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Posted: 26-May-23
Location: Wesley Chapel, Florida
Salary: Open
Categories:
Internal Number: 23019169
Description
All the benefits and perks you need for you and your family:
- Benefits from Day One
- Paid Days Off from Day One
- Student Loan Repayment Program
- Career Development
- Whole Person Wellbeing Resources
Our promise to you:
Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.
Schedule: Full Time
Shift: Days
Location: 2600 Bruce B. Downs Blvd Wesley Chapel, Florida 33544
The community you’ll be caring for: AdventHealth Wesley Chapel
- From state- of- the- art equipment to the most intricate building details, AdventHealth Wesley Chapel was designed from the ground up to maximize healing, patient care and wellness
- Recognized as leader in patient satisfaction and was named Top 100 Hospital in Modern Healthcare Magazine by IBM Watson Health
- 50,000 sq ft community Health & Wellness Center
- Comprehensive women’s health center named Inspiration Place that incorporates female physician specialists, women’s imaging, pelvic floor and female physical therapy and a boutique spa.
- Consistently named a Top Workplace in Tampa Bay by the Tampa Bay Times
- AdventHealth Wesley Chapel has been named to Healthgrades Top 250 Hospitals list. This places them in the top 5% of hospitals in the country for superior clinical performance and excellence
- Opened an offsite 24 bed, 24/7 emergency room in Central Pasco to better serve the emergency health needs of residents in west and central Pasco
The role you’ll contribute:
Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all. The Transitional Care Coordinator, in partnership with patients, caregivers, physicians, nursing and the multidisciplinary healthcare team, utilizes professional skills to reduce unnecessary readmissions. Coaches patients and families in disease self-management and establishes plans for safe and effective transfers in the movement of patients across the continuum of care. Promotes and evaluates the effective utilization of resources using current clinical knowledge, awareness of community services to achieve optimal clinical and resource outcomes.
PRIMARY CUSTOMERS, PARTNERS, AND TEAM:
At AdventHealth Wesley Chapel, our primary customers are patients and families. Our partners are the physicians and our team members are all the employees of AdventHealth Wesley Chapel.
The value you’ll bring to the team:
- Identifies patients with high risk conditions and circumstances for readmission and facilitates decision-making and communication to ensure resolution of care issues and provide comprehensive discharge plan with the goal of preventing readmissions (i.e. Heart failure, COPD, Pneumonia, Acute Myocardial Infarction patients, Joint replacement, and CVAs ; dressing changes; care of internal devices; what constitutes an emergency and when to notify the physician) with the patient and/or family using the ‘teach back” method.
- Reinforce medication education given by Nursing and Pharmacist for population identified in #1 (coordinate with Nursing and Pharmacy).
- Coordinate care of patients at risk for readmission from admission through 30 days post-discharge for defined patient population. Provide telephone reinforcement of the discharge plan and problem solving after discharge. Will contact patients that fall within a defined diagnosis. Reinforces education with the patient/family on plan of care and expected outcomes. Documents patient education in the electronic medical record (EMR).
- Reviews and does an analysis of readmission prevention process.
- Complete monthly reports on readmissions that includes the causes of readmission (such as related/unrelated) and the percentage of readmissions.
- Participation in Readmissions meetings and webinars; assist in education of nursing staffing concerning readmissions.
- Demonstrates knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient’s status. Possess the ability to interpret the appropriate information needed to identify each patient’s requirements relative to his/her age-specific needs and to provide the care needed.
- Successfully manage a large patient load (26+ per month).
The expertise and experiences you’ll need to succeed:
EDUCATION AND EXPERIENCE REQUIRED:
- Associate of Arts in Nursing or Diploma in Nursing upon hire
- 3 years of experience in acute care upon hire
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
- Current Florida RN license upon hire
