Registered Nurse (RN) Care Transition Manager – Full Time bei Texas Health Arlington

%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;text-align:center;%22%3E%3Cspan style=%22color:black;%22%3E%3Cstrong%3ERegistered Nurse (RN) Care Transition Manager – Full Time%3C/strong%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E%3Cstrong%3EWork location:%26nbsp;%3C/strong%3ETexas Health Arlington 800 W. Randol Mill Road TX 76012%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E%3Cstrong%3EWork hours:%26nbsp;%3C/strong%3E%26nbsp;Full Time – Days%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E%26nbsp;%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E%3Cstrong%3EDepartment Highlights%3C/strong%3E%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E·%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;Team based environment.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E·%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;Workplace culture 2%3Csup%3End%3C/sup%3E%26nbsp;to none%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E·%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;We operate on lean principles and rely on team atmosphere and individual performance.%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp class=%22MsoNormal%22 style=%22mso-margin-bottom-alt:auto;mso-margin-top-alt:auto;%22%3E%3Cspan style=%22color:black;%22%3E·%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;%26nbsp;Highly engaged management%3Co:p%3E%3C/o:p%3E%3C/span%3E%3C/p%3E%3Cp%3E%3Cstrong%3EWhat You Will Do:%26nbsp;%3C/strong%3E%3C/p%3E%3Cp%3EResponsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner:%3Cbr%3ECompletes Transition Evaluations and collects Social Determinants of Health (SDOH) data on patients within 48 hours of%26nbsp;%3Cbr%3Eidentification and begins discharge planning. Assesses and interviews patient and caregivers as part of this evaluation and%26nbsp;%3Cbr%3Eas needed.%3Cbr%3EReviews the Risk of Unplanned Readmission (RUR ) scores daily for all assigned patients.%3Cbr%3EAssists in the identification of a primary care physician (PCP) for patients without a PCP and attempts to schedule follow up appointments with either a PCP, specialist, clinic, visiting physician or other transitional care visit prior to discharge.%26nbsp;%3Cbr%3EIdentifies transition needs and discusses funding of post-transition care with patients and caregivers.%3Cbr%3EParticipates in multidisciplinary rounds (MDR?��s) to help identify current length of stay (LOS), expected discharge date, anticipated discharge disposition, barriers to discharge, avoidable days, and potential denials. Communicates with the multidisciplinary team, patient, family, and post-acute care stakeholders to coordinate care.%3Cbr%3ECoordinates with patients and families to manage chronic conditions and ensures appropriate post-discharge clinical follow up.%3Cbr%3EProactively identifies patients who no longer meet continued stay criteria and communicates with the physician team.%26nbsp;%3Cbr%3EAssigns patients to and supports appropriate transition programs (e.g. ACO members) when applicable%3Cbr%3EUpdates and executes the discharge plan as needed.%3Cbr%3ECommunicates final transition plan 24-48 hours prior to transition.%3Cbr%3EFacilitates care conferences for complex transitions, placement, and palliative care needs.%3Cbr%3EServes as a point of contact for all identified stakeholders.%3Cbr%3EProactively identifies and documents barriers to discharge while working to resolve them, including obstacles impeding diagnostic or treatment progress.%3Cbr%3EAssists in the determination of the level and type of care needed; coordinates/facilitates patient care progression throughout the continuum with the objective of enhancing quality clinical outcomes and safe discharge planning.%3Cbr%3EProvides input into the optimal utilization of resources; promotes cost-effectiveness %26amp; efficiency; communicates with UR nurse to confirm appropriateness%3Cbr%3ERefers appropriate cases for social work intervention.%3Cbr%3E50%%3Cbr%3EEnsures patients are provided post-acute options based on clinical necessity and patient choice while also considering the payor source:%3Cbr%3EReviews care options and, as appropriate, utilizes existing protocols/processes to facilitate continuity of care within the Texas Health network and to ensure prompt and convenient scheduling of follow up appointments.