Overview:
At CHI Health Creighton University Medical Center - Bergan Mercy our focus is patient-centered care. Our level I trauma center and academic medical center campus is designed to heal the body mind and spirit of every person in a more comfortable less stressful hospital environment. Our full range of medical services includes trauma services heart and vascular care emergency services surgery maternity cancer care and diagnostic imaging.
Responsibilities:
Join our dedicated team at CUMC-Bergan and make a difference in the lives of our patients!
We are seeking a compassionate and experienced Registered Nurse (RN) to join our team as a RN Care Coordinator. In this vital role, you will be responsible for ensuring seamless and effective transitions of care for our patients, working collaboratively with a multidisciplinary team to optimize patient outcomes and satisfaction.
* Completes and documents a discharge planning assessment on those patients identified by the designated screening process or upon request.Reassess the patient as appropriate and update the plan accordingly.
* Facilitates the development of a multidisciplinary discharge plan engaging other relevant health team members the patient and/or patient representative and post acute care providers in accordance with the patients clinical or psychosocial needs choices and available resources.
* Oversees and evaluates the implementation of the discharge plan.
* Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of inpatient resources using established evidence based guidelines/criteria.
* Collaborates with the healthcare team and post-acute service providers to ensure timely and smooth transitions to the most appropriate type and setting of post-acute services based upon patients clinical needs.
* Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-day period.
* Responsible for delivery of appropriate patient notifications and related documentation
* Responsible for patient education and advocacy.
* Participates in performance improvement teams and programs as necessary.
* Demonstrates behavior that aligns with the Mission and Core Values of the Organization.
* Responsible for completing required education within established timeframes.
* Adheres to all hospital policies standards of practice and Federal or State regulations pertaining to their practice.
* Performs other duties as assigned including utilization review as necessary.
Qualifications:
Required
* Graduate of an accredited school of nursing.
* Minimum two (2) years of acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1 year experience.
* RN license in the state(s) covered is required.
* BLS required within 3 months of hiring if located within hospital
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