Conduct in-patient visits and post-discharge follow-up calls
Educate patients on disease processes and medications
Collaborate with multidisciplinary teams to address discharge needs
Ensure post-discharge arrangements are made
Identify improvement opportunities in readmission cases
Benefits
Collaborative work environment
Opportunities for professional development
Engagement with multidisciplinary teams
Focus on patient education and care continuity
Involvement in quality improvement initiatives
Full Job Description
Schedule:
Full time
Shift:
Day (United States of America)
Address:
1500 SW 1ST AVE
City:
OCALA
State:
Florida
Postal Code:
34471
Job Description:
Reviews reports on Current Core Measure Hospitalizations and Re-admissions daily.
Coordinates the Readmission Prevention Committee Meetings, identifies recent readmission cases, reviews for improvement opportunities, creates and sends out meeting agenda, and completes meeting minutes.
Participates in in-patient visits and post-discharge phone calls, utilizing data reports to identify patients with Core Measure diagnoses.
Visits patients in the hospital, provides education on disease process and medications, and collaborates with Care Management to address discharge needs.
Collaborates with Respiratory Therapy and Cardiopulmonary Rehab Teams when appropriate.
Collaborates with multidisciplinary team to reduce readmission rates.
Other duties as assigned
Knowledge, Skills, and Abilities:
Demonstrates proficiency in nursing care, knowledge, and skills [Required]
Demonstrates ability to lead, support, and build on current efforts of the readmission reduction program [Required]
Demonstrates initiative, flexibility, integrity, and diplomacy [Required]
Demonstrates strong professional, organizational, and interpersonal skills for effective and creative leadership in working with all levels of the organization including physicians, committees, senior management, and trustees, as well as patients and their families [Required]
Demonstrates effective communication skills [Required]
Proficient use of Excel, Microsoft Word, Microsoft PowerPoint, and Microsoft Teams [Required]
Experience in working with EMR [Required]
Working knowledge of current care practices for the diagnostic groups identified by CMS [Preferred]
Working knowledge of Federal and State regulatory requirements in hospital accreditation [Preferred]
Education:
Associate's of Nursing [Required]
Bachelor's of Nursing [Preferred]
Field of Study:
N/A
Work Experience:
1+ years acute care clinical experience [Required]
2+ years acute care clinical experience [Preferred]
Additional Information:
Preferred qualification for state of employment will be required.
Licenses and Certifications:
Registered Nurse (RN) [Required]
Physical Requirements: (Please click the link below to view work requirements)
Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.
Applicants may review general information about Florida's background screening requirements at the Florida Care Provider Background Screening Clearinghouse: https://info.flclearinghouse.com/
About AdventHealth University
AdventHealth University is a private university in Orlando, Florida. It was founded in 1992 and is affiliated with the Seventh-day Adventist Church. The university offers undergraduate and graduate degree programs in various fields including nursing, radiography, and sonography. AdventHealth University is accredited by the Southern Association of Colleges and Schools Commission on Colleges.
