Overview
As part of the New London Hospital Medical Group, ensures safe and effective patient transitions across the patient
care continuum. As a patient educator, advocate, and patient empowerment facilitator, this position provides
information to the patient and/or caregiver resulting in effective care transitions, improved self-management skills,
and enhanced communications between the patient and the healthcare team.
Responsibilities
Transitional Care Responsibilities
- Attends discharge planning meetings. Reviews the patient's medical record and gathers clinical information from the current care delivery team and patient.
- Provides information to patients and caregivers about NLH post acute discharge plans.
- Collaborates with all members of the interdisciplinary team to develop a safe transitional plan to the next level of care. Ensures all clinical and personal transitional goals are met throughout.
- Advocates on behalf of the patient and the healthcare provider for needed patient resources and services.
- Provides written communication to the receiving clinician as the patient transitions from one level of care to the next. Contacts the patient's PCP with each transition of care, providing a summary of the patient's clinical status. Collaborates with the PCP to provide direction to enhance the effectiveness of the healthcare delivery team, including transitions across physical settings and to monitor and manage changes in health status.
- Maintains excellent documentation of patient encounter records. Enters specified data elements into electronic dashboard with each patient transition or discharge.
- Develops and maintains plan of care for NLH-based patients.
Qualifications
- Graduate of an accredited School of Nursing
- 3 to 5 years related experience
- Case Management certification from accredited organization strongly preferred
Required Licensure/Certifications
REQUIRED LICENSE(S): • Licensed RN with NH eligibility
- Area of Interest: Nursing
- Pay Range: $37.43/Hr. - $52.55/Hr.
- FTE/Hours per pay period: .01 hrs/per week (per diem/temp)
- Shift: Day
- Job ID: 40925
Dartmouth Health offers a total compensation package that includes a comprehensive selection of benefits. Our Core Benefits include medical, dental, vision and life insurance, short and long term disability, paid time off, and retirement plans. Click here for information on these benefits and more: Benefits | NLH Careers
Dartmouth Health is an Affirmative Action and Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.