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Care Transitions Nurse

Care Transitions Nurse

CompanyAdvocate Health Care
LocationIndian Trail, NC, USA
Salary$37.5 – $56.25
TypePart-Time
DegreesBachelor’s
Experience LevelSenior

Requirements

  • BSN required
  • Masters preferred
  • Current RN license or temporary license as a Registered Nurse Petitioner in the state in which you work and reside
  • Two years’ experience required in health care
  • Experience includes case management/discharge planning in one of the following settings: Acute care, Home care, LTC care, Physician Office, or Managed Care company
  • Appropriate professional certification required within 3 years of hire date for professional certification per departmental protocol
  • Clinical competence in disease management and case management principles
  • Excellent interpersonal communication and negotiation skills
  • Problem-solving skills
  • Strong organizational and time management skills
  • Ability to work independently and as a member of the care team
  • Demonstrated knowledge and proficiency in appropriate tools
  • BLS required per policy guidelines

Responsibilities

  • Utilizes RN process as a framework to focus the activities of the healthcare team on the achievement of optimal outcomes, resource utilization, clinical expertise, and improvement strategies
  • Interacts with patients, professionals, and the community to achieve continuity of care, coordination of services and to document plans of care across multiple care settings
  • Conducts or participates in comprehensive ‘all-system’ needs assessment for identified patients; knowledgeable of appropriate care-related services to match identified needs disease management for health maintenance, and appropriate clinical goal expectations/outcomes for identified population
  • Develops and maintains accurate case records of each referred customer/patient
  • Documents fully and accurately; knowledgeable of and utilizes accurate computer databases and documentation systems
  • Maintains knowledge of various reimbursement criteria and documentation necessary for reimbursement, including Medicaid, Medicare, and Managed Care
  • Demonstrates leadership in the professional practice of nursing evaluating his or her own nursing practice in relation to professional practice standards and guidelines, relevant statues, rules and regulations

Preferred Qualifications

  • 5 years of inpatient experience in the Med Surg area with additional experience in the ED/Clinic setting is a plus
  • Having experience talking with patients on the phone is also a plus