RN, Home Care Liaison

University of RochesterCity of Rochester, NY
$37 - $50Onsite

About The Position

The Acute Care Coordinator role is to serve as an adjunct to the multidisciplinary team. The Care Coordinator in partnership with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge assists in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.

Requirements

  • Associate of Applied Science in Nursing
  • Minimum of 5 years of professional nursing experience
  • Registered RN in New York State (preferred)
  • Computer skills, familiarity with electronic medical record

Nice To Haves

  • BS/MS
  • acute care, community health care management and/or disease management, multidisciplinary team experience preferred or an equivalent combination of education and experience.

Responsibilities

  • Identifies patient discharge needs
  • Assists in implementing patient care strategies to close gaps in medical care upon discharge. Leads daily discharge rounds.
  • Identifies resources for patient self-management planning and discharge.
  • Assists in developing and implementing care plan for medically complex patients.
  • Prepares patient for discharge by ordering home nursing services/IV medications/tube feedings and DME.
  • Other duties as assigned
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