Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary: Transitional Care Nurse oversee the shift of patients from hospital to home, ensuring continuity of care. Responsibilities include, patient education, medication management, and coordinating follow-up care.

Responsibilities:
1. Education--Participates in identifying and meeting learning needs of self. Attends education programs based on identified learning needs. With assistance, uses patient education materials relevant to patient population. Assesses readiness to learn of the patient/family/caregivers. Assesses developmental level of patient and factors affecting ability to learn.
2. Evaluation of care-- * Assess patients' medical needs and develop individualized care plans. Monitor patient progress and adjust care plans as necessary. Coordinate and communicate with healthcare team members to ensure continuity of care.

3. Implementation-- * Provide patient and family education on disease management, medication, and self-care. Collaborate with community resources to support patients' post-discharge needs. Collect data for management collaboration and departmental growth.

4. Leadership--With assistance, develops goals to promote professional growth or minimize limitations. Achieves goals and objectives within identified time frame or renegotiates with supervisor. Is knowledgeable about activities which facilitate intra/interdepartmental collaboration. Participates in development and achievement of unit goals and performance improvement activities. Effectively uses communication systems. Participates in promoting cost-effective care. Gives feedback to co-workers. Is aware of public policy and regulatory guidelines affecting the health care environment. Promotes a safe, clean and secure hospital environment for all
5. Patient Assessment--Recognizes data from complex situations to determine priorities for care. Includes appropriate physical, psychosocial, education and safety needs. Synthesizes assessment data into meaningful whole prior to communication to others. Assesses and anticipates discharge needs of individual patients and families. Develops relationships with families that promote their ability to advocate for the patient and their own needs
6. Planning--Collaborates with patient/family to prepare or update the plan of care. Makes use of available multidisciplinary resources in planning care. Begins to use full range of communication as a means to convey planning. Identifies and addresses cultural and ethnic issues in planning patient care. Demonstrates ability to prioritize tasks for patients with complex problems.
7. Research--Reads journals that contain studies or articles that may be applicable to practice. Brings ideas and questions to the staff at large for assessment of applicability
NASH

Other information:
Education Requirements:
* Graduation from a school of professional nursing.
Licensure/Certification Requirements:
* Licensed to practice as a Registered Nurse in the state of North Carolina.

Professional Experience Requirements:

Preferred 2 years of clinical experience in a hospital or acute care setting.

Strong assessment and critical thinking skills.

Excellent communication and interpersonal skills.

Ability to work independently and as a part of a team.

2 Years of discharge planning and care coordination preferred.

Ability to navigate electronic medical records and other healthcare technology platforms.

116135917

Legal Employer: Nash Hospitals

Entity: Nash UNC Health Care

Organization Unit: Nash Transitional Care

Work Type: Full Time

Standard Hours Per Week: 40.00

Work Assignment Type: Onsite

Work Schedule: Day Job

Location of Job: NASH HC

Exempt From Overtime: Exempt: No