STAFF NURSE - Discharge Services

Position SummaryServes as clinical liaison and encompasses coordination of care across the continuum for select populations including inpatient, to outpatient to community. The RN Care Coordinator (RN CC) is responsible for bridging the acute with the traditional episode, promoting positive and effective transition through modeling and facilitating new behaviors and self-management skills. The RN CC applies the process of assessment, planning, implementation, monitoring, evaluation, and coordination of care to meet the patients’ health care needs across the continuum in collaboration with health care team members it ensures safe, quality, and cost-effective care. The RN-TCC must provide efficient, quality service always. The RN-CC will accomplish this goal by the timely coordination of quality healthcare services to meet an individual’s specific health care needs in a cost-effective manner.Job RequirementsGraduate of approved School of Nursing, BSN preferredCertification preferred or demonstrates willingness to become certified in Case Management or another appropriate professional specialty. Current licensure in the State of OhioFive years’ experience in clinical or outpatient setting with Case Management ExperienceRefined communication skills, both verbal and writtenKnowledge of managed care concepts in relation to financial aspects of patient careRefined organizational skills with well -developed style of diplomacy, assertiveness, and tolerance for ambiguityRefined negotiating skills and the ability to problem-solve and function autonomouslyDemonstrated ability to handle frequent interruptions in a courteous and professional manner.Demonstrates ability to effectively communicate with various customers.Demonstrates ability to work independently, and effectively perform multi-tasks.Demonstrates ability to utilize information systems within the scope of the position.Demonstrates ability to meet deadlines.Demonstrates ability to exercise independent decision-making capability.Demonstrates good organizational skills.Demonstrates ability to prioritize assignments.Able to cope with mental and emotional stressors of the position and deadlines. Functions independently with flexibility, integrity, and the ability to work effectively and efficiently with all levels of personnel.Possesses good interpersonal communication skills and works well with a diversity of co-workers.Displays professional manner and appearance, complying with the corporate dress code.Job SkillsComfortable speaking to patients/families/physiciansDetail oriented Communicate effectivelyAdaptability to changing work environment or needsResponsibilities & Expectations Collaborates with hospital care delivery team, Utilization Management and Social Workers as they identify patients at high risk for readmission to formulate plan of service and care across the continuumOversees patient’s clinical progress to ensure appropriate use of resourcesResponsible for oversight of discharge educationExpedites proper sequencing and scheduling of interventions, treatments, and procedures in accordance with the patients’ treatment plan and during inpatient and transition phasesMeets with identified population to establish communication while in the acute setting and/or home setting to foster a relationship and promote goal setting throughout the entire episode of careMaintains active communication with patient as designated by health population management initiative, displaying a flexible and innovative approach to health managementPromotes teaching and ensures understanding of disease process via teachback Promotes enhance patient -provider communication.Collaborate with all disciplines in the acute setting, to carry out ordered servicesContinues those efforts through active and ongoing communication with next level of care providers, supplying needed information, both written and verbal, to promote positive outcomesFunctions as resource for patients regarding community outreach and support systemsContinually works to update plans and interventions based on needs and dynamics surrounding changes in disease process, using evidence-based practice standardsPromotes patient wellness through anticipating future needs, educating and referring to valid resources and supportsEvaluate an investigate readmission data and causesUtilizes tracking tool for actions, interventions, and outcomesMonitors and generates reports on decided key indicators Actively participates in development initiatives that support the strategic plan for population health managementParticipates in regular department meeting forumsServes as formal link for next level providers, payers and works to negotiate resources and services Fosters role of advocacy promoting positive care outcomes in fiscally responsible mannerPromotes patient wellness and facilitates healingPractices Ethical Conduct:Demonstrates honesty and integrity in all functions and relationshipsMaintains Aultman standards of confidentiality, including HIPAA privacy guidelinesComplies with policies and procedures alwaysMeets acceptable attendance and punctuality expectations (excluding FMLA)Working ConditionsHours of operation are 8:00 AM to 5:00 PM, Monday through Friday, of which an eight-hour shift is assigned. Off Shift coverage as indicated. On-call hours to be assigned as appropriate. In Home Visits may be requiredLunch and break periods must be coordinated with other staff members to maintain adequate office staffing during departmental operating hours.Sitting/standing/moving about intermittently during working hours.Subject to frequent interruptions and changes in priority of duties throughout the day. Works with highly confidential data, information, and situations.All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability, gender identity, sexual orientation or protected veteran status.Category III- Includes tasks that involve no exposure to blood, body fluids, or tissues and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood; body fluids or tissues (although situations can be imagined or hypothesized under which anyone anywhere might encounter potential exposure to body fluids.) Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency care or first aid or to be potentially exposed in some other way.PHYSICAL DEMANDS NeverOccasional10-33%Frequent34-65%Continuous66% of the dayRemarksLifting 0-10 lbsX Lifting 10-20 lbsX Lifting 20-35 lbsX Lifting 35-50 lbs XLifting 50-75 lbs XLifting 75-100 lbs XLifting over 100 lbs XForwardReachingX OverheadReachingX StandingX WalkingX Sitting XX ClimbingX Stairs/LadderX BendingStoopingX PushingPulling 0-10 lbsX PushingPulling 10-20 lbsX PushingPulling 20-35 lbsX PushingPulling 35-50 lbs XPushingPulling 50-100 lbs XPushingPulling over 100 lbs XGrasping/repetitivesustainedX Fine motorcoordinationX Vision: Near/FarX Hearing: ordinaryconversation/otherX