Care Progression Leader (CPL) - Float Pool Acuate Care (Days)

The Registered Nurse performs nursing functions and supervises other RNs, LPNs, and other assistive personnel in the performance of nursing care according to the state nurse practice act. The Registered Nurse assesses patient needs, plans and implements patient care, and evaluates the effectiveness of care provided.

Required Knowledge & Skills

Education: See License/Certification Requirements

Experience: Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Licenses and Certifications

• GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

• HEALTHCARE PROVIDER (CPR)

Supervision

• Supervises and directs work of other RNs, LPNs, and Nurse Techs as appropriate.

Qualifications

• Strong communication skills.

Statement Of Employment Philosophy

Being a part of Tanner Health System is more than a job, it is a promise we make to treat every patient with exceptional service every time they walk through our doors. Service excellence is the foundation of our organizational culture and the expectations we all set for each other, our patients, physicians and our community. All employees agree to abide by a set of service standards. These standards are the promise we make to provide the best care possible, and represent our beliefs, values and who we strive to become. We each commit to making Tanner Health System a great place for our employees to work, for patients to receive care and for physicians to practice medicine.

Functions

Area of Responsibilities

• COMMUNICATION: Demonstrates ability to understand, communicate, lead, and influence others. The Care Progression Leader uses a high degree of diplomacy, confidentiality and tact. Role models an effective interdisciplinary collaborative approach to patient care through interactions with other departments. Coordinates with physicians and primary nurse to communicate to the patient and family the plan of care. Maintains effective communication with nursing leaders. Effectively handles situations in a calm, objective manner and coordinates needed change. Collaborates with and supports other nursing leaders, unit nurses, and the hub. Leads unit care progression rounds to identify barriers to discharge and aligns care team towards discharge goals. Identifies, documents, and escalates barriers to patient progression, as appropriate. Attends escalation rounds to escalate any barriers to progression that require administrative assistance. Communicates service event prioritization and patient preparedness issues to Service

• EFFICIENCY, STANDARDS AND COMPLIANCE: Knowledgeable regarding hospital policy and procedures, regulatory standards, regulatory standards, evidence-based practice guidelines (EMTALA, TJC, CMS, Georgia Board of Nursing, efficiency metrics, etc.) Knowledgeable in the review of patient information within the electronic medical record. Assists director and managers in the identification, coordination and implementation and monitoring of unit specific process improvement opportunities which improve efficiency, minimize errors, improve patient safety and satisfaction, maximize resource utilization and provide a safe work environment. Demonstrates knowledge of own role in patient safety, recognizing unsafe practices. Coordinates patient care activities in collaboration with the hub to ensure appropriate patient placement and level of care. Works collaboratively with unit staff, ancillary services, and support team (CDI, Utilization review and case management) to progress each patient's care towards discharge while assuring quality standards and proactively identifying barriers to discharge. Evaluates discharge needs upon admission, ensuring each patient has a complete discharge plan. refers discharge planning to appropriate role as needed.

• INTERDISCIPLINARY COLLABORATION: Committed to finding solutions to problems rather than blaming others. Demonstrates knowledge of rules, regulations, policies, procedures, standards of nursing practice. Efficiently plans and manages patient progression through the system. Serves as a role model for excellent patient care. Works with primary nurse and case manager on discharge needs barriers for all patients. initiates intervention by UM nurse as needed. Collaborates with UM Nurse to assure that all payor and status requirements are aligned according to patient's clinical progression. Assist Clinical Documentation Specialist in engaging provider to respond to queries clarifying documentation to reflect appropriate severity of illness. Reviews LOS values and working DRG daily and partners with CDI or UM nurses as needed.

• PATIENT PROGRESSION: Ensures that the Care Compass Technology is utilized to update patient progression and barriers to discharge. Coordinates with the nursing units to ensure that all patient updates are charted within the EHR to reflect in the patients care. Collaborates with the hub to ensure appropriate patient placement and level of care (ICU, Med Surg, etc.) Proactively monitors patients in observation or outpatient status to ensure timely discharge or status change consideration. Identifies any unit barriers that may impede department or system-wide patient flow. Collaborates with physicians to ensure patient progression and discharge needs are identified and a plan is developed to address barriers. Identifies potential discharges and updates patient status and planned discharge time. Provides the Hub with visibility to potential unit transfers and notifies in

• EDUCATION AND LEADERSHIP: Assists in provision of education around patient progression. Consults and educates medical and nursing staff regarding status, placement, payor requirements, and utilization of resources. Identifies opportunities to transition patient care to an outpatient setting. Works with unit staff to ensure technology accurately reflects unit and patient status (anticipated transfers, discharges, and patient location). Ensures acknowledgement and completion of Pre-Procedure Requirements (PPRs) prior to testing and or procedures. Ensures paperwork for outbound transfers is completed correctly and sent in a timely manner.

