Router Navigate With Query Params Angular 16 Jobs in Usa
3,913 positions found — Page 2
The Emergency Department Navigator does not provide clinical care and does not extend or substitute for the more specialized services of a doctor, nurse, or social worker.
Responsibilities: Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
Bridge cultural barriers between communities and the healthcare system Provide culturally appropriate and accessible health education and information Assure that people get the services they need Provide informal counseling and social support Advocate for individuals and communities within the health and social service system Identify barriers and circumstances that led the patient to the emergency department Navigate the complex healthcare system by: Providing patient with information and linkage to a primary care provider if patient does not have a provider Scheduling follow-up appointment with provider that patient will keep Providing patients and family caregivers with information and linkages to health and social support services including discounted prescription medications and transportation Providing patients with complex needs with direct referrals to the Community-based Community Health Workers for continued follow-up and assistance in the community Contacting patient within 48 hours of discharge as follow-up Understand about medical homes and the proper use of primary care and the Emergency Department.
Develop Navigation and Accountability Plan Excellent customer friendliness and communication Know available Community Resources and how to refer appropriately to identify needed services.
Perform all other duties as assigned.
Requirements: Education/Skills High School Diploma or equivalent required Associate or Bachelor's Degree preferred Bilingual (Spanish) preferred Experience Healthcare background preferred.
Licenses, Registrations, or Certifications BLS preferred Work Schedule: PRN Work Type: Per Diem As Needed
Doctor of Medicine | Oncology - General/Other
Location: Boston, MA
Employer: GHR Healthcare
Pay: $16,330 to $17,500 per week
Shift Information: 5 days x 8 hours
Contract Duration: 26 Weeks
Start Date: ASAP
About the Position
LocumJobsOnline is working with GHR Healthcare to find a qualified Oncology MD in Boston, Massachusetts, 02118!
Locum Tenens Medical Oncologist – Outpatient Solid Tumor (GI Focus) – Boston, MA
Locum Tenens Medical Oncologist in Boston, MA – outpatient solid tumor oncology (GI focus), Board Eligible/Board Certified, 6-month locum opportunity in the 02118 medical district.
Job Details
- Location: Boston, MA 02118 (central Boston healthcare district; easy access to public transit and major hospitals)
- Employment Type: Locum Tenens / Travel Contract
- Setting: Outpatient Oncology Clinic – solid tumor oncology and infusion clinic
- Schedule: Monday – Friday, 8:00am – 5:00pm (8-hour shifts)
- Hours per Week: 40
- Duration: 6 months (with opportunity to extend)
- Call: No call, no weekends
- Compensation: $700/hour; estimated weekly salary range $16,330 - $17,500
Qualifications / Job Requirements
- MD, MD/PhD, or DO degree
- Board Eligible or Board Certified in Medical Oncology
- Minimum 2 years of post-fellowship clinical experience in medical oncology with solid tumor expertise (GI oncology preferred)
- Licensed or eligible for medical license in Massachusetts
- BLS certification required
- Experience with outpatient infusion and chemotherapy management
- Proficiency with EPIC or similar EMR systems
- Strong interdisciplinary communication skills; experience collaborating with APPs and multidisciplinary teams
Key Responsibilities
- Provide comprehensive outpatient oncology care for adult patients with solid tumors, including GI malignancies
- Conduct new patient consultations, follow-up visits, and develop/implement treatment plans
- Manage chemotherapy and infusion visits in clinic/infusion 3 days per week
- Allocate 2 days per week for administrative duties, urgent onsite management, and care coordination
- Document thoroughly and maintain accurate patient records in EPIC
- Participate in tumor board meetings and multidisciplinary care planning
- Collaborate with inpatient teams to provide oncologic guidance for admitted patients as needed
- Stay current with oncology best practices, clinical guidelines, and emerging therapies in solid tumor oncology
This locum tenens oncology role is an excellent opportunity for medical oncologists seeking outpatient solid tumor experience in a top-tier Boston healthcare environment. If you are an experienced Medical Oncologist (Board Eligible/Board Certified) with solid tumor and infusion clinic experience, apply now to join our oncology team.
Apply now — join our Boston oncology team today and advance your career in outpatient solid tumor care.
BenefitsGHR Healthcare offers 401K with Matching, Healthcare, Dental and Vision to Employees. Company paid malpractice is available for 1099 Contractors. Weekly Direct Deposit is a standard benefit for both employees and contractors.
Equal OpportunityWe are an equal opportunity employer and value diversity across our organization. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
About GHR Healthcare
At GHR Healthcare Locums, we do more than fill jobs—we create opportunities that fit your life. With over 30 years of experience, we connect physicians, advanced practice providers and CRNA's with high-quality locum tenens assignments across the country. From top-tier pay to seamless support with licensing, travel, and credentialing, we make every step easy. Whether you're seeking flexibility, freedom, or a fresh start, we’re here to get you where you want to go—on your terms.
