Nurse Clinician - Carolinas Hospitalist Group - Full Time - AH Union
Core
Coordinate patient discharge planning, follow-up care, and care transitions to prevent readmissions for hospital patients.
Role type
Nurse Clinician (Hospitalist)
Builds
Patient discharge plans and care transition pathways
Domain
Healthcare / Hospital Medicine
Deliverable
physical/clinical work
Required skills
Patient assessment, discharge planning, care coordination, data analysis, critical thinking, patient/family education, prioritization
Preferred skills
ICU or ED experience, BSN degree
Technologies
None stated
Responsibilities
Create focused patient-centric discharge plans; coordinate evaluation, testing, and follow-up with physicians; round with physicians and serve as liaison; assist with patient and family education; ensure scheduled follow-up appointments; participate in performance improvement activities; prioritize and assign patients to providers; coordinate post-discharge care to prevent readmissions; answer post-discharge calls; follow up on pending labs/procedures post-discharge.
Seniority
Mid-level (3+ years experience)