. While the scope includes a broad responsibility for the inpatient population, there will be a particular emphasis on coordinating care for managed care patients. This includes proactive communication with managed care companies and their case managers to optimize patient management and ensure a seamless continuum of care.

Key Responsibilities

Inpatient and Managed Care Coordination:

• Manage the care of inpatients, with a specific focus on those under managed care plans.
• Identify managed care patients upon ED presentation and coordinate with their primary care providers (PCPs) to explore outpatient care options whenever clinically appropriate.
• Serve as a liaison between the hospital, managed care teams, and PCPs to ensure coordinated and efficient patient care transitions.

Inpatient Management:

• Admit, assess, and manage inpatients, including daily rounds and discharge planning.
• Coordinate with a multidisciplinary team to ensure comprehensive care, appropriate resource utilization, and adherence to quality standards.
• Ensure accurate documentation and communication across all care touchpoints.

Collaboration and Support:

• Engage regularly with managed care companies and their case managers to align inpatient care with managed care protocols and value-based care models.
• Provide support to the hospitalist team as needed, assisting with admissions, rounding, and cross-coverage for non-managed care patients based on patient volume and acuity.

Quality and Compliance:

• Adhere to hospital policies, regulatory requirements, and participate in quality improvement initiatives.
• Ensure compliance with managed care documentation standards and value-based care goals.

Qualifications:

• Current licensure as a Physician Assistant (PA) or Nurse Practitioner (NP) in Florida.
• Relevant certification and a minimum of 2 years of experience in hospital or internal medicine, with familiarity in managed care strongly preferred.
• Strong clinical, communication, and organizational skills.

Work Schedule:

• Monday to Friday, 11 am – 7 pm