Nurse Transition Coach ( RN )

Catholic Health•Bethpage, NY

17h•Onsite

About The Position

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.

Requirements

3+ Years in-patient acute care clinical RN experience required
Graduate of an accredited School of Nursing required
New York Registered Nurse (RN) License & Registration
Beginner proficiency of Outlook, Word and Excel is required.

Nice To Haves

Experience in Care Management preferred
2+ Years progressive nursing leadership experience preferred
Bachelors of Science in Nursing (BSN) degree preferred
Related specialty certification preferred; Case Management Certification preferred; PRI Certification preferred
Beginner proficiency of Power Point is preferred.

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