Assessment/Reassessment/Planning
Participates in patient and bedside staff rounding in the emergency department.
Completes geriatric specific patient screenings and functional assessment at the beginning of the shift.
Conducts clinical surveillance to ensure appropriate referrals were completed as appropriate and escalates identified opportunities to appropriate personnel in order to meet the patient's needs.
Identifies actual or potential patient safety risks.
Collects information about potential discharges by review of information from the shift report, patient, family interview and collaboration with physicians and the health care team.
Reassesses patient needs when clinically warranted.
Identifies potential barriers to discharges and transfers.
Involves the physicians, staff and other healthcare team members in the development of a plan to manage patient throughout transitions of care.
Incorporates information about patient needs in planning.
Patient Care Coordination
Establishes and coordinates a supportive care plan with goals and interventions based on treatment and individual patient / service provider needs. Recommends changes or new processes to increase patient satisfaction in navigating across the healthcare system for services.
Works closely with service providers, advocating and representing the patient with a focus on the patient's satisfaction with the clinical aspects of their treatment experience. Identifies and works to remove barriers to the plan of care as appropriate.
Analyzes patient satisfaction reports and metrics regarding clinical treatment and patient understanding of their care plan. Pro-actively identifies problems in processes and clinical operations affecting patient satisfaction. Collaborates with clinical team to develop improvement processes to increase patient satisfaction.
Coordinates clinical and non-clinical resources based upon patient's diagnosis, insurance coverage and community programs. Applies clinical knowledge to explain treatment options. Identifies patient's preferences, and any barriers to the treatment plan implementation.
Collects, evaluates, and presents meaningful use and / or relevant operational or clinical data to leadership.
Establishes recommendations for follow up and action plans for improvement in clinical areas.
Assists in developing a culture oriented around patient satisfaction. Participates in relevant committees, task forces, coalitions, associations, and meetings to represent the clinic and the patients. May participate on teams for improvements in clinical applications, in conjunction with workflows.
Liaisons with clinicians and departments, proposes improvements to workflows; facilitates improved coordination of care based on patient's treatment plan and each practice's scheduling requirements.
Anticipates and initiates coordination activities; provides road maps for patients to set expectations and coordinate care in alignment with patient's needs. May include reviewing clinical case with provider team
to schedule evaluation services.
Knowledge of emergency medical services Strong organizational and interpersonal skills
Ability to determine appropriate course of action in more complex situations
Ability to work independently, exercise creativity, be attentive to detail, and maintain a positive attitude Ability to manage multiple and simultaneous responsibilities and to prioritize scheduling of work Ability to maintain confidentiality of all medical, financial, and legal information
Ability to complete work assignments accurately and in a timely manner Ability to communicate effectively, both orally and in writing
Ability to handle difficult situations involving patients, physicians, or others in a professional manner
BSN required, MSN preferred
Minimum 3 years experience in a hospital emergency department and 2 year recent acute care experience