All the benefits and perks you need for you and your family: - Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance
- Paid Time Off from Day One
- 403-B Retirement Plan
- 4 Weeks 100% Paid Parental Leave
- Career Development
- Whole Person Well-being Resources
- Mental Health Resources and Support
- Pet Benefits
Schedule: Full time
Shift: Day (United States of America)
Address: 9441 HEALTH CENTER DR
City: LAND O LAKES
State: Florida
Postal Code: 34637
Job Description: - Assesses patients' and families' wholistically for discharge planning needs in the inpatient, observation and/or emergency departments, including prior functioning, support systems, financial, and psychosocial in a timely fashion to avoid delays in discharge planning.
- Reviews the medical record, including medications, history and physical, labs, and progress notes and incorporates the clinical, social, and financial factors into the transition of care plan.
- Develops discharge plans with appropriate contingency plans throughout the hospital stay to ensure timely care coordination and progression of care, making arrangements for post-acute care services and facilities as well as community care for social needs.
- Leverages technology and follows standard work and best practices to communicate with post-acute care services and facilities to ensure patient care information is communicated for continuity of care, medical records are complete, and discharge reconciliation is accurate.
- Actively participates in multi-disciplinary rounds to review changes in patient status, progression and level of care, and discharge plans for all assigned patients to identify resources necessary at discharge and ensure a timely transition, escalating care delays to leadership as appropriate. Communicates with and educates patients and families regarding emotional, social, and financial impacts of illness and mobilizes family/community resources to meet identified needs while advocating for patient and family empowerment in making health care decisions and accessing needed services.
- Assesses readmitted patients for the patient's and family's perceived reasons for the readmission. Organizes and facilitates patient and family care conferences with the multidisciplinary team.
- Documents discharge planning evaluation, ongoing assessment, discharge plans, MDRs, barriers to progression of care, avoidable days, and patient and family needs according to standard work.
- Provides patient and family advocacy, and support patient's choice and patient rights during hospitalization.
- Communicates with Payors patient’s needs for authorization for post-acute care as needed.
- Other duties as assigned.
Education: - Associate's of Nursing [Required]
- Bachelor's of Nursing [Preferred]
Work Experience: - 1+ year of nursing experience [Required]
Licenses and Certifications: - Registered Nurse (RN) [Required]
- Driver's License (DL) [Required]
Physical Requirements: (Please click the link below to view work requirements)
Physical Requirements - https://tinyurl.com/msy4mja2
Pay Range:$68,132.50 - $119,520.35
