NURSE Patient Flow Services (Discharge Planning/Utilization Review)

Location
Seattle, WA
Salary
Competitive
Posted
Feb 04, 2018
Closes
Mar 04, 2018
Contract Type
Permanent
Hours
Full Time

The Patient Flow Registered Nurse is an integral member of the Unit Discharge Team, consisting of the Patient Flow RN, Social Worker, Patient Flow Coordinator and Hospitalist/Resident teams. Their objective is to focus on maximizing inpatient throughput by promoting collaboration across Utilization Management, Social Work, Patient Aligned Care Teams (PACT), Home Based Primary Care (HBPC), Care Coordination Home Telehealth (CCHT) and other interdisciplinary teams in order to enhance communication and break down barriers to discharge. The RN Discharge Planner utilizes the nursing process (assessment, plans, implementation, outcomes, evaluation) to coordinate the identified discharge needs to improve efficiency and better meet the needs and expectations of our patients and families. More specifically, the RN Discharge Planner partners closely with Social Work to improve coordination of care in preparation of timely and successful discharge. The RN Discharge Planner is knowledgeable in Veteran eligibility, benefits and available services. Discharge planning is a collaborative process which assesses Veterans on admission focusing on potential barriers to discharge. This assessment incorporates planning, implementation, coordination, monitoring and evaluation of services necessary to meet hospitalized Veterans' health needs. Effective discharge planning promotes quality of care and positive outcomes in a cost-effective manner. Discharge planning will begin within 24 hours of admission or next business day. The Patient Flow RN along with the Social Worker act as liaisons between Veterans and their families and the interdisciplinary team. They are an integral part of the care team influencing patient satisfaction and positive discharge outcomes. The Patient Flow RN will successfully complete Inter-Qual reviews as outlined by national directive and facility policy. The Patient Flow RN will provide recommendations on cost effectiveness and efficiency of programs based on Inter-Qual review data aggregation.

Duties include but are not limited to:

  • assesses patient to identify and coordinate anticipated discharge needs.
  • evaluates the patient's support systems and assesses the patient's and family's educational needs.
  • coordinates with the other team members to assure that these discharge needs are met
  • participates in the interdisciplinary discharge provider huddle process
  • assures completion of the Interdisciplinary Discharge Planning Progress Note in CPRS
  • promotes efficient resource utilization with respect to discharge services
  • serves as a resource for patients and staff in addressing ethical issues
  • serves as liaison with inpatient and outpatient providers at time of discharge to enhance a smooth transition from inpatient to outpatient services and care
  • uses pre-established guidelines and criteria to perform review activities assuring appropriate and timely utilization of hospital services.
  • maintains appropriate documentation of reviews performed, according to pre-established criteria, indicating severity of illness and intensity of services rendered.
  • acts as a liaison and advisor to clinical and administrative staff to ensure treatment is clearly documented, identifies other options for care when outpatients do not require admission or inpatients no longer need acute hospitalization, and recommends appropriate referrals for alternate levels of care
  • ability to work variable and flexible tours to meet program demands
Work Schedule: Monday-Friday 0730-1600Basic Requirements:
  • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
  • Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing.
    • The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6)
  • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia.
Preferred Experience:
  • Bachelor of Science in Nursing
  • 3 years recent successful nursing practice in a complex, acute inpatient medical/surgical (hospital) setting
Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
  • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
  • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
  • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
  • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 year's of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 year's of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
  • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 year's of nursing practice/experience; OR a Doctoral degree.
Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.Physical Requirements: This position involves considerable amount of standing (up to 2 hours), walking (up to 6 hours), stooping, bending, reaching, lifting, and turning. It requires repositioning patients, assisting with transfers from wheelchairs/stretchers and transporting them to other departments or facilities. Mechanical devices are available and are required to be used for heavy or difficult to lift clients. The work may involve pushing or lifting in excess of 45 pounds and going up and down flights of stairs. The position requires visual (corrected to 20/30 or better with color discrimination) and auditory acuity at a level to provide safe and effective nursing care. The position requires the nurse to work for periods of time with arms above shoulder level or with neck in a fully flexed or extended position. The nurse may occasionally be exposed to patients who are combative secondary to delirium, dementia or psychiatric disorders. The nurse many be exposed to infected patients and contaminated materials and may be required to don protective clothing in isolation situations or operative/invasive procedures. The incumbent must possess sound and logical clinical judgment. The incumbent must be a mature, flexible, sensible individual capable of working effectively in stressful situations, able to shift priorities based on patient needs. The position also requires ability to work on computers for extended periods of time.

Participation in seasonal influenza program may be required.

To apply for this position, you must provide a complete Application Package which includes:

  • VA Form 10-2850a Application for Nurses and Nurse Anesthetists, other supporting documents
  • Resume
VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: http://www.va.gov/vaforms/search_action.asp?FormNo=2850&tkey=&Action=Search. REQUIRED AT TIME OF APPLICATION

The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), etc.
  • Cover Letter
  • DD-214
  • OF-306
  • VA Form 10-2850a Application for Nurses and Nurse Anesthetists, other supporting documents
  • Other Veterans Document
  • Resume
  • SF-15
  • SF-50
  • Transcript

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