RN, Acute Care Coordinator
Core
Adjunct to the multidisciplinary team facilitating safe hospital-to-home transitions for adult acute care patients.
Role type
Acute Care Coordinator (RN)
Builds
Patient discharge plans and care strategies
Domain
Healthcare / Acute Care
Required skills
Patient discharge planning, Multidisciplinary team collaboration, Resource identification for self-management, Home nursing services coordination, IV medications/tube feedings/DME ordering, Electronic medical record proficiency
Preferred skills
Acute care management, Community health care management, Disease management
Responsibilities
Lead daily discharge rounds, Identify patient discharge needs, Assist in implementing patient care strategies to close gaps in medical care, Identify resources for patient self-management planning, Assist in developing care plans for medically complex patients, Prepare patients for discharge by ordering home services and supplies