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Provides continuity of care by ensuring smooth transitions between care settings. Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
Job Responsibility:
Provides continuity of care by ensuring smooth transitions between care settings
Develops a relationship with patient and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care
Completes a nursing assessment to identify the patient's individualized needs and collaborates with multidisciplinary team and other departments to develop an interdisciplinary plan of care
Supports the patient and family by providing education, addressing psychosocial needs, advocating, providing continuity of care and identifying barriers to care
Navigates patients and family members throughout the diagnosis, treatment and follow-up of the patient throughout the continuum of care
Provides expert clinical advice to the multidisciplinary team in designing collaborative teaching plans/programs and in planning/providing patient/family education and discharge planning including wellness and health maintenance within designated specialty
Coordinates timely, seamless, evidenced based care across the care continuum resulting in best patient outcomes
Evaluates, selects or designs patient education materials on specific disease site programs
Provides education and outreach programs to patients, Advocate staff and to members of the community
Assist leadership in developing program vision, goals and objectives
Assists in the development, implementation and maintenance of quality programs that include best practice patient care outcomes including quality of life, and enhanced patient loyalty
Must be able to demonstrate knowledge and skills necessary to provide care appropriate to the age of the patients served
Must demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the department's policies and procedures
Requirements:
Registered Nurse license issued by the state in which the team member practices
Bachelor's Degree in Nursing
Typically requires 5 years of experience in nursing that includes performing nursing assessments, care plan development, and educating patients
Working knowledge of the components of quality and acute patient care needs
Maintains clinical expertise to effectively manage physical, emotional, psychosocial and spiritual needs of patients throughout the care continuum
Excellent analytical and interpersonal communication skills necessary to negotiate with families, patient, physicians, and third-party payers
Demonstrated ability to work well with physicians and other professionals in a direct and positive manner
What we offer:
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program
Opportunity for annual increases based on performance
Premium pay such as shift, on call, and more based on a teammate's job