Transition of Care Nurse
4 weeks ago
Job Summary:
The Care Coordinator RN at Family Health Center plays a vital role in ensuring a seamless transition for patients from hospital to home. As a key member of the Transitions of Care Team, this nurse is responsible for managing high-risk patients and developing comprehensive care plans to prevent hospital readmissions and improve patient outcomes.
Key Responsibilities:
- Collaborate with healthcare teams to develop individualized care plans, considering patient medical conditions, medications, and treatment plans.
- Provide patient education on care plans, medications, and follow-up care to ensure understanding and compliance.
- Review and update medication lists, addressing discrepancies and potential interactions to ensure safe medication management.
- Act as a liaison between healthcare providers, ensuring timely communication of relevant medical information.
- Coordinate follow-up care, including scheduling appointments and services, and advocating for patient needs and preferences.
Requirements:
- Graduate of an accredited school of nursing, with a BS in Nursing preferred.
- Two years of full-time professional experience or part-time equivalent.
- Current RN or LPN licensure in Massachusetts and BLS certification.
About Family Health Center:
Family Health Center is a leading healthcare provider, committed to delivering high-quality care and improving patient outcomes. As a member of our team, you will have the opportunity to make a meaningful difference in the lives of our patients and contribute to our mission of providing exceptional healthcare services.
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