Care Transition LPN

10 hours ago

Watertown, United States Hartford HealthCare Full time

Description

Job Schedule: Full Time
Standard Hours: 40
Job Shift: Shift 1
Shift Details: Monday thru Friday 8am to 4:30pm with one full weekend per month and 1 Major and 2 minor holidays per year.

Work where every moment matters.
 
Every day, almost 30,000 Hartford HealthCare Colleagues come to work with one thing in common: Pride in what we do, knowing every moment matters here.  We invite you to become part of Connecticut’s most comprehensive healthcare network as a Care Transition Nurse (LPN). 

Start here at Hartford HealthCare and work where every moment matters

Hartford HealthCare at Home doesn’t just take great care of our patients; we take great care of our Nurses too Our benefit options at Hartford HealthCare at Home are designed so you can care for yourself and your family, just as you care for others when you are here.

What our nurses love about HHCAH:

•       Tuition Reimbursement up to $5,250.00 after six months of employment and up to 40% tuition discounts with partnering institutions for colleague AND dependents

•       Loan forgiveness for qualifying existing student loans

•       Employee assistance and wellness programs including a strong focus on promoting mental health

•       Paid time off and health insurance packages

•       All clinicians are provided a cellphone and laptop

•       Discounts on services, products and optional coverages – movie tickets, pet insurance, travel and more

Hartford HealthCare at Home, the largest provider of homecare services in Connecticut, has been fulfilling our mission for more than 115 years.  Our Person-Centered Care Model allows our employees to learn and grow within our organization, all while providing integrated support to the patient.  As part of Hartford HealthCare, we leverage cutting edge technology to provide quality care in our client’s home.  Most importantly, our employees are appreciated for the real differences they make in both the lives of their clients and their clients’ families. 

Responsible for successfully capturing all appropriate data to ensure a safe transition from all referral sources to HHCAH.  Facilitates continuous throughput of patients to homecare services from all points of entry by utilizing effective verbal communication, reviewing technology that supports patient placement activities, and swift clinical decision making. Liaison between all points of entry (acute care facilities, sub-acute care facilities, long term and assisted living facilities as well as other direct admissions from the community), the Clinical Home Care Team, clinical leadership, and other stakeholders throughout the system.  Applies nursing knowledge as the foundation for clinical triage, placement decisions and communications.  Supports execution and improvement of scheduling standard work.  Owns all follow up w/ Case Mgt, partners with Rec Cycle for financial clearance and supports regional dispatching.

Works closely with patients to provide best scheduling options.   Monitors timeliness and appropriateness of referrals, partnering with Intake/Insurance Transition Support and Transitional Care Coordinator to support transition to HHCAH and ensuring appropriate discipline visits. Responsible for initial assessment of patient home care qualifications including but not limited to authorization of services, identification of physicians, appropriate home care assignment

Develop effective relationships with multiple stakeholders including but not limited to System Case Management teams, Insurance/Intake Transition Support and Transitional Care Coordinators to enhance patient transition and assignment.

Identify and assure home care clinical needs are in place prior to patient admission to home care services including but not limited to procedural supplies (foley, NPWT, pleural catheter, etc), Community MD verification, community resource needs and appropriate services ordered.

Increase effective patient timeliness to care by identifying barriers in assignment processes and collaborate with clinical management in the resolution of these issues.  Achieve seamless delivery of services by appropriately involving colleagues, physicians, nurses and other staff to ensure commitment, communication and cross-functional linkage.

Participates in Performance Improvement activities within the Agency.  Plays a key role in the quality, clinical, financial and patient satisfaction outcomes

Participate in daily clinical huddles, participates in Lean Daily Management, and daily and weekly case conferences with the clinical teams as needed

Qualifications

Education

LPN/According to state licensure regulations

Experience

Minimum of 3 years home care case management experience with strong knowledge base in navigating medical comorbidities

Licensure, Certification, Registration

LPN, According to state licensure regulations

We take great care of careers.

 

With locations around the state, Hartford HealthCare offers exciting opportunities for career development and growth.  Here, you are part of an organization on the cutting edge – helping to bring new technologies, breakthrough treatments and community education to countless men, women and children.  We know that a thriving organization starts with thriving employees-- we provide a competitive benefits program designed to ensure work/life balance.  Every moment matters.  And this is your moment.

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