Rn Jobs in San Jose, AZ

About The Position

Requirements

• Graduate of an accredited School of Nursing
• 3 to 5 years related experience
• Licensed RN with NH eligibility

Nice To Haves

• Case Management certification from accredited organization strongly preferred

Responsibilities

• Attends discharge planning meetings.
• Reviews the patient’s medical record and gathers clinical information from the current care delivery team and patient.
• Provides information to patients and caregivers about NLH post acute discharge plans.
• Collaborates with all members of the interdisciplinary team to develop a safe transitional plan to the next level of care.
• Ensures all clinical and personal transitional goals are met throughout.
• Advocates on behalf of the patient and the healthcare provider for needed patient resources and services.
• Provides written communication to the receiving clinician as the patient transitions from one level of care to the next.
• Contacts the patient’s PCP with each transition of care, providing a summary of the patient’s clinical status.
• Collaborates with the PCP to provide direction to enhance the effectiveness of the healthcare delivery team, including transitions across physical settings and to monitor and manage changes in health status.
• Maintains excellent documentation of patient encounter records.
• Enters specified data elements into electronic dashboard with each patient transition or discharge.
• Develops and maintains plan of care for NLH-based patients.