%3Cbr%3ESchedule/coordinate patient clinical needs to the appropriate post-acute care facility based on facilities?�� clinical capabilities/offerings, historical quality outcomes results, preferred network, and patient informed choice%26nbsp;%3Cbr%3EIdentifies community resources and service needs and facilitates appropriate referrals as needed, while also providing education to patients, caregivers, and the multidisciplinary team regarding the available post-acute care services and needs.%26nbsp;%3Cbr%3EAssists with referrals for community resources and service needs including housing, food, transportation, and other social and environmental issues affecting health .%3Cbr%3EServes as a content expert regarding payor information. Educates the multidisciplinary team, patients and caregivers regarding payor requirements and barriers. Communicates with payors as needed to coordinate care.%3Cbr%3E30%%3Cbr%3EResponsible for compliance with documentation guidelines and regulatory agency requirements:%3Cbr%3EComplies with all documentation requirements and documents all activities in the electronic health record.%3Cbr%3EAdheres to compliance requirements for delivery of various documents (e.g. HINN, IMM, MOON letters).%3Cbr%3EHas a working knowledge of the following documents: Advanced Directives, Medical Power of Attorney, Application for Temporary Mental Health Treatment, and out-of-hospital Do Not Resuscitate.%3Cbr%3EParticipates in Joint Commission and other survey readiness activities%3Cbr%3E20%%3C/p%3E%3Cp%3E%3Cstrong%3EWhat You Need:%26nbsp;%3C/strong%3E%3C/p%3E%3Cp%3E%3Cstrong%3EEducation%3C/strong%3E%3Cbr%3EBachelor%27s Degree Nursing Individuals hired as CTRN prior to May 11, 2017 will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017. Req%3Cbr%3E%3Cbr%3E%3Cstrong%3EExperience%3C/strong%3E%3Cbr%3E3 Years Staff Nurse at an acute care hospital Req and%3Cbr%3E1 Year discharge planning/care management Pref%3C/p%3E%3Cp%3EIP acute care case management experience preferred.%26nbsp;%3Cbr%3E%3Cbr%3E%3Cstrong%3ELicenses and Certifications%3C/strong%3E%3Cbr%3ERN - Registered Nurse Upon Hire Req And%3Cbr%3ECPR - Cardiopulmonary Resuscitation Upon Hire Req And%3Cbr%3EACM - Accredited Case Manager Upon Hire Pref Or%3Cbr%3ECCM - Certified Case Manager Upon Hire Pref Or%3Cbr%3EOther ANCC Upon Hire Pref%3C/p%3E
%3Cb%3EEducation%3C/b%3E%3C/br%3EBachelor%27s Degree Nursing Individuals hired as CTRN prior to May 11, 2017 will be grandfathered to the CTRN position with an RN, at the entity they were employed at on May 11, 2017. Req%3C/br%3E%3C/br%3E%3Cb%3EExperience%3C/b%3E%3C/br%3E3 Years Staff Nurse at an acute care hospital Req and%3Cbr/%3E1 Year discharge planning/care management Pref%3C/br%3E%3C/br%3E%3Cb%3ELicenses and Certifications%3C/b%3E%3C/br%3ERN - Registered Nurse Upon Hire Req And%3Cbr/%3ECPR - Cardiopulmonary Resuscitation Upon Hire Req And%3Cbr/%3EACM - Accredited Case Manager Upon Hire Pref Or%3Cbr/%3ECCM - Certified Case Manager Upon Hire Pref Or%3Cbr/%3EOther ANCC Upon Hire Pref%3C/br%3E%3C/br%3E%3Cb%3ESkills%3C/b%3E%3C/br%3E Working knowledge of medical necessity criteria preferred%3Cbr/%3EKnowledge of Microsoft Outlook and Office (Word, Excel)%3Cbr/%3ECustomer service skills%3Cbr/%3EAbility to engage in complex clinical decision-making%3Cbr/%3EStrong oral and written communication skills%3Cbr/%3EStrong commitment to interdisciplinary collaboration%3Cbr/%3ECritical thinking, analysis and conflict resolution skills%3Cbr/%3EFlexible scheduling as necessary%3Cbr/%3EPsychosocial and crisis intervention skills%3Cbr/%3EAbility to prioritize and meet deadlines%3C/br%3E%3C/br%3E%3Cb%3ESupervision%3C/b%3E%3C/br%3EIndividual Contributor%3C/br%3E%3C/br%3E%3Cb%3EADA Requirements%3C/b%3E%3C/br%3EExtreme Heat 1-33%%3Cbr/%3EExtreme Cold 1-33%%3Cbr/%3EExtreme Swings in Temperature 1-33%%3Cbr/%3EExtreme Noise 1-33%%3Cbr/%3EWorking Outdoors 1-33%%3Cbr/%3EWorking Indoors 67% or more%3Cbr/%3EMechanical Hazards 1-33%%3Cbr/%3EElectrical Hazards 1-33%%3Cbr/%3EExplosive Hazards 1-33%%3Cbr/%3EFume/Odor Hazards 1-33%%3Cbr/%3EDust/Mites Hazards 1-33%%3Cbr/%3EChemical Hazards 1-33%%3Cbr/%3EToxic Waste Hazards 1-33%%3Cbr/%3ERadiation Hazards 1-33%%3Cbr/%3EWet Hazards 1-33%%3Cbr/%3EHeights 1-33%%3Cbr/%3EOther Conditions 1-33%%3C/br%3E%3C/br%3E%3Cb%3EPhysical Demands%3C/b%3E%3C/br%3ELight Work%3C/br%3E Jetzt bewerben