Specialist Care Transitions-LGH FT /Days

This role is for a Specialist Care Transitions nurse responsible for the clinical aspects of determining discharge plans for patients in the acute care setting. The position involves collaborating with a multidisciplinary team and coordinating patient care from admission to discharge, ensuring appropriate referrals and treatment plan implementation. This position is crucial for ensuring smooth transitions to appropriate post-acute settings and providing timely patient flow.

Requirements

• Coordinates patient care from admission to discharge.
• Conducts a patient/family assessment.
• Identifies and addresses barriers to effective discharge planning.
• Implements and evaluates discharge plan modifications.
• Communicates patient information between departments.
• Collaborates with other departments for patient flow.
• Documentation
• Initiates crisis intervention