Registered Nurse - Milwaukee, United States - 581 Advocate Aurora Health, Inc.

581 Advocate Aurora Health, Inc. Milwaukee, United States

3 weeks ago

Full time

Description

Department:

10172 Population Health - WI Transitional Care

Status:

Full time

Benefits Eligible:

Yes

Hou rs Per Week:

Schedule Details/Additional Information:

This is a remote work from home telephonic patient outreach position.

Hours are with potential weekend and limited holiday coverage.

WI RN licensure needed to start

WI residency required

BSN needed

High speed internet required

Not part of weekend premium program

this position qualifies for $2.50 differentia l

Responsible for ensuring an efficient and coordinated hospital discharge and transition process for patients recently hospitalized or treated in the emergency room that are at high risk for increased use of healthcare resources.

Identifies the needs of patients and families and coordinates internal and external community resources within the first month of hospital discharge to reduce post-hospitalization illness/disease.

Works closely with case manager to identify high risk patients. Creates a care plan to ensure patient has appropriate resources necessary to lower readmission rates.

Maintains caseload of patients following discharge to ensure patients receive appropriate home visits, are being seen by primary physicians and taking their medications as needed.

Facilitates communications between and negotiates with patient/family, physicians, nurses, dietary, rehab, homecare, social services and other disciplines that need to collaborate to provide care for the patient.

Identifies, evaluates and acts to resolve any potential barriers to delivery of care and a timely and appropriate discharge. May coordinate and document discharge plans of care.

Works closely with the medical staff, hospital departments and ancillary services in expediting care delivery and appropriate documentation to avoid delays in timely service provision. Validates care that is provided.

Collaborates as a partner with jointly assigned social worker to ensure safe and appropriate discharge planning.

Collaborates with physicians daily regarding patient care course. Makes suggestions in expediting care and modification to a tentative on a timely basis.

Licenses & Certifications

Registered Nurse Wisconsin license issued by the state in which the team member practices.

Degrees

Bachelor's Degree in Nursing.

Required Functional Experience

Requires 2 - 5 years of experience in nursing in an acute care or community setting.

Knowledge, Skills & Abilities

Excellent written and verbal communication skills. Strong organizational, analytical and problem solving skills. Ability to educate clinical staff and the community. Ability to work well with physicians and other healthcare professionals. Ability to work in a team based multidisciplinary environment.

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