Care Transition Liaison Registered Nurse (RN) IHCI -Deaconess Midtown

Community Health Network•Evansville, WY
•Onsite

About The Position

The Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health System. Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system. As a Care Transition Liaison RN on the IHCI Team, you will have the opportunity to make a profound impact on the lives of people living with complex and/ or chronic conditions. This position will work onsite at Deaconess Midtown Hospital. The Care Transition Liaison RN will be responsible for ensuring that value-based patients discharged from the hospital have been provided with disease specific education, are connected to a primary care physician, and have received assistance with discharge planning. In this role, the Care Transition Liaison RN will partner with other IHCI and hospital teams to serve as patient advocates and create seamless care transitions that allow patients being discharged from the hospital to have a safe and successful transition to their home. Integral to our Care Transition team, the Care Transition Liaison RN will work closely with our inpatient case management teams to coordinate consultations, referrals and community resources to support the patient upon discharge from area hospitals.

Requirements

  • 2 year / associate degree in nursing (required)
  • Licensed as a Registered Nurse (RN) with a valid license to practice in the state of Indiana as listed in the Nurse Licensure Compact (NLC) (required)
  • 5+ years: nursing experience required, preferably in an inpatient setting.

Nice To Haves

  • Certified Case Manager (CCM) or Accredited Case Manager (ACM) or equivalent certification.

Responsibilities

  • Ensuring that value-based patients discharged from the hospital have been provided with disease specific education
  • Connecting patients to a primary care physician
  • Assisting patients with discharge planning
  • Serving as patient advocates
  • Creating seamless care transitions for patients transitioning home
  • Coordinating consultations, referrals, and community resources to support patients upon discharge
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