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RN Transitional Care Specialist - FT Days

Company: AdventHealth
Location: Mansfield
Posted on: October 17, 2020

Job Description:

Job Description Description RN Transitional Care Specialist- Texas Health Mansfield- operated as joint venture between Texas Health Resources and AdventHealth Location: 2300 Lone Star Road; Mansfield, TX Top Reasons to Work at Texas Health Mansfield; Mansfield, TX * Join a family of caregivers focused on whole-person health and committed to making communities healthier. * Provide wholistic care for patients that extends to the spiritual level by praying with patients and families. Chaplains are available to meet with patients, families and team members 24 hours a day, 7 days a week to provide spiritual support. * Help develop a brand new $150 million community hospital and medical office building that will provide services such as Medical/Surgical, ICU, Women's Services, General Surgery, Orthopedics, Interventional Cardiology and Gastroenterology. * Grow in your career with AdventHealth, named in 2018 by Becker's Hospital Review as one of the "150 Top Places to Work in Healthcare". AdventHealth has partnered with Texas Health Resources, named in 2019 as one of Fortune's 100 Best Companies to Work For, to build Texas Health Mansfield, which is creating new opportunities for employment and professional growth. * Thrive in the Mansfield community, ranked by CNN/Money Magazine as #17 for "Best Places to Live". Mansfield is one of the fastest growing areas of North Texas, projected to reach more than 250,000 residents by 2023. Future job growth over the next ten years is predicted to be 41%, higher than the national average of 33.5%. Mansfield has top-rated schools, over 900 acres of parkland, quality housing, a historic downtown area, recreational opportunities for all ages, and a growing business community. Work Hours/Shift: Full Time / Days You Will Be Responsible For: · Coordinates care of patients at risk for readmission from admission through 30 days post-discharge. · Executes readmission prevention strategies. · Enables and manages readmission prevention measures at all levels of care (hospital and community, patient and provider). · Reviews and analyses the readmission prevention process. · Arranges for post-discharge support services if needed. · Coordinates post-discharge phone calls. · Provides direct interaction with care providers such as direct care nurses, physicians, social support and utilization (social services, care management), post-acute care providers (home health, LTC, rehab, medical home). · Remains flexible to changing systems, is expected to demonstrated quality and effectiveness in work habits and treats staff, physicians, patients and families with consideration and respect. · Recommends new services that can better serve our patients in regards to preventing readmissions. · Provides community awareness programs to educate residents and referring agencies of services offered. · Effectively communicates with all levels of the hospital and medical staff. · Provides, coordinates and directs the activities of various levels of assigned nurses and ancillary personnel in the provision of patient care utilizing both professional and independent judgment. · Participates on various hospital committees and task forces as required. · Collaborates with other hospital departments including Medical Management & Case Management to promote quality and safety for all patients. · Understands the Computerized Physician Order entry process and proficiently uses the electronic medical record for retrieval of patient information. · Monitors Electronic Medical Record for new physician orders and diagnostic results. Qualifications What you will need: * A registered nurse with BSN required * 2-5 years nursing experience required * Demonstrates knowledge of community resources and medical community Advanced practice degree preferred Home health or public health nursing is helpful * Provides supervision and guidance to transitional nurses Job Summary: Employees are hired to help Adventist Health System extend the healing ministry of Christ. They are expected to exhibit a continuous behavior of professionalism, which includes but is not limited to, treating customers and co-workers with respect and dignity, aligning behavior with customer service principles, maintaining customer and patient confidentiality, abiding by employee guidelines for professional behavior, appearance, and communication, exhibiting teamwork behaviors, being effective in conflict resolution, helping others to understand issues and accept changes, demonstrating high standards of work performance and flexibility, maintaining positive interdepartmental relationships, keeping a positive attitude, and adhering to the policies and procedures of the organization. This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

Keywords: AdventHealth, Mansfield , RN Transitional Care Specialist - FT Days, Other , Mansfield, Texas

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