1715123EXPPLAT
Join our Fiesta Mart Store Operations Team as a Checker - 004 Houston-Spencer Hwy (ages 16-17)!
Store Location 1603 Spencer Hwy. S. Houston, Texas, 77587 United States
Proudly celebrating the spirit of Texas, Fiesta Mart combines flavors from around the world with fresh, quality products aimed at diverse communities in Houston, Dallas-Fort Worth and Austin. For over 50 years, our stores have provided customers with an eclectic assortment of international products, authentic in-house service departments and quality perishable items.
Fiesta is a proud corporate citizen supporting local charities, educational programs and special events, working with community leaders and citizens on various mission-based programs and projects. As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do. Our team is continually looking for talented individuals to bring our mission to life. Your success starts here!
What We Bring
- 401(k) Retirement Benefit
- Continuing Education Benefits
- And Much More!
What You'll Bring
- Read and write Spanish/English, interact with general public and co-workers.
- Read and comprehend simple instructions, product labels, product pricing codes, shelf tags, short correspondence, and memos.
- Write simple correspondence.
- Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
- Regularly lift and/or move up to 25 pounds, frequently lift and/or move up to 45 pounds, and occasionally lift and/or move up to 60 pounds.
It Would Be Extra Awesome if you brought...
- Basic PC/Outlook skills
- Retail Management Certificate
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
Store 067 Dallas West Bolt
Do you?
- Provide excellent Customer Service?
- Love your Community?
- Love Food?
Join our Fiesta Mart Store Operations Team as a Utilities Clerk - 067 Dallas Fort Worth-West Bolt (ages 16-17)!
Store Location
421 W. Bolt St.
Ft.Worth, Texas, 76110
United States
Who We Are
Proudly celebrating the spirit of Texas, Fiesta Mart combines flavors from around the world with fresh, quality products aimed at diverse communities in Houston, Dallas-Fort Worth and Austin. For over 50 years, our stores have provided customers with an eclectic assortment of international products, authentic in-house service departments and quality perishable items.
Fiesta is a proud corporate citizen supporting local charities, educational programs and special events, working with community leaders and citizens on various mission-based programs and projects.
As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do.
Our team is continually looking for talented individuals to bring our mission to life. Your success starts here!
What We Bring
- 401(k) Retirement Benefit
- Continuing Education Benefits
- And Much More!
What You'll Bring
Candidates should possess the ability to:
- Read and write Spanish/English, interact with general public and co-workers.
- Read and comprehend simple instructions, product labels, product pricing codes, shelf tags, short correspondence, and memos.
- Write simple correspondence.
- Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
- Regularly lift and/or move up to 25 pounds, frequently lift and/or move up to 45 pounds, and occasionally lift and/or move up to 60 pounds.
It Would Be Extra Awesome if you brought...
- Basic PC/Outlook skills
- Retail Management Certificate
The Opportunity
To assist in the proper maintenance of the store, particularly in the Produce Department and assist customers on the store floor as needed.
The Utilities Clerk will properly bag groceries for customers when needed. If requested, they will carry out groceries for customers. The Utilities Clerk is responsible for the store maintenance to ensure the store is clean and safe at all times. They will maintain and retrieve store carts, run price checks, assist with go-backs, assist with check stand upkeep, and remove waste from the parking area.
The working environment is typical for a fast-paced grocery store, and essential functions of this job include physical requirements such as lifting, standing, walking and kneeling as well as visual and auditory requirements. For more information, including whether reasonable accommodations may be necessary and/or available, please reference the complete job description for the position located in the store.
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
Join our Fiesta Mart Store Operations Team as a Dairy Deli Frozen Clerk - 061 Dallas Fort Worth-8th Ave (ages 16-17)!
Store Location 2700 8Th Ave. Ft.Worth, Texas, 76110 United States
Proudly celebrating the spirit of Texas, Fiesta Mart combines flavors from around the world with fresh, quality products aimed at diverse communities in Houston, Dallas-Fort Worth and Austin. For over 50 years, our stores have provided customers with an eclectic assortment of international products, authentic in-house service departments and quality perishable items.
Fiesta is a proud corporate citizen supporting local charities, educational programs and special events, working with community leaders and citizens on various mission-based programs and projects. As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do. Our team is continually looking for talented individuals to bring our mission to life. Your success starts here!
What We Bring
- 401(k) Retirement Benefit
- Continuing Education Benefits
- And Much More!
What You'll Bring
- Read and write Spanish/English, interact with general public and co-workers.
- Read and comprehend simple instructions, product labels, product pricing codes, shelf tags, short correspondence, and memos.
