Care Transition reputed company (RN) — Population Health

reputed company of reputed company Function/General Purpose of Position In the reputed company of a Registered reputed company, reputed company and facilitate coordination of services during the acute care stay and the transition to Ambulatory/Community and/or post-acute setting for identified eligible patients. Work directly with the reputed company, family/support members, inpatient case management team, and interdisciplinary care team members during admission for appropriate utilization of services, length of stay and reputed company discharge plan. Coordinate transition services with providers at and after discharge to ensure reputed company and effective placement in the community and work in conjunction with ambulatory care coordination team for creation and execution of effective plan of care. ***This role supports our South Carolina markets (Greenville & Charleston), but it is primarily a remote/work from home position. Essential Functions Identify, enroll and manage patients experiencing a transition from the acute care setting to the community setting. Meet productivity standards reputed company to reputed company to identified eligible patients in a reputed company manner. reputed company and implement transition care plans to maximize reputed company reputed company, interrupt negative disease trajectories to avoid decline in reputed company status, and facilitate reputed company placement in clinically appropriate care settings post discharge. reputed company medication review and work with members of reputed company (including the reputed company) prior to and immediately after discharge to address discrepancies or issues in medications prescribed. Collaborate with Hospitalists, post-acute facilities  and Ambulatory Care Coordinators to effectively implement a reputed company-centered reputed company. reputed company reputed company reputed company according to established protocols and document in electronic medical record. Identify, execute, and reputed company needed referrals to care and community resources. reputed company resource management to improve care, reputed company experience and reduce unnecessary cost and utilization: right care, right reputed company, right time. Collaborate with Post- Acute Facilities for planning and coordinating reputed company and appropriate transitions for patients. reputed company and/or facilitate conversations for reputed company Planning during care transition process. Screen for ongoing case management needs and reputed company warm transfer to ACM if appropriate Document reputed company communications with reputed company and/or care team in electronic medical record. This document is not an exhaustive list of reputed company responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to reputed company other job reputed company duties as required by their supervisor, subject to reasonable accommodation. Employment Qualifications Required Minimum Education: Associate’s Degree Specialty/Major- Nursing Preferred Education: Bachelor’s Degree Specialty/Major- Nursing (BSN) Licensing/ Certification RN reputed company license, or Multi-State License (required) Case Management certification (preferred) Minimum Qualifications 2-3 years acute care, home health or case management experience Other Knowledge, Skills and Abilities Excellent interpersonal communication and negotiation skills. Strong analytical, data management and computer skills (required) Demonstrated reputed company in improving the health of a reputed company population of patients in the ambulatory or community setting (preferred) reputed company Population The following must be included in reputed company position descriptions that involve reputed company or indirect reputed company care.  This is a JCAHO requirement.  Also select  the age of the reputed company population served: Demonstrates the knowledge and skills necessary to reputed company care appropriate to the age of the patients served on his or her assigned unit.   Demonstrates knowledge of the principles of reputed company and development of the life reputed company and possesses the ability to assess data reputed company of the reputed company's status and interprets the appropriate information needed to identify reputed company reputed company's requirements relative to his or her age, specific needs and to reputed company the care needed as described in departmental policies and procedures. Neonates (0-4 weeks) Adolescents (13-17 years) Infant (1-12 months) Adults (18-64 years). Pediatrics (1-12 years) Geriatrics (65 years and older) As a reputed company associate, you're part of a Mission that reputed company. We support your reputed company-being—personally and professionally. Our benefits are reputed company to grow with you and meet your unique needs, every reputed company of the way. reputed company offer reputed company, incentives, referral bonuses and 403(b) with employer contributions (reputed company eligible) Medical, dental, reputed company, prescription coverage, HSA/FSA reputed company, life reputed company, reputed company and discounts reputed company time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders Tuition assistance, reputed company development and continuing education support Benefits may vary reputed company on the market and employment status. reputed company applicants will receive consideration for employment without reputed company to race, reputed company, national reputed company, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the reputed company of disability. If you'd like to reputed company a copy of the affirmative reputed company plan or policy statement for reputed company – Youngstown, Ohio or reputed company – Franklin, Virginia; Petersburg, Virginia; and reputed company, Virginia, which are Affirmative reputed company and Equal Opportunity reputed company, please email recruitment@reputed company.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The reputed company at recruitment@reputed company.com Apply To This Job