NURSE NAVIGATOR CLINIC
1 month ago
- Clinical Practice and Care Management
- Provides individualized, appropriate care in collaboration with staff members. Assists with the development of a patient-specific plan of care based on the goals of treatment and patient's needs.
- Works with patient and significant others to determine treatment and rehabilitation goals for desired outcomes based on the developmental needs of the patient.
- Assist with collection of specified data in evaluating the quality of care provided.
- Facilitates patient throughput in the admission/discharge/transfer process.
- Serves as a clinical resource to all members of the interdisciplinary team.
- Communicates and coordinates critical information related to risk issues to staff and physicians to ensure patient safety in the acute and sub-acute setting.
- Performs physiologic/psychosocial assessments to assist with the development of an individualized plan of care based of specific needs of the patient.
- The formulation of individualized plans of care considers patient's education and discharge planning needs. Prioritizes the delivery of care to the individual needs including cultural/ethical/and spiritual needs.
- Participates in the planning of routine transitional health care needs (i.e. treatment options, patient placement options, end of life care (LaPost) discussion and options.
- Adapts planned education and information to individual patients and families by modifying teaching strategies or content. Integrates education during the delivery of care. Collaborates with patients/families to identify realistic desired outcomes based on developmental needs and restrictions.
- Actively advocates for patient rights and identifies potential conflict.
- Identifies variances from expected outcomes based on assessment and evaluation.
- Evaluates patient outcomes and make revisions in the plan of care.
- Delegates and request assistance from members of the interdisciplinary team in coordinating to the needs of the patient while being actively treated and upon discharge.
- Documents interventions and referrals in patient's chart and further follow up calls as indicated.
- Collaboration and Partnership
- Consistently communicates/collaborates with the health care team members, patients, and family members to maximize resources and outcomes.
- Communicates, collaborates with community resources to enhance the continuum care to meet the specific needs all patients and the specific needs of the geriatric patient.
- Maintains knowledge regarding program initiatives based on the geriatric population/needs and incorporates the outcome of the team/committees work into practice.
- Provides education to staff team members based on the developmental needs/limitations of the geriatric population.
Qualifications
- 3 years in acute clinical setting working with population related to your expertise
- Bachelor's Degree in Nursing
- Proficient in English, verbal and written communication and computer skills
- Current and unrestricted Louisiana RN liccnse
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