What are the responsibilities and job description for the RN Advanced Illness Management Nurse/Care Transition Coordinator position at DEPENDABLE HEALTH SERVICES?
Job Description
Job Description
RN Advanced Illness Management (AIM) Nurse / Care Transition Coordinator
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Job Responsibilities :
- Be responsible for the overall clinical and financial operations of the Advanced Illness Management program by mitigating futile hospitalizations and case managing patients with complex illnesses that are high risk.
- Implement and evaluate goals and objectives for advanced illness management that meet and promote high standards of quality clinical care.
- Meet growth and development targets, both clinically and financially.
- Establish and maintain standards of high-quality care and customer service in compliance with federal and state regulations and guidelines.
- May provide skilled professional nursing care to patients abiding by your scope of practices and within regulations by the State Board of Registered Nursing and company policies.
- Assess symptoms and needs and advise on basic treatment.
- Provider education or support to patient’s families and caregivers.
- Participate in advanced care planning.
- Initiate referrals so the patients receives the right care at the right time.
- Collaborate with Nurse Practitioner, PCP, and / or Medical Director to address patient needs.
- Effectively and efficiently provide referrals to other service lines / agencies on patient’s choice.
Registered Nurse Requirements :
Training / Equipment :
IND2 DHH Tuc / Nog
