Job Description Anderson County Residential Living Center is looking for an RN to join the team.
Shift: Full Time Nights
Duties:
- Acts as an advocate for the patient in all activities including nursing assessments, care coordination, care plan development, and communication.
- This position is accountable for identifying and developing innovative actions to meet the needs of the patient from both the health care and psychosocial / socioeconomic dimensions of care as well as acting for provision of services to meet those needs.
- Assist with completion of the initial patient assessment, including a medical record review where available
- Documentation of current advance care directive status and ongoing efforts to reconcile patient/caregiver misaligned goals with current clinical status
- Perform ongoing assessments commensurate with patient risk level and/or identified need
- Collaboration with multi-disciplinary team to develop plan of care, establishing a collaborative approach to patient needs across clinicians and care delivery
- Initiate and maintain ongoing communications with clinicians involved in patient care, especially PCP
- Meet with families/responsible parties for collaboration on patient plan of care and discussion of patient/family/responsible party contribution to the ongoing management of patient condition
- Coordinate care across the continuum of care delivery model as the point of contact for patient/caregiver and clinicians
- Act as liaison between providers, nursing facilities, hospitals and program staff, including making recommendations about care alternatives or equipment that will aide in the safety of the patient while promoting optimal clinical outcomes
- Monitor patient progress to plan of care goals with emphasis on patient care need during transitions and changes in member level of care needs
- Monitor patient during admissions to both acute and skilled level of care to support patient needs, establish as the point of contact to clinicians and patient/responsible party/families to ensure consistent and ongoing communication between all involved parties
- Main educator for patients and/or families/responsible parties on disease processes and ways to manage disease progression as independently as possible
- Reviews medical information collected including medical records and/or performs additional assessment to facilitate medical necessity determinations regarding service requests as established with in the identified program guidelines and the state established nurse scope of practice
- Serve as a resource to the entire care delivery team
- Identification and reporting of any quality of care issues
- Maintain HIPAA compliance as it relates to patient care
- Attend departmental meetings and daily huddles
- Completes other duties as assigned
- Requires 5 or more years of clinical practice in a hospital, clinic, home care or nursing home setting
Job Requirements Applicable Experience:
Less than 1 year
Basic Life Support - American Heart Association or Red Cross, Registered Nurse - Various
Associate Degree - Nursing
Job Details Full Time
Night (United States of America)
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