University of Rochester Acute Care Coord, RN - 224402 in Rochester, New York
Acute Care Coord, RN
Strong Memorial Hospital
Full Time 40 hours Grade 044 Home Care Liaison
Position Title: Acute Care Coordinator
Department: Social Work and Patient and Family Services
Clinical Area: Inpatient
Supervised by Acute Care Coordinator Manager
Description of Patient Population:
Ages Served: All Ages
X_ Pediatric _1-12__ x Adult(s) 18 yrs and 65yrs
XAdolescent _12-18___ x Geriatric > 65yrs
Qualifications: Associate of Applied Science in Nursing and a minimum of five years of professional nursing experience. BS/MS and acute care, community health, care management and/or disease management, multidisciplinary team experience preferred or an equivalent combination of education and experience. Registered in New York State.
The role of the Acute Care Coordinator is to serve as an adjunct to the multidisciplinary team. The Care Coordinator in partnership with unit staff (Nursing, Providers, Consulting Services, Social Work etc.) and providers caring for the patient at discharge, assists in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.
Machines and equipment:
HDM Home Care databases: Hospital databases: Flowcast & E-Record
Email, copier, fax, and other related office tools; lab coat, ID, phone.
Discharge referral database, Automated PRI, and designated information systems
Acute Care Coordinator Responsibilities
Coordinates care of patients in acute care. Assumes coordination role at the point of admission and through discharge with targeted coordination and follow-up. Identifies patient discharge needs. Assists in implementing patient care strategies to close gaps in medical care upon discharge. Identifies resources for patient self-management planning and discharge. Assists in developing and implementing care plans for medically complex patients. Identifies barriers to a successful discharge plan.
Coordinates use of clinical and ancillary resources within and outside of the health system to achieve treatment goals specified in the patient care plan and facilities discharge.
Participates in development of discharge plan with short and long-range care plan goals for patients. Keeping abreast of organizational developments and practices that may impact operations by participating in continuing education courses, professional organizations and seminars, reading current literature and maintaining professional contacts in the community. Assisting with the development of current evidence based protocols, policies, work flow/flow sheets, guidelines, etc. related to the provision of care within the acute care coordinator, RN model. Participating in committees as assigned.
Interacts effectively with physicians, the acute care coordinator team, patients and their caregivers.
Accountable for patient discharge.
Adheres to infection control/safety guidelines. 90%
Adheres to HIPAA, TJC,CMS and OSHA regulations and policies 1%
Attends Bi-weekly Acute Care Coordinator Meetings and Patient Family Services Meetings as scheduled 3%
Attends/Leads: Daily/Weekly Team meetings per schedule 5%
Other duties as assigned 1%
Professional Evaluation/Supervision and Accountability:
Acute Care Coordinator is accountable to the Acute Care Coordinator Team members, Acute Care Coordinator Manager and Director of Social Work and Patient and Family Services.
Acute Care Coordinator evaluations occur annually, with commentary from clinical colleagues and managerial staff.
Position Description maintenance:
This position description is reviewed at 6 months the first year and annually by the Acute Care Coordinator Manager, staff and Director of Social Work and Patient and Family Services.
How To Apply
All applicants must apply online.
EOE Minorities/Females/Protected Veterans/Disabled