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Collaborates with hospital and/or clinic caregivers as a resource regarding home care services and provides general education of services
Educates patients/families on home care, palliative care, and hospice services
Attends outcome facilitation team meetings to provide input regarding services that could be provided in the home
Communicates with social workers or case managers on complex cases
Serve as the main communication link between patients, providers, and external partners
Initiate the transfer process to the Hospital at Home program
Obtain formal patient consent to the program
Coordinate and execute the key steps required for a smooth and timely transfer to Hospital at Home
Performs assessment of patient to include skin, cognitive, mobility
Applies comprehensive critical thinking to evaluate the patient wholistically
Requirements:
RN, PT, OT or SLP
Licensed in state the teammate practices – RN, PT, OT or ST License
2 years of health care related experience
Strong understanding of the workflows of Hospital at Home, broad understanding of payors, and able to complete a medical, physical, and cognitive screen of the patient
Excellent communication skills
Good organizational, analytical and problem-solving skills
Proficiency in clinical skills with the ability to work under direction and make sound judgments
Demonstrated ability to educate clinical staff and the community
Demonstrated ability to work well with physicians and other professionals
Ability to assess data reflecting the patient's status and interpret the appropriate information needed to identify each patient's requirements
Must have a tolerance for differences and an appreciation of multi-culturalism and diversity
Able to lift 50 lbs
Nice to have:
3 years experience
Ability to take initiative, strong verbal and interpersonal skills
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