- Write simple correspondence.
- Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
- Regularly lift and/or move up to 25 pounds, frequently lift and/or move up to 45 pounds, and occasionally lift and/or move up to 60 pounds.
It Would Be Extra Awesome if you brought...
- Basic PC/Outlook skills
- Retail Management Certificate
The Opportunity
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
Job Category: Operations
Requisition Number: CUSTO001283
Location: Port Wentworth, GA 31407, USA
Job DetailsCustomer Service Representative
Job Description
At Parker's, we believe our company is only as successful as our team. That's why we offer competitive wages and provide our team with the training and tools they need to maintain the integrity of the Parker's brand. We're proud that more than 85% of our Store Managers, District Leaders, and Corporate Support Team have been promoted from within, underscoring our commitment to developing talent and making a long-term investment in our team members.
Here are some of the great benefits of working at Parker's Kitchen:
Competitive Pay - In addition to a competitive salary, you will work in a supportive team where you will have the opportunity to learn about a leading business model and people skills.
Flexible scheduling - We understand you have commitments outside of work. We will try to arrange your work schedule around them.
Telemedicine is free for all part-time employees and any full-time employees enrolled in a Parker's medical plan, a monthly plan is available for uninsured employees.
Leadership Training - At Parker's, we love developing your skills to be the next leader. We offer this leadership program for free! Come discuss this opportunity as well as our Career Path.
Employee Assistance Program: This includes several resources including: Legal, Financial, Work/Life and Parent Guidance along with Health Management Tools.
Free drinks and 50% off Parker's prepared food while at work!
Child Care Assistance- All FT Parker's Employees are eligible for $5,000 for childcare per employee* Conditions apply
Receive a raise after 60 days of employment
Paid personal Time Off granted on your first day of employment* Conditions apply
Free Life Insurance equaling 1x your annual salary
Tickets at work
Pet Insurance - Pets are family! We offer coverage for all of your loved ones, including your fur-babies.
401K & Health Benefits
As a Customer Service Representative at Parker's Kitchen, you are the face of the company while you process each customer's order quickly, accurately, and efficiently while ensuring complete customer satisfaction through prompt and friendly service. As a cashier, Parker's Kitchen looks to you to accurately handle customer cash, credit/debit payments, and assist customers by providing information and resolving their complaints. You will maintain knowledge of all items, give customers direction on product location throughout the store, and maintain excellent communication with front-end leaders at all times. You will ensure that checkout areas are properly maintained in a clean and orderly condition and achieve all other related duties as assigned.
Retail Customer Service Representative is responsible for:
Providing a fast and friendly customer service experience every visit.
Ability to operate front end equipment; register, calculator, scanner.
Cash handling, fuel transactions, and retail shift duties as assigned.
Cashier responsible for alcohol, tobacco, lottery sales, and other age-regulated products.
Ability to blend problem solving and decision making to positively impact the guest experience and resolve guest concerns
Demonstrate a culture of ethical conduct, safety, and compliance.
Welcoming and helpful attitude toward guests and other team members
Attention to detail while multitasking
Requirements to be a Retail Customer Service Representative:
Accurately handle cash register operations and cash transactions
Requires strong attention to detail and proficiency with numbers; proficient in cash handling and mathematical skills; ability to read, write and count.
Have and show an outgoing and friendly behavior, a positive attitude and the ability to interact with our customers.
Ability to multitask, perform repeated bending, standing, reaching, and occasionally lift up to 50 pounds
Must be at least eighteen years old to work on store-side. (Can be 16 to work in our kitchens)
Parker's is committed to providing an employee-focused environment in which people are excited about their contributions being valued, successes being recognized, and for many opportunities for advancement.
Reference checks will be conducted on all candidates. Successful candidates must pass a standard background check. Parker's is an equal opportunity employer.
Do you?
- Provide excellent Customer Service?
- Love your Community?
- Love Food?
Join our Fiesta Mart Store Operations Team as a Checker - 079 Houston-Westheimer (ages 16-17)!
Store Location 12584 Westheimer Rd. Houston, Texas, 77077 United States
Proudly celebrating the spirit of Texas, Fiesta Mart combines flavors from around the world with fresh, quality products aimed at diverse communities in Houston, Dallas-Fort Worth and Austin. For over 50 years, our stores have provided customers with an eclectic assortment of international products, authentic in-house service departments and quality perishable items.
Fiesta is a proud corporate citizen supporting local charities, educational programs and special events, working with community leaders and citizens on various mission-based programs and projects. As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do. Our team is continually looking for talented individuals to bring our mission to life. Your success starts here!
What We Bring
- 401(k) Retirement Benefit
- Continuing Education Benefits
- And Much More!
