2 Registered Nurse jobs found

Organization Competencies Attitude/Teamwork - Supports a positive environment; takes special actions to "connect" with others. Demonstrates collaborative spirit in support of "system-ness" and continued integration among ArchCare entities. Shows energy and enthusiasm in work relationships. Actively seeks ways to promote system cooperation and foster morale. Demonstrates pride in the team. Problem Solving/Organization - Effective in recognizing problems and identifying workable solutions. Seeks out relevant information and effectively prioritizes tasks. Demonstrates appropriate follow-up. Learns from mistakes; takes ownership of decisions and actions. Communication/Motivation - Builds strong work relationships through effective interactions with others. Maintains a high degree of self awareness, with a willingness to admit faults or mistakes. Demonstrates a high level of respect for others and alternative views. Recognizes value and achievement in others....

Job Summary The RN - Transitional Care Coordinator is responsible for assessing patients that are medically complex and at high risk for readmission to ensure a successful transition from the hospital to community. The Transitional Care Coordinator RN is accountable to reduce the challenges that patients face post discharge and prevent hospital readmissions. Core Job Responsibilities Assess, plan, implement and evaluate the needs of patients for transitional care needs. Track and report variances in standards of care that impact our readmission rates. Coordinate the post-discharge workflow by anticipating potential gaps in care and education needs. Evaluate and follow-up for assigned patients who require medication reconciliation, adherence assessment, management of acute and chronic disease states, assessment of patient’s ability to perform self-care/instructions, coordination of post-discharge appointments and care coordination services. Coordinate...