Care Transition Coordinator - RN

Hinsdale, Illinois
Jun 26, 2020
Jul 26, 2020
Step Down
Contract Type
Full Time
HCR ManorCare provides a range of services, including skilled nursing care, assisted living, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy.

The RN - Nurse Supervisor is responsible for supervising nursing personnel to deliver nursing care and within scope of practice coordinates care delivery, which will ensure that patient's needs are met in accordance with professional standards of practice through physician orders, center policies and procedures, and federal, state and local guidelines. This RN position is a staff position that has direct care responsibilities as well as supervisor responsibility for nursing assistants. We are looking for clinicians who would like to combine their love for people and strong work ethic with the opportunities to advance their career.

In return for your expertise, you will enjoy excellent training, industry-leading benefits and unlimited opportunities to learn and grow. Be a part of the team leading the nation in healthcare.

468 - ManorCare Health Services - Hinsdale, Illinois
One year prior nursing experience preferred.

Job Specific Details: Under the supervision of the Director of Nursing, the Care Transition Coordinator (CTC) assumes responsibility and accountability for collaborating, directing, following and coordinating the care and services provided by skilled nursing facility staff to meet the patient?s needs.

Care Transition Coordinator promotes the potential for improved patient outcomes while collaborating between the goals of acute, post-acute and community provider to prevent untoward events post discharge, assisting in prevention of health complications and re-hospitalizations.

Care Transition Coordinator adheres to standards of care, manages the environment to maintain patient/resident safety and ensure customer satisfaction throughout they stay. Follows all Center and Company policies and procedures and performs duties as defined by his/her State Nurse Practice Act.

Specific Job Responsibilities:

Promotes timely access to appropriate care by working with admission team.

Serves as a contact point, advocate, and informal resource for patients, care team, family/caregiver(s), payers and community resources.

Reviews and understands the primary care needs of the new/readmit increasing utilization through the nursing admission assessment process.

Works with IDT team, promoting efficient, and patient goal centered quality outcomes.

Increases patient/family comprehension through appropriate education means, promoting adherence to the plan of care while increasing ability for self-management and shared decision making.

Facilitate patient access to appropriate medical and specialty providers documenting the plan of care through My Transition Home program and the discharge process.

Assist with the early identification of ?high risk? patients noting change in condition, notification to advanced clinicians, promoting wellness while reducing hospital readmission.

Acts as Nurse Manager on duty during weekend days and evenings during the week while coordinating with on call manager to resolve concerns.

This is a full time position that will work 65 to 70 hours biweekly. Hours are 10:30am-9pm during scheduled weekday and 9am to 5:30pm every other weekend.

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