Full-time Director of Transitional Care en Lexington Regional Health Center

Description

Lexington Regional Health Center

Title: Director of Transitional Care

Effective Date: January 22, 2025

Supervisor: Chief Operating Officer

Department: Nursing

FLSA Status: Exempt

Principle duties and responsibilities

1. Coordinates the care and discharge planning of hospitalized patients from a multi-disciplinary standpoint.
2. Coordinates multi-disciplinary rounding to include: provider rounds, daily huddle, weekly discharge planning meeting, etc.
3. May assist or conduct patient discharges by providing health education management to patients and their support systems, regarding post hospital care and may coordinate needed resources when applicable.
4. Coordinates and collects quality data including call backs, population health data, swingbed and Utilization Review.
5. Oversees reeducation in readmissions and over utilization of Emergency Room through chart reviews, process improvement, etc.
6. Organizes and leads the Hospital Acquired Conditions meeting.
7. Manages and oversees swingbed, intakes and referrals; complies with all swingbed rules and regulations, oversees completion of swingbed chart reviews. Communicates with multidisciplinary team to ensure patient centered holistic care and develop a multidisciplinary plan of care through Interdisciplinary Team meetings.
8. Monitors patient care for quality and patient safety by completing chart reviews, quality management initiatives, etc.
9. Manages and oversees Chronic Care Management program, while complying with all rules and regulations.
10. Collaborates with the Director of Nursing and other leaders to develop, implement, and evaluate programs and services.
11. Reviews patient and staff data to measure the effectiveness of patient care for staff evaluations.
12. Practices responsibility with regard to budget to include staffing costs, operating costs, equipment and supplies.
13. Organizes and leads the shared governance committee.
14. Collects, reviews and reports for core measure data.
15. Communicates all departmental concerns with the Director of Nursing and Chief Operating Officer.
16. Maintains and updates policies to ensure evidence-based practice.
17. Oversees Remote Utilization Review (UR), leads utilization review committee, and ensures UR chart reviews are completed.
18. Participates in patient care activities that could include blood exposure and risk to bloodborne pathogens (eg: lacerations, handling of blood-contaminated specimens, etc.
19. Responsible for safe bagging and disposal of biohazardous waste.
20. Responsible for following safe-injection practices.
21. Responsible for ensuring the environment meets appropriate governing body standards.
22. Ensure patients and visitors follow current infection control guidelines.
23. Responsible for proper collection, storage and labeling of biological specimens.
24. Maintains patient and staff safety through the use of patient safety tools (TeamSTEPPS, Just Culture, etc).
25. Regular attendance at the assigned work location is required.
26. Performs all other duties as assigned.

Minimum knowledge, skills, and abilities

1. Knowledge and understanding of nursing theory and practice and the growth and development of a variety of patients in order to meet the patients' health care needs as is typically acquired through the completion of an Associate's or Bachelor's degree in Nursing from an accredited school. Bachelor's degree preferred.
2. Must hold a current active Registered Nurse license from the State of Nebraska or approved compact state of residence as defined by the Nebraska Nurse Practice Act.
3. BLS required within six months of hire and/or orientation.
4. Two years nursing experience required.
5. Ability to maintain strict confidentiality with regard to protected and sensitive information.
6. Ability to complete reports and correspondence at a professional level.
7. Ability to immediately respond to common inquires and complaints from patients, employees, and regulatory agencies.
8. Advanced communication skills to respond to inquiries from Insurance companies and Workman Compensation companies
9. Ability to effectively communicate with individuals from diverse backgrounds.
10. Successful completion of required knowledge and training of standard precaution and transmission protocols and when to apply during principle duties and responsibilities.

Working conditions

1. Workers in the office spend up to 75% of shift sitting to complete desk work and 25% of shift helping manage nursing or assisting with patient care. Will be required to reach shelves of varying heights in offices up to 60 inches high with minimal weighted objects. Office personnel may be required to assist with patient care in the various sections of nursing. If patient care is part of an office worker’s job, they will need to be able to perform the physical demands of that area per its job description. Please see appropriate job description for specific demands.
2. Exposure to chemicals and other hazards related to patient care. Appropriate safety precautions, such as safety glasses, gloves, etc. must be used to minimize risk of injury.
3. Direct exposure to body substances during patient care activities and on contaminated surfaces such as patient equipment.

Management responsibilities

1. Responsible for Patient and Care Coordinators, Cardiac Rehabilitation Specialist, Centralized Scheduler Patient Care Coordinator, Centralized Schedulers, Utilization Review Coordinator, and Diabetes Educator.

Job description statements are intended to describe the general nature and level of work being performed by employees assigned to this job title. They are not intended to be a complete list of all responsibilities, duties and skills required"