This role involves orchestrating the overall plan of care from admission to discharge, integrating patient and family preferences into a cohesive strategy across the entire continuum of care. The Registered Nurse will serve as the clinical expert in assessing and treating complex needs, including legal issues, neglect, substance abuse, crisis intervention, and psychosocial adjustment. This position will proactively identify and dismantle barriers to care, advocating for the internal and community resources necessary to ensure patient safety and health equity. A continuous dialogue with the care transition team will be maintained to reevaluate health plans and provide expert guidance on medical record documentation, complex level-of-care recommendations, and post-discharge options.
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Job Type
Full-time
Career Level
Mid Level
Education Level
Associate degree