Compliance Statement

• Employee performs within the prescribed limits of Tanner Health System's Ethics and Compliance program. Is responsible to detect, observe, and report compliance variances to their immediate supervisor, the Compliance Officer, or the Hotline.

Required Knowledge & Skills

Education: See License/Certification Requirements

Experience: Two years of related experience. Requires working knowledge of specialized practices, equipment, and procedures.

Licenses and Certifications

• GEORGIA REGISTERED NURSE LICENSE OR MULTISTATE NURSING LICENSE

• HEALTHCARE PROVIDER (CPR)

Supervision

• Supervises and directs work of other RNs, LPNs, and Nurse Techs as appropriate.

Qualifications

• Strong communication skills.

Definitions

The Registered Nurse performs nursing functions and supervises other RNs, LPNs, and other assistive personnel in the performance of nursing care according to the state nurse practice act. The Registered Nurse assesses patient needs, plans and implements patient care, and evaluates the effectiveness of care provided.

Position Responsibilities

Contact with Others: Frequent contacts of a significant nature involving difficult negotiations and technical matters requiring thorough knowledge of organization policies or treatment, plus an ability to understand, communicate with, and to lead, and influence others to obtain willing acceptance, consent, or action. Requires a high degree of diplomacy.

Effect of Error: Probable errors may be serious and involve losses such as improper costs, overpayment, waste of material, damage to equipment, and delay in processing work. Effect usually confined within the organization. Most of work not subject to direct verification or check. Regularly works with some confidential data such as account, salaries, patient medical records, which if disclosed might have adverse internal or external effects.

People Management Responsibilities

Supervisory Responsibility: Has limited supervision over a large section of employees (15 up), i.e. assigns and directs their work; instructs new employees and corrects results, may discuss with supervisor, but has no authority over job content or personnel. Team governance where the Members evaluate, interview, and recommend personnel actions.

Work Environment/Physical Effort

Mental Demands: Work involves a variety of complex problems to be solved under general organization policies. Ingenuity and judgment are required to review facts, plan work, estimate costs, and deal with factors not easily evaluated, interpret results, draw conclusions, and take or recommend action. Solutions to problems often require coordination with other departments.

Working Conditions: Generally pleasant working conditions/normal office environment.

Working Conditions Aspects for Immunizations

Performs tasks involving contact with blood, blood-contaminated body fluids, other body fluids, or sharps (needles): No

Directly works with Patients less than 12 months of age: No

Physical Effort: Light physical effort - Much of work done while sitting but with more than normal standing or walking. Handles light materials intermittently. Office or laboratory work requiring more than normal visual effort.

Physical Aspects

Bending: Occasional = 1% - 33% of the time

Typing: Frequent = 34% - 66% of the time

Manual Dexterity - picking, pinching with fingers etc.: Occasional = 1% - 33% of the time

Feeling (Touch) - determining temperature, texture, by touching: Occasional = 1% - 33% of the time

Hearing: Frequent = 34% - 66% of the time

Reaching - above shoulder: Occasional = 1% - 33% of the time

Reaching - below shoulder: Occasional = 1% - 33% of the time

Visual: Frequent = 34% - 66% of the time

Color Vision: Not required

Speaking: Frequent = 34% - 66% of the time

Standing: Occasional = 1% - 33% of the time

Balancing: Occasional = 1% - 33% of the time

Walking: Frequent = 34% - 66% of the time

Crawling: Not required

Running - in response to an emergency: Occasional = 1% - 33% of the time

Lifting up to 25 lbs.: Occasional = 1% - 33% of the time

Lifting 25 to 60 lbs.: Occasional = 1% - 33% of the time

Lifting over 60 lbs.: Not required

Handling - seizing, holding, grasping: Not required

Carrying: Occasional = 1% - 33% of the time

Climbing: Not required

Kneeling: Occasional = 1% - 33% of the time

Squatting: Not required

Tasting: Not required

Smelling: Not required

Driving - Utility vehicles such as golf carts, Gators, ATV, riding lawnmowers, skid steer, aerial lift: Not required

Driving - Class C vehicles: Not required

Driving - CDL class vehicles: Not required

N95 Respirator usage (PPE): Not required

Hazmat suit usage (PPE): Not required

Pushing/Pulling - up to 25 lbs.: Occasional = 1% - 33% of the time

Pushing/Pulling - 25 to 60 lbs.: Not required

Pushing/Pulling - over 60 lbs. : Not required