Care Transition Nurse - LPN (PRN)

FMOLHS•Lafayette, LA

About The Position

The transitional care nurse works with members of the multidisciplinary team and the patient/caregiver to ensure that an effective and well-informed discharge occurs. The nurse will function as a liaison between the acute setting and sub-acute levels included, but not limited, to home health, nursing home, hospice care and/or family caregiver. The Transitional care nurse provides continued education post discharge to the patient/family members to promote positive outcomes and ensure understanding of disease, prevention and treatment modalities utilized. The nurse provides resources to the patient/caregiver necessary to meet the specific identified needs of the patient. The nurse collects, inputs and maintains specific data necessary for the completion of specific dashboards which are utilized to enhance and coordinate the needs of the population served. In conjunction with the RN coordinator, the Transition of Care nurse reviews and discusses findings/concerns in relationship to the established plan of care for further evaluation and assistance. The nurse is responsible to complete all NICHE GRN education and continue participating in geriatric nursing education programs to maintain knowledge base. The Transition nurse behaves in a professional manner, and consistently demonstrates and promotes the values of respect, honesty, care, and dignity for the patient and all members of the healthcare team. The Transition of Care nurse is committed to the constant pursuit of excellence in improving the health status of the population followed.

Requirements

3 years clinical experience.
Graduated from a Practical Nursing School program.
Proficient in English, verbal, written communication and computer skills.
Current unrestricted Louisiana LPN license.
CPR Certification.

Responsibilities

Ensure effective and well-informed discharge.
Function as a liaison between the acute setting and sub-acute levels (home health, nursing home, hospice care, family caregiver).
Provide continued education post discharge to patient/family members.
Promote positive outcomes and ensure understanding of disease, prevention, and treatment modalities.
Provide necessary resources to the patient/caregiver.
Collect, input, and maintain specific data for dashboards.
Review and discuss findings/concerns in relationship to the established plan of care with RN coordinator.
Complete all NICHE GRN education.
Participate in geriatric nursing education programs.
Behave in a professional manner and promote values of respect, honesty, care, and dignity.