Description:
The Advanced Care RN provides direct, comprehensive care for patients and their families in an alternative setting. A true passion for connecting with patients and inviting them into the care team is a key factor for success. The opportunity for this position is to contribute to the creation and refinement of a novel care model while helping reduce hospital admissions, decrease ER utilization, improve patient success, and increase the patient and provider experience.
What You'll Do
- Provides direct nursing care to patients in alternative care settings
- Skills: Lab draws, IV insertion, medication administration
- Engage patients in their healthcare journey and provide meaningful education tailored to the patient
- Establish meaningful connections and trusting relationships with each patient
- Implements multidisciplinary plan of care for patients in Advanced Care program services
- Works closely with the Advanced Care leadership team to support and promote the care redesign of Advanced Care program services developed to provide 24/7 comprehensive care delivered in the home as an alternative to a hospital stay
- Oversees the planning, scheduling, and implementation of day-to-day clinical activities for patients.
- Ensures appropriate DME and services are ordered and initiated in a timely manner.
- Acts as a central point of contact for all navigated patients, including interaction with medical, nursing, and ancillary services.
- Collaborates with medical providers, patient care staff and skilled services in the planning and implementation of patient and education plan.
- Participates in the patient education and engagement; ensures educational goals are on track, actively assess the patient for understanding.
- Monitors patients daily for compliance with the plan of care and tracks order completion and follow up engaging with the patient throughout the episode of care.
- Assist patients and care partners with referrals to community resources and care coordination that can assist with the social determinants of health as needed.
- Monitors patient’s progress to goals in the post 30-day period.
- Designs or participates in the creation of Advanced Care materials (education materials, assessment plans, interdisciplinary plan of care etc).
- Performs miscellaneous job-related duties as assigned
- 4 10-hour shifts
- Shifts will be 8-6 and 11-9 rotating
What You Need
- Certification/Licensure in the State of CO as a Licensed Registered Nurse or licensure from a state participating in the multistate privilege to practice compact with CO
- Minimum of 2 years acute care nursing experience
- BLS
- BSN, preferred