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About the Role
Our Nurse Transition Coach will collaborate and coordinate with multidisciplinary teams to facilitate a safe quality experience for patients through the continuum of care. Act as a Liaison between all patient care services to ensure appropriate bed is assigned, patient care needs are met and treatment plans are executed in the appropriate level of the continuum.
Responsibilities
- Collaborate and coordinate with multidisciplinary teams to facilitate a safe quality experience for patients through the continuum of care
- Act as a Liaison between all patient care services to ensure appropriate bed is assigned, patient care needs are met and treatment plans are executed in the appropriate level of the continuum.
- Communicate/collaborates daily with physicians, unit and support team (MSW, CDI, PT, etc.) to progress each patient’s care towards discharge and resolve barriers to discharge
- Escalate complex patient care coordination needs to appropriate support team member
- Serve as an expert resource in patient flow, status and progression and provides ongoing education to staff, physicians, patients, and their significant others
- Ensure designated software/EPIC reflects accurately the patient status and is updated in real time as needed
- Reviews Target LOS values and working DRG daily and at points of patient condition changes
- Facilitate family meetings and plan of care discussions related to supportive care, healthcare proxy and guardianship
- Work collaboratively with care team to facilitate financial assistance, entitlements and medication assistance as requested. Provide community resource information as requested and facilitates or completes referrals as directed
- Perform the Care Management functions and documentation as per orientation and competency documents
- Meet deadlines and exceeds metrics identified for the Facility/Unit through implementation of facility policies and Standard Operating Procedures (SOPs)
- Participate or lead meetings as required
Requirements
- 3+ Years in-patient acute care clinical RN experience required
- Experience in Care Management preferred
- 2+ Years progressive nursing leadership experience preferred
- Graduate of an accredited School of Nursing required
- Bachelors of Science in Nursing (BSN) degree preferred
- New York Registered Nurse (RN) License & Registration
- Related specialty certification preferred
- Case Management Certification preferred
- PRI Certification preferred
- Beginner proficiency of Outlook, Word and Excel is required.
- Beginner proficiency of Power Point is preferred.
Skills
- Outlook
- Word
- Excel
- Power Point
Location
- Long Island
Work Type
- Full-time
Experience Level
- 3+ Years in-patient acute care clinical RN experience
- 2+ Years progressive nursing leadership experience
Education Level
- Graduate of an accredited School of Nursing
- Bachelors of Science in Nursing (BSN)
Salary/Compensations
- USD $120,696.00 - USD $152,839.00 /Yr.
Benefits
- Multiple medical plans
- Life insurance
- Generous paid time off
- Flexible spending accounts
- Substantial tuition reimbursement
- Employer funded pension plan
- Several savings plan options
About the Company
- At Catholic Health, our primary focus is the way we treat and serve our communities. We work collaboratively to provide compassionate care and utilize evidence based practice to improve outcomes – to every patient, every time.
- We are committed to caring for Long Island. Be a part of our team of healthcare heroes and discover why Catholic Health was named Long Island’s Top Workplace.