Transitions of Care Nurse

This job posting is no longer active.

Greenwich, CT
Jun 25, 2020

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Job Description

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The Transition of Care Nurse (TCN) practices within the Patient and Family Centered Care Model to assess, plan, implement and evaluate care for patients, coordinate with physicians and collaborate with interdisciplinary health care team to properly facilitate quality discharges that address both patient care needs and psycho/ social determinants of health.

EEO/AA/Disability/Veteran

Responsibilities

  • 1. Nursing Practice/Nursing Process
    • 1.1 Delivers and coordinates safe, competent, and effective patient focused care demonstrating knowledge and clinical proficiency within their practicing specialty area.
  • 2. Professional Integration
    • 2.1 Serves as a positive professional role model demonstrating accountability and responsibility through professional behavior.
  • 3. Leadership
    • 3.1 Uses effective communication, time management and prioritization skills.
  • 4. Communication/Collaboration
    • 4.1 Demonstrates a commitment to honor and respect the dignity of each person within their department/unit
  • 5. Quality/Performance Management
    • 5.1 Contributes to department effectiveness by offering suggestions and ideas that improve performance.
  • 6. Support of Unit Goals
    • 6.1 Dedicates work time in the areas of leadership, education, nursing practice or performance management to support advancement of unit goals in agreement with the Nurse Manager.
  •  

Qualifications

EDUCATION

 

Graduate of an accredited school of nursing (BSN)

 

EXPERIENCE

 

Five (5) years experience on a hospital nursing unit Two (2) to three (3) years of case management experience preferred. Med-Surg experience required.  

 

LICENSURE

 

RN in State of Connecticut. Med-Surg, Palliative or Hospice Certification preferred.

 

SPECIAL SKILLS

 

Collaborates and coordinates with physician to Individualize discharge plan based on patients specific needs, external factors and risk around transitions of care. Develop and utilizes risk assessment tools to prioritize patients in need of disease specific intervention. Education for medication management and discharge instructions. Advanced organizational and communication skills. Ability to interact therapeutically with patients, families, physicians, case managers, social workers, co workers and community agencies.

 

PHYSICAL DEMAND

 

May be exposure to infectious diseases. Will be exposed to physical, mental and emotional illness as well as end of life conditions and death. Moderate stress and risk of injury from patient care. Standing/walking for more than half of the day. Frequently bending, reaching, pushing, pulling, twisting and lifting. Must be able to assist pushing/pulling/lifting patients ranging from five (5) to three hundred (300) pounds.

 

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Job Info

Job: 19547

Department: Medical 1 and 2
Category: NURSING-STAFF
Sub Category: NURSE PROF OTHER
Status: Full Time Benefits Eligible
Shift: D
Hours: 37.5

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