RN Admissions & Care Continuum Specialist

SSM Health; Fond du Lac (WI); On-site; USD 65,000 - 90,000; Full time

Job summary

SSM Health is seeking a registered nurse to review and analyze resident referrals, determine the appropriateness of long-term care and infusion services, and coordinate all aspects of transitions from hospital to long-term care.

You will communicate needs and physician orders to clinicians to help establish the plan of care, and provide educational information to case managers, physicians, and hospital staff about qualifying criteria and access to services.

Qualifications

• Graduate of accredited school of nursing or education equivalency for licensing.
• One year experience.

Responsibilities

• Assesses resident care needs by gleaning hospital records and/or referral provided information for information necessary to determine the appropriateness of referral and to initiate resident records.
• Identifies educational needs for residents/significant others.
• Adheres to skilled service regulations of payers.
• Plans for resident care by ensuring that information regarding pending referrals is passed on to nursing supervisors, clinical supervisor or rehab services, and others as necessary in a timely manner.
• Coordinates with nursing supervisors, clinical supervisor or rehab services, and others in initiating care.
• Seeks appropriate orders in planning multidisciplinary care.
• Completes evaluation of care by reassessing residents systematically to identify progress and trends that require intervention; this may include seeing the re-hospitalized resident and/or reviewing their record.
• Communicates with supervisor regarding the cases he/she is managing while awaiting the initiation of care.
• Assesses and discerns environmental factors which are hazardous and/or unsafe and responds according to policy and agency expectation.
• Works in a constant state of alertness and safe manner.
• Performs other duties as assigned.

Education

Graduate of accredited school of nursing or education equivalency for licensing

Job description

SSM Health is seeking a registered nurse to review and analyze resident referrals, determine the appropriateness of long-term care and infusion services, and coordinate all aspects of transitions from hospital to long-term care.

You will communicate needs and physician orders to clinicians to help establish the plan of care, and provide educational information to case managers, physicians, and hospital staff about qualifying criteria and access to services.