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Presbyterian Village North
Care Transitions Nurse - RNPresbyterian Village North • DALLAS, TX, US
Care Transitions Nurse - RN

Care Transitions Nurse - RN

Presbyterian Village North • DALLAS, TX, US
5 days ago
Job type
  • Temporary
Job description
Presbyterian Village North is immediately hiring for a Care Transitions Nurse - RN in our Skilled Nursing Department.
Shift:
Monday - Friday 8:00 am - 5:00 pm
Plus on-call rotation every 5th week, (Monday thru Sunday - all shifts) $250.00 on-call payment
The Care Transitions Nurse is responsible for reviewing qualified hospital referrals for admission, assessing patient needs at the time of referral, and continuously communicating with the admissions team for the patient's plan of care. The Care Transitions Nurse is also responsible for communicating with Clinical Liaisons and the Admissions Coordinator on patient referrals.
Responsibilities:
  • Maintain admissions and re-admissions of residents including physician orders and admission assessments.
  • Provides clinical review and response of all hospital referrals as provided by the Admission Coordinator and Clinical Liaison in 30 minutes or less
  • Prioritizes incoming referrals on all clinical reviews for timely and quick response to the Admissions Coordinator and Clinical Liaison based on discharge plan
  • Reviews MAR/TAR and communicates cost outliers and special needs with nursing before approving admission
  • Communicates known clinical needs, based on a review of clinical records, to the nursing team to prepare for resident admission
  • Completes Preadmission Screening in EHR outlining patient care on approved admissions before the admission
  • Initiates Interim Care Plan in EHR
  • Meets with new residents after admission to determine needs are met
  • Communicates with the attending physician and/or NP on specified needs for new admissions
  • Assist with admission, when necessary, as instructed by the Healthcare Administrator or Director of Nursing
  • Assists with the Discharge Planning Process
  • Coordinates and makes Post Discharge calls
  • Tracks Rehospitalizations in the EHR
  • Maintains current knowledge of the community's clinical capabilities and staffing levels
  • Adheres to professional code of ethics.
  • Performs other tasks as assigned by the Director of Nursing
  • Staffing On-Call Rotation (every 5th week - Mon.-Sun., all shifts) + on-call pay

Educational Requirements and Experience:
  • Current Registered Nursing license in good standing
  • Two years of admissions experience in a Long Term Care setting preferred
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Care Transitions Nurse - RN • DALLAS, TX, US

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