Registered Nurse - Care Coordinator

Job Title

Job Summary:

Location:

Methodist Hospital Address: 8303 Dodge St, Omaha, NE

Schedule:

Monday
- Friday, 8AM - 4:30PM, occasional Saturday - 40 hours per week Accountable for the delivery of quality care to patients and families according to the individualized needs of the patient.

Responsibilities:

1. Provides appropriate care specific to the age of the customer/patient, to ensure understanding and comfort level of treatment as outlined in the Population Specific Criteria.

• Demonstrates ability to identify opportunities for and give individualized customer service/patient care according to customer/patient needs.

2. Performs an initial and ongoing assessment to determine the patient's needs.

• Includes data from the patient/significant other(s) in the assessment as appropriate.
• Prioritizes data collection according to patient's immediate needs.
• Initiate discharge planning upon admission.
• Comprehensively assesses each patient/family the day of admission (or next day if admitted on off-shifts or Monday a.m. if admitted on the weekend) for medical, psychosocial, financial, and discharge needs.
• Screens all admissions to identify patients requiring complex case management and/or referrals to other healthcare team members.
• Monitors caseload daily for variances to patient progression and collaborates with physician and/or care team to address.
• Identify system barriers that contribute to variances in patient progression.

3. Develops/reviews/revises and individualizes the plan of care to address the patient's nursing care needs for optimum patient care outcomes. (Consultation and resources, nurses as teachers.)

• Collaborates with providers and other clinical disciplines as appropriate.
• Provides teaching specific to the patient.
• Care plan reflects continuing care needs and/or referrals.

4. Implements interventions that are consistent with the established plan of care in a safe and appropriate manner (Professional Models of Care).

• Is familiar with, and follows, nursing protocols and standards of care.
• Uses current knowledge in nursing practice based on standards and research literature.

5. Performs technical skills competently and independently to assure patient safety (autonomy).

• Able to competently perform technical skills independently.
• Is accountable to learn new skills and equipment within areas' specifications and time frame.
• Demonstrates correct and safe technique in the use of equipment according to specific product information and policy and procedure manuals.
• Follows appropriate procedure for obtaining and returning or cleaning/disposing of equipment and supplies.

6. Maintains a professional behavior in attitude, demeanor, interactions to achieve organization's mission. (Quality Improvement, Image of Nursing, Interdisciplinary Relationships, Professional Development, community and the healthcare organization.)

• Communicates effectively to solve problems at the personal and unit level.
• Is approachable and professional in working with other health professionals, ancillary staff, patients and family.
• Takes pride in the unit by active participation in restocking and maintaining a clean environment.
• Maintains a professional appearance, behavior, and work environment.
• Maintains competence in area of experience.
• Participates in meetings and/or committees as needed to assist in decisions effecting area/unit or organization.

7. Initiates action to correct, prevent, and/or minimize risk(s) to the patient, family or staff/employees. (Quality of Care)

• Completes appropriate report form for a risk (e.g., variance/incident report, patient concern report, maintenance request).
• Communicates to appropriate personnel regarding unresolved issues.
• Works within the scope of practice as defined by Nurse Practice Act.

8. Fiscally accountable.

• Acts professionally responsible for human and other resources.
• Charges accurately for use of supplies and equipment according to policy.
• Knowledgeable of length of stay goals for each DRG and communicates with the provider.
• Partners with post-acute care providers to decrease readmissions.
• Has knowledge of "Severity of Illness/Intensity of Service" criteria and collaborates with UR nurse regarding the appropriateness of admission, continued stay, and level of care.
• Performs concurrent reviews for patients with commercial payers (Acute Rehab only).

9. Coordination of Care

• Collaborates with physician, interdisciplinary team and patient/family to develop comprehensive, proactive discharge plans for all complex patients and oversees and ensures the development of discharge plans for all patients.
• Establishes effective relationships with patient/family to set reasonable goals and expectations for acute care, and to facilitate a safe and satisfactory transition to home or alternative post-acute facilities.
• Accurately documents in the medical record, and/or electronic system and completes forms in accordance with documentation policies.
• Tracks and communicates pertinent results (i.e., diagnostics and consulting physician…