RN Care Facilitator, Ed BWH

Mass General Brigham•Boston, MA

1d•$42 - $106•Onsite

About The Position

The Emergency Department Care Facilitator (EDCF) proactively coordinates patient care in a fast-paced emergency department, using clinical assessment skills to identify patient needs, coordinate care, manage utilization, and support safe transitions of care. The role supports patient flow and throughput and partners with ED physicians, nurses, the interdisciplinary team, and community resources to support timely, appropriate care decisions. The Care Facilitator coordinates implementation of care plans using case management principles, assesses patients’ continuing-care and discharge needs, and facilitates transitions to appropriate post-ED settings. The position also supports utilization and quality-improvement efforts, identifies high-risk patients, and helps ensure care is delivered efficiently and in accordance with regulations and hospital policies. The schedule is a 36-hour variable rotation, onsite at The Brigham and Women’s Hospital.

Requirements

Graduate of an approved school of nursing with current registration in Massachusetts.
Newly licensed nurses must have a Bachelor of Science Degree in Nursing.
Five years of previous acute care experience required.
Five years of experience in an acute setting with discharge planning and knowledge of community resources required.
Knowledge and skills to differentiate levels of care required.
Ability to demonstrate the knowledge and skills necessary to provide care appropriate to the ages of patients served on the assigned unit.
Strong clinical assessment skills.
Excellent interpersonal skills, including the ability to work collaboratively and cooperatively within a team.
Strong organizational skills and ability to set priorities.
Ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness and level of care.

Nice To Haves

Emergency nursing experience is strongly preferred.
Two or more years of hospital utilization review experience preferred.
Bilingual English/Spanish preferred.

Responsibilities

Coordinate and ensure implementation of the plan of care using case management principles.
Collaborate with ED providers and the interdisciplinary care team to assess patient needs upon presentation and determine discharge support or transition-of-care needs.
Participate in processes that facilitate transitions of care and identify opportunities to improve utilization of care delivery resources.
Present alternative care delivery sites to ED providers, patients, and families when appropriate.
Review patients’ medical histories and current treatment plans with ED providers to support coordination and resource utilization.
Participate in ED patient rounds to identify opportunities for care coordination and high-risk patient identification.
Communicate high-risk patients’ needs and follow-up plans to community-based and hospital-based care coordinators.
Build and maintain relationships with community-based providers to support transitions between the ED and community care.
Apply knowledge of emergency medicine, utilization management, and community providers to patients’ care plans and inform ED providers of relevant implications and opportunities.
Assess continuing-care needs in conjunction with patients’ families or caregivers.
Contact patient transfer and access departments, acute care hospitals, post-ED care facilities, and home health agencies to support prompt transitions.
Facilitate discharge plans requiring post-ED care in partnership with ED social workers and staff nurses.
Participate in decisions about patient admission to assess appropriateness and help prevent unnecessary admissions.
Identify patients with actual or likely unmet insurance needs and communicate with or refer them to ED social workers, appropriate departments, or inpatient care coordination staff.
Investigate and recommend alternative care delivery sites based on level of care and insurance benefits, and contribute to utilization improvement efforts.
Facilitate patient transfer of care and communicate care plans to referral sources, receiving providers, and support resources.
Participate in evaluating practice patterns and systems and support efforts to improve quality, cost of care, and satisfaction outcomes.
Mobilize resources to promote efficient, high-quality care in accordance with regulations and hospital policies and procedures.
Maintain a flexible work schedule to match patient demand.