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Post Acute Care Transition RN

Company: Dignity Health - Corporate Service Center
Location: Henderson
Posted on: March 17, 2020

Job Description:

Dignity Health is one of the nation's largest health care systems. As of June 30, 2017, Dignity Health operated more than 400 care centers, including hospitals, urgent and occupational care, imaging and surgery centers, home health, and primary care clinics in 22 states, through its network of more than 9,000 physicians and more than 60,000 employees. Headquartered in San Francisco, CA, Dignity Health is dedicated to providing compassionate, high-quality, and affordable patient-centered care with special attention to those who are poor and underserved. In its fiscal year ended June 30, 2017, Dignity Health provided $2. 6 billion in charitable care and services. More information on Dignity Health is available at www. dignityhealth.org.


Position Summary:

The Post Acute Care (PAC) Transition Nurse is an integral part of the Population Health Care Coordination Team, responsible for ensuring timely and appropriate transition through the continuum of care, from the point of contact through discharge to a home setting on assigned patients.

The PAC Transition Nurse performs this role in such a manner as to meet the individual's health needs while promoting quality and cost effective outcomes. Through assessments to determine unmet needs, the PAC Transition Nurse evaluates and identifies knowledge gaps of disease process and treatments, determines appropriate resources or services required to meet an individual's health needs, provides education/coaching on disease self-management for health promotion and maintenance, monitors patient's progress, promotes quality cost effective outcomes with the goal of improved care coordination amongst providers and increased involvement of the individual/family/caregiver in the decision making process to reduce hospitalizations, readmissions and ER visits.

This position will involve direct patient contact, typically in a post-acute setting, as well as collaboration with acute care coordination, ambulatory care coordination, physicians, post-acute program managers, and post acute service providers.

The PAC Transition Nurse will advocate for the patient and family by identifying and valuing patient goals of care, spiritual needs, cultural, language and socioeconomic barriers to care transitions. In addition, the PAC Transition Nurse will protect confidentiality while striving to achieve high levels of patient satisfaction.


Minimum Qualifications:

* Minimum of 3 years nursing experience in an acute hospital setting, post-acute setting, or ambulatory care setting required
* Case management, discharge planning, transition management and/or utilization management experience required
* Current Registered Nurse (RN) license.
* Excellent customer service and presentation skills are a must
* Strong interpersonal and written communication skills are essential
* Demonstrated ability to apply analytical and problem solving skills
* Demonstrated ability to manage multiple tasks or projects effectively
* Ability to work independently as needed with a high degree of detail orientation
Ability to work efficiently in a fast-paced environment with changing priorities

Preferred Qualifications:

* Understanding of assessment tools such as InterQual and Diagnosis Related Groups (DRGs) preferred.

Keywords: RN, Registered Nurse, Staff Nurse, Transitions of Care, Care Coordination, Skilled Nursing, SNF, Acute Rehabilitation, Acute Rehab, Population Health, UM, Utilization Management, InterQual, Readmissions, Psychosocial, Home Health, Care Planning, #TOCCareCoord

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Equal Opportunity
Dignity Health is an Equal Opportunity/ Affirmative Action employer committed to a diverse and inclusive workforce. All qualified applicants will be considered for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, marital status, parental status, ancestry, veteran status, genetic information, or any other characteristic protected by law. For more information about your EEO rights as an applicant, please click here.
Dignity Health will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. 41 CFR 60-1.35(c).

External hires must pass a post offer, pre-employment background check/drug screen. Qualified applicants with an arrest and/or conviction will be considered for employment in a manner consistent with federal and state laws, as well as applicable local ordinances, ban the box laws, including but not limited to the San Francisco and Los Angeles Fair Chance Ordinances.
If you need a reasonable accommodation for any part of the employment process, please contact us by telephone at
(415) 438-5575
and let us know the nature of your request. We will only respond to messages left that involve a request for a reasonable accommodation in the application process. We will accommodate the needs of any qualified candidate who requests a reasonable accommodation under the Americans with Disabilities Act (ADA).
Dignity Health participates in E-verify.

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Keywords: Dignity Health - Corporate Service Center, Henderson , Post Acute Care Transition RN, Healthcare , Henderson, Nevada

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