Care Transitions - Registered Nurse - Care Coordination Center - Apopka
AdventHealth Apopka seeks to hire a Care Transitions - Registered Nurse who will embrace our mission to extend the healing ministry of Christ.
AdventHealth Apopka is a seven-story, 120-bed hospital offering an extensive range of services including expanded surgical services, advanced surgical suites and a catheterization lab. The hospital also features a 30,000-square-foot emergency department with pediatric-friendly beds, imaging services, a full-service cafeteria, chapel, gift shop and on-site fire station. The hospital opened in December 2017, replacing the 50-bed hospital that AdventHealth had operated in downtown Apopka for more than four decades.
The Care Transitions Registered Nurse ensures that a care plan is carried out in partnership with the person at the center of the care plan. Works as part of the interdisciplinary Care Transitions Team to implement the Advent Health's readmission prevention programs, which are targeted to reduce the number of patients who are readmitted to the hospital. Follows selected patients that transition from the hospital to a lower level of care. Participates in routine readmission meetings with community partners as well as complies with data collection expectations. Works as part of various other teams, including but not limited to Care Management nurses and social workers, nursing, home care liaisons, physicians, pharmacists, dietitians, and leadership. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
Ability to utilize the nursing process (assessing, planning, implementing and evaluating) to achieve the goals of the client
Excellent time management and organizational skills, self-motivation, and ability to work independently
Expertise in patient advocacy and navigating complex systems
Ability to effectively problem solve, plan, organize, direct, advocate, and teach
Communicates effectively orally and in writing and presents self well to others with tact and diplomacy
Knowledge of chronic disease management
Knowledge of and ability to utilize internal and external resources
Ability to function and assist others in stressful, fast-paced environments and effectively apply stress management techniques
Ability to empower individuals/families to take charge of their own whole health needs
Proficiency in Microsoft Word and Excel, Windows
Proficiency with Cerner applications (Preferred)
Bachelor of Science in Nursing (BSN)
Two years of experience in acute care hospital discharge planning
Two years of Experience Nursing, Case Management, and/or Social work
Master of Science in Nursing (MSN) (preferred)
Three years of experience in acute care hospital discharge planning (preferred)
Experience in an outpatient or home health setting and critical care (preferred)
Licensure, Certification, or Registration Required:
Current valid State of Florida Licensure as a Registered Nurse
Basic Life Support (BLS) certification
Case Management certification - Accredited Case Manager (ACM) (preferred)
Certified Case Manager (CCM) (preferred)
Demonstrates through behavior AdventHealth's core Values of Keep Me Safe, Love Me, Make it Easy, and Own it.
Adheres to the nursing care Scope of Practice and Care Management Scope of Service in achieving the goals of the Care Transitions Team.
Applies appropriate criteria to identify patients who are at high risk for readmission or for high emergency room utilization. Follows up with patients at location of post discharge transfer. Conducts patient and family education, utilizing Teach Back method. Incorporates patient, physician, and customer needs and concerns into decision-making and organizational action. Identifies gaps in service that prevent the patient from achieving increased stability in daily living.
Prioritizes clinical problems, formulates treatment goals, and constructs treatment plan, revising as needed, based on continuous evaluation and assessment of progress. Quickly appraises crisis situation and selects appropriate intervention(s). Mediates highly complex situations and develops treatment plans with minimal supervision. Acquires working knowledge of motivational interviewing and working with resistant clients.
Documents in patient's medical record after each significant contact and at closure of case.
Evaluates practice upon completion of case intervention, determining whether intervention was successful and whether client achieved expected outcome. Seeks appropriate consultation. Admits mistakes openly and seeks ways to resolve issues. Creates a safe environment for honest and open communication.
Participates in various hospital and department committees, including Performance Improvement (PI) activities. Participates in ongoing program evaluation with Physician Champions. Attends patient care meetings to educate interdisciplinary team how to make appropriate referrals regarding patients needing transitional coaching services.
Displays a high level of flexibility, adaptability, and organizational skills in response to caseload. Effectively prioritizes cases and produces expected quantity of services as determined.
Attends in-service programs of continuing education and reviews current literature as a means to evaluate and enhance current treatment practices. Adjusts and enhances clinical expertise to meet changing healthcare needs.
Functions as a field practicum instructor for University students as appropriate.
If you want to be a part of a team that is dedicated to delivering the highest quality in patient care, we invite you to explore the Care Transitions - Registered Nurse opportunity with AdventHealth Apopka and apply online today.
Registered Nurse, RN, Care Transition, Apopka
Internal Number: 284942
About AdventHealth Greater Orlando
AdventHealth Greater Orlando (formerly Florida Hospital) is one of the largest faith-based health care providers in the United States. For 150 years, we have carried on a tradition of providing whole-person care that not only addresses patients' physical ailments, but also supports their emotional and spiritual well-being. We demonstrate the same level of compassion and care for our employees as well, doing all that we can to help them realize their full potential – both personally and professionally.