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Nurse Practitioner FT - NSG Grant - Transitional Care
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Full-time
- The Transitional Care program provide services to patients with chronic diseases such as Heart Failure, Chronic Obstructive Pulmonary disease, Diabetes, uncontrolled Hypertension, whose medical and/or psychosocial problems require moderate or high-complexity medical decision making during transitions in care from an inpatient hospital setting (including acute hospital, rehabilitation hospital, long-term acute care hospital), to the patient s community setting (home, and or assisted living).
- The APN will also follow up with patients 18 years old and over within 24 to 72 hours after discharged Nurse practitioner will gather these patients daily and sample them on a daily patient log, review patient s history and physical/ consults.
- Registered Professional Nurse with current NJ state license; CDS and DEA.
- Communicate with home health agencies and other community services utilized by the patient and/or family/caretaker.
- Educate patient/ family/ guardian, and/or caregiver to support self-management, independent living, and activities of daily living.
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