COPD Care Navigator & Respiratory Educator

Penn Medicine; Chester (Delaware County); Presencial; USD 70.000 - 100.000; Jornada completa

Descripción de la vacante

Penn Medicine is actively seeking a COPD Navigator to support patients discharged with COPD. As an experienced Respiratory Therapist, you will educate patients, coordinate care with the care team, and connect them with services, resources, and scheduling to manage COPD after discharge.

You will identify readmission risks, provide guideline-based therapies and work across disciplines to optimize transitions to home or skilled facilities.

Formación

• Current license to practice Respiratory Care in the Commonwealth of Pennsylvania. (Required)
• Registered Respiratory Therapist (RRT) (Required)
• COPD Educator credential within one year of hire (Required)
• BLS certification (Required)
• Advanced certifications in Pulmonary Function Testing (RPFT or CPFT), Sleep Disorders Testing and Therapeutic Intervention Specialist (SDS) or Asthma Educator-Certified (AE-C) (Preferred)
• Participation with professional Respiratory Care Associations (Preferred)

Responsabilidades

• In collaboration with the health care team, provide early identification of the COPD patient upon admission
• Deliver disease-specific patient education, including medications, utilizing teach-back methodology
• Promote patient knowledge of health, disease and behavior change
• Perform early assessment that stratifies readmission risk utilizing GOLD guidelines
• Act as a liaison to ensure adherence to evidence-based order set to appropriately treat disease exacerbations with guideline-directed therapies
• Make recommendations for therapy modification based on guidelines
• Collaborate across disciplines and the continuum of care to optimize transition to home or skilled facility and address transition of care barriers
• Perform an interview and chart review assessment of all COPD admissions to identify barriers to disease management at home and contributing factors to readmission
• Work with appropriate team members to overcome or resolve
• Assist in identification of patients for whom a goals of care conversation or palliative consult should be considered and communicate this to the care team
• Act as a liaison to obtain timely referrals to pulmonary rehabilitation, pulmonary consults, smoking cessation and outpatient pulmonary testing as appropriate.
• Communicate with patient’s primary care provider as appropriate and as able, to provide update on patient condition and recommend outpatient testing, pulmonary rehab and follow-up care
• In collaboration with Quality and COPD disease management teams, collect and update statistical data for the COPD quality initiatives
• Collaborate to ensure appointments are made with appropriate health care providers prior to discharge
• Support recruitment and enrollment in post-discharge follow-up program: Breathe Better Together
• Participate and contribute to the work of the multi-disciplinary COPD disease management team
• Support patient and caregiver engagement in Better Breathers Support Group

Conocimientos

Respiratory Therapist

Education

Care coordination

Educación

Associate of Arts or Science

Bachelor of Arts or Science

Descripción del empleo

Penn Medicine is actively seeking a COPD Navigator to support patients discharged with COPD. As an experienced Respiratory Therapist, you will educate patients, coordinate care with the care team, and connect them with services, resources, and scheduling to manage COPD after discharge.

You will identify readmission risks, provide guideline-based therapies and work across disciplines to optimize transitions to home or skilled facilities.