Job Summary

Facilitates cost-effective, high quality patient transitions of care and outcomes by collaborating with staff and providing guidance, education, and support to assigned patients.

Job Responsibilities

• Coordinates and manages discharge planning activities.
• Completes a comprehensive assessment of the patient's overall medical condition, financial status, emotional status, and support system to develop a discharge plan for post hospital care.
• Collaborates with patients, families, and healthcare team members, including physicians and nurses.
• Provides patients and families with information and education on post hospital care options and available resources.
• Facilitates patient referrals to external healthcare facilities and/or other community services
• Ensures all necessary paperwork and documentation are completed accurately and timely
• Monitors patient progress and modifies the discharge plans as necessary
• Communicates with Manager, Director, and/or Physician Advisor on complex discharge planning issues and delays in service.
• Trains new employees, students, or interns as needed.

Qualifications

• Bachelor's degree or higher in Nursing required upon hire
• A minimum of 1 year relevant experience preferred
• RN - Licensed as a Registered Nurse. Eligible to practice nursing in the State of Kentucky required upon hire

Skills and Attributes

• Requires critical thinking skills and decisive judgment.
• Works under minimal supervision.
• Must be able to work in a stressful environment and take appropriate action.

Physical Demands

• Standing: Occasionally
• Walking: Occasionally
• Sitting: Frequently
• Lifting 0-25 lbs: Rarely
• Lifting 25-75 lbs: Never
• Lifting over 75 lbs: Never
• Carrying 0-25 lbs: Rarely
• Carrying 25-75 lbs: Never
• Carrying over 75 lbs: Never
• Pushing/Pulling 0-25 lbs: Rarely
• Pushing/Pulling 25-75 lbs: Never
• Pushing/Pulling over 75 lbs: Never
• Climbing: Rarely
• Bending/Stooping: Rarely
• Kneeling: Rarely
• Crouching/Crawling: Rarely
• Reaching: Occasionally
• Talking: Frequently
• Hearing: Frequently
• Repetitive Foot/Leg Movements: Never
• Repetitive Hand/Arm Movements: Frequently
• Keyboard Data Entry: Frequently
• Running: Never
• Vision: Depth Perception: Frequently
• Vision: Distinguish Color: Frequently
• Vision: Seeing Far: Frequently
• Vision: Seeing Near: Frequently

Owensboro Health Core Commitments

INTEGRITY - We conduct ourselves with a high level of responsibility, reliability and honesty because we take seriously the trust of our patients and coworkers.

RESPECT - We value and accept the unique talents and contributions of every patient, customer and team member in the Owensboro Health community.

TEAMWORK - We build a spirit of connectivity and fellowship by striving together to overcome obstacles, surpass goals, celebrate accomplishments and plan the future.

INNOVATION - We foster original ideas and creative solutions that improve our daily work and promote the mission of Owensboro Health.

SERVICE - We focus on service to patients, customers and team members by anticipating their needs, thoughtfully meeting those needs and continually improving the quality of everything we do.

EXCELLENCE - We reach beyond basic expectations to expand our knowledge and awareness, produce exceptional work and provide outstanding service.