About The Position

The Registered Nurse (RN) is a professional caregiver who assumes responsibility and accountability for assessing, planning, implementing and evaluating care of patients. The staff RN utilizes the nursing process by use of technology, therapeutic intervention, evidence-based practice and coordination of care with other health team members.

Requirements

  • Current Registered Nurse (RN) license in state of practice.
  • Bachelor of Science in Nursing (BSN) from an accredited institution (degree verification required).
  • RNs hired or promoted into this role must obtain their BSN within four (4) years of hire or promotion date.
  • Demonstrated clinical nursing experience in chronic disease management, and familiarity with chronic disease terminology and processes.
  • Demonstrated understanding of disease management including treatment, length of stay, identifying barriers to delivery of care and any variation.
  • Basic computer skills and knowledge of Microsoft Office software.

Nice To Haves

  • Bachelor of Science in Nursing (BSN) from an accredited institution.
  • Oncology related Registered Nurse experience
  • Experience in ambulatory transitional of care or telephonic triage.
  • Intermediate computers skills and knowledge of Microsoft Office software.

Responsibilities

  • Identifies patients for proactive interventions using specific screening criteria, medical record review, payor models, medical risk scores, or referrals.
  • Assesses patients' medical, functional, and social conditions per department policy/guidelines to develop individualized care plans, care recommendations, or referrals as appropriate.
  • Coordinates with internal and external services for social determinants of health (SDoH) needs and care in the community.
  • Evaluates the effectiveness of the patient’s care plan and outcomes.
  • Modifies the plan of care or specific interventions, as appropriate.
  • Conducts remote nursing assessments: Utilizes critical thinking skills to assess patient symptoms, medical history, and concerns, applying evidence-based protocols to determine appropriate care recommendations.
  • Supports patient self-management and behavior change through health coaching, care navigation, care coordination, and education of identified patient/caregiver/family to identify and address barriers to optimal health outcomes.
  • Educates healthcare team members about transitions and triage processes, appropriate referrals, and advocate for patient rights.
  • Educates patients about their medical/behavioral health conditions and self-management.
  • Collaborates with physicians and other healthcare team members on the patient’s behalf to ensure patient receives quality and timely care and resolve any delays or issues.
  • Participates in rounds or case conferences when necessary.
  • Utilizes team-based care approach referring and consulting with social work, nutrition, pharmacy, rehabilitation, behavioral health, etc. resources as appropriate.
  • Develops and maintains collaborative partnerships with hospital care management, post-acute providers, and other care managers to ensure seamless transitions and continuity of care.
  • Avoids duplicative care management services/programs.
  • Actively participates in system and regional initiatives to improve transitions of care and avoid duplicative services.
  • Conducts root cause analysis of extended post-acute stays, inappropriate utilization, readmissions, and track key data elements or metrics.
  • Identifies, analyzes, and monitors industry, regulatory, technology, and market-based trends that impact ambulatory and post-acute services.
  • Promotes the mission, vision, and values of Intermountain Health, and abides by service behavior standards.

Benefits

  • generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.
  • PEAK program supports caregivers in the pursuit of their education goals and career aspirations by providing up-front tuition coverage paid directly to the academic institution.
  • The program offers 100+ learning options to choose from, including undergraduate studies, high school diplomas, and professional skills and certificates.
  • Caregivers are eligible to participate in PEAK on day 1 of employment.
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