Inspire health. Serve with compassion. Be the difference. Job Summary Works in collaboration with the multidisciplinary care team to assess and coordinate chronic disease management for patients with chronic pulmonary diseases. Initiates and accepts patient referrals, assesses healthcare needs, identifies community and medical resources, and manages assigned patient population. Works with coordinator and navigators across the system to assure standardized care and follow-up. Essential Functions All team members are expected to be knowledgeable and compliant with Prisma Health's values: Inspire health. Serve with compassion. Be the difference. Develops and implements patient-centered care plans and/or discharge pathways to support self-management of pulmonary disease and to prevent readmission. Provides patient and family education as needed regarding chronic lung conditions. Participates in multidisciplinary rounds and teams to assist in identification of patients needing Respiratory support and education. Identifies and coordinates post-discharge services, follow-up needs, and education in collaboration with the multidisciplinary care team. Communicates with home care companies and SNF as needed to help facilitate discharge and education. Assists with data collection for tracking LOS and readmission and identification of barriers to successful transitional care. - Performs all respiratory care duties as within the Prisma Health Respiratory Care Policy and Procedure Manual and as assigned by the manager. May be asked to perform alternate duties as needed to assure quality care. Performs other duties as assigned.
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Job Type
Full-time
Education Level
Associate degree
Number of Employees
5,001-10,000 employees