Patient Care Coordinator (RN) - Stroke Acute Care (Days)

Tanner Health•Carrollton, GA

5d•Onsite

About The Position

The Patient Care Coordinator (PCC) is a Registered Nurse with a bachelor's degree in nursing who educates patients about their health conditions and develops a care plan to address their specific discharge needs. They also facilitate communication between patients, families, caregivers, social service organizations, and healthcare providers. The PCC works with healthcare team members to coordinate care and manage resources with a focus on returning home with necessary resources to ascertain quality, patient safety, and desired outcomes are achieved. The PCC partners with the unit teammates and leaders to facilitate effective flow and capacity evidenced by decrease LOS, and decrease readmission.

Requirements

Bachelor's Degree
Two years of related experience.
Requires working knowledge of specialized practices, equipment, and procedures.
GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE
HEALTHCARE PROVIDER (CPR)
Bachelor's in nursing required.
Two years' experience in acute health care setting including involvement in direct patient care.
Ability to identify improvement in clinical operations and implement change and willingness to challenge established way of doing things in a constructive way.
Exemplifies a strong, positive attitude toward internal and external customers, patients, families and care team enhancing service excellence and overall improvement.
Excellent communication skills with ability to form relationships quickly
Adept at using technology as a tool to support real-time education at the point of care.
Uses continuum of care resources and consistently collaborates with families caregivers to expedite discharge plan as appropriate.

Nice To Haves

Experience with Core Measures, programs related to Hospital Acquired Conditions, Wound and Ostomy care, and Value Based Purchasing desired but not required.

Responsibilities

Assesses, plans, implements, and directs patient care coordination to promote and achieve optimal outcomes and effective discharge plan over the care continuum.
Performs comprehensive and ongoing assessment of patient and or caregiver needs in order to plan care to optimize outcomes.
Plans, coordinates care to improve patient satisfaction, decrease readmission rates, improve patient outcomes, decrease errors and near misses and be proactive in avoidance of hospital acquired conditions such as CLABSI, CAUTI, HAPI, injury from falls or other events.
Utilizes appropriate care coordination resources, tools and metrics and evidence-based information to continually improve care and outcomes.
Develops and implements care plans using knowledge, resources, skills, and leadership to create change necessary to improve patient outcomes, quality, return to sender or discharge home and decrease costs of healthcare.
Serves as a leader in care coordination, patient and family engagement, to maximize resources and ensure provision of patient centered, evidence based care.
Provides leadership in implementation and evaluation of professional standards and policies that impact patient care.
Teaches, coaches, and mentors' staff, patients and families related to discharge on admission, discharge home, resources available for home, provision of quality care and improved outcomes.
Provides directly or through delegation patient education to promote optimal outcomes.
Ensures that patients, families and caregivers are well informed and included in care coordination.
Promotes an environment where interdisciplinary collaboration is highly functional and embraced.
Partners with unit leaders and team to accomplish common goals.
Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.
Responsible for directing, collaborating, and coordinating continuum of care services and discharge plan to promote improved outcomes evidenced by decrease LOS, decrease readmission, improved quality outcomes including increased patient and family experience.