Registered Nurse Connected Care Coord Home Care Orlando - AdventHealth

Description

All the benefits and perks you need for you and your family:

· Benefits from Day One

· Paid Days Off from Day One

· Competitive Pay

· Career Development

Our promise to you:

Joining AdventHealth is about being part of something bigger. It's about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift: Days, Mon-Fri, occasional weekends

The community you'll be caring for:

• Faith Based & Mission driven Facility.
• Largest Employer in the County
• Surrounded by beautiful Lakes, Golf Courses and Florida's oldest State Park
• Close knit community with a hometown family feel
• 2 hours to just about any beach on either Coast

The role you'll contribute:

The Connected Care Coordinator will function as the key patient advocate and educator for coordination of post-acute care services within AdventHealth (AH) owned hospitals. This person will assist in assessing patients for post-acute care, coordinating the clinical transition to home health and hospice as clinically indicated and into the appropriate post-acute setting. The Coordinator is responsible for maintaining relationships with physicians, post-acute providers, therapists, patients and families. This Coordinator will be assigned a specific hospital or specialty and is responsible for collaboration with care management, the physicians, and the clinicians to develop a discharge plan requiring post-acute services across AdventHealth continuum of care.

The value you'll bring to the team:

· Responsible for conducting a systematic post-acute assessment of the physical, psychosocial and functional aspects of the patient and his/her family and their impact on the outcome potential to determine appropriateness for the Home Health and Hospice care setting.

· Inform and educate the patient and family about these post-acute settings, balancing the patient/family requests with what is required to provide safe, reliable, ongoing care for the patient.

· Identify patient/family problems or needs ensuring communication to physician, care management and the clinical team.

· Assist with coordination of home health care referrals within assigned hospital(s). May conduct bedside assessment to determine appropriateness of home or hospice care admission and educates patient/family regarding discharge plan and home care and hospice service expectations.

· After receiving Referral, assist with Intake process including pre-registration requirements for HHC admission.

· Maintains comprehensive working knowledge of managed care along with community resources.

· Completes and submits all documentation in a timely manner according to department policy.