What You'll Bring
Candidates should possess the ability to:
- Read and write Spanish/English, interact with general public and co-workers.
- Read and comprehend simple instructions, product labels, product pricing codes, shelf tags, short correspondence, and memos.
- Write simple correspondence.
- Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
- Regularly lift and/or move up to 25 pounds, frequently lift and/or move up to 45 pounds, and occasionally lift and/or move up to 60 pounds.
It Would Be Extra Awesome if you brought...
- Basic PC/Outlook skills
- Retail Management Certificate
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
Store 212 Dallas MLK Blvd
Do you?
- Provide excellent Customer Service?
- Love your Community?
- Love Food?
Join our Fiesta Mart Store Operations Team as a Checker - 212 Dallas Fort Worth-MLK (ages 16-17)!
Store Location
3230 Mlk Jr Blvd.
Dallas, Texas, 75210
United States
Who We Are
Proudly celebrating the spirit of Texas, Fiesta Mart combines flavors from around the world with fresh, quality products aimed at diverse communities in Houston, Dallas-Fort Worth and Austin. For over 50 years, our stores have provided customers with an eclectic assortment of international products, authentic in-house service departments and quality perishable items.
Fiesta is a proud corporate citizen supporting local charities, educational programs and special events, working with community leaders and citizens on various mission-based programs and projects.
As part of the Chedraui USA group of companies, our mission is to provide customers with an exceptional shopping experience with the freshest selection available across all our retail banners, and our people are at the heart of what we do.
Our team is continually looking for talented individuals to bring our mission to life. Your success starts here!
What We Bring
- 401(k) Retirement Benefit
- Continuing Education Benefits
- And Much More!
What You'll Bring
Candidates should possess the ability to:
- Read and write Spanish/English, interact with general public and co-workers.
- Read and comprehend simple instructions, product labels, product pricing codes, shelf tags, short correspondence, and memos.
- Write simple correspondence.
- Effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
- Apply common sense understanding to carry out detailed but uninvolved written or oral instructions.
- Regularly lift and/or move up to 25 pounds, frequently lift and/or move up to 45 pounds, and occasionally lift and/or move up to 60 pounds.
It Would Be Extra Awesome if you brought...
- Basic PC/Outlook skills
- Retail Management Certificate
The Opportunity
Under direct supervision of the Front End Supervisor, the Checker is responsible for maintaining outstanding customer service as per company standards, processing sales quickly, accurately and efficiently, performing cash register operations and safeguarding company assets. Must be able to bend, stand and stoop for prolonged periods of times.
The working environment is typical for a fast-paced grocery store, and essential functions of this job include physical requirements such as lifting, standing, walking and kneeling as well as visual and auditory requirements. For more information, including whether reasonable accommodations may be necessary and/or available, please reference the complete job description for the position located in the store.
Our company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability, or genetics.
$40.45 - $62.70 - The hourly pay rate offered is determined by a candidate's expertise and years of experience, among other factors.
Position Highlights:
* Position: RN Patient Care Navigator
* Location: Skokie, IL
* Full Time: 40 hours
* Hours: Monday-Friday, 8:00a-4:30p rotating every 3rd weekend
* I winter holiday (Thanksgiving, Christmas, New Year) and 1 summer (Labor Day, July 4th, Memorial Day) coverage
* Required Travel: Highland Park, Glenbrook, Evanston, Swedish based on clinical needs, less than 1%
A Brief Overview:
The RN Transitional Care Navigator (Population Health) is responsible for the case management, care coordination management, and utilization management of his/her population of patients across multiple care levels and settings. Serves as a catalyst to promote patients understanding their diagnosis, treatment options, and available resources and ensure that they are connected with the optimal resources across the continuum of care. This role will coordinate and facilitate smooth and safe care transitions while ensuring quality cost-effective patient outcomes. Serves as a liaison between their patient population and all other providers. Will be responsible for key metrics of success, which include improving the overall cost of care, length of stay optimization, reduction in excess days, reduction in SNF utilization and improvement in SNF care transitions, reduction in 30-day readmission rate and ED utilization.
What you will do:
* Guides high-risk patient and family through the health system from diagnosis, testing, treatment and follow-up care to assist patients with navigating the continuum of care. Eliminates barriers to patient's access to health care services and facilitates continuity of care/care coordination.
* Establishes and documents an individualized plan of care for assigned patients using evidence-based treatment guidelines considering the patients individual health goals with a focus on wellness, health management, disease prevention and chronic disease management.
* Partners with the healthcare team to ensure clinical decision-making, implementation of recommendations, and discharge planning are timely and appropriate.
* Performs daily coordination between multiple departments, multi-disciplinary team, medical clinics, and community outreach to gain knowledge of patient, assure patient safety, smooth transitions of care, and manage utilization and total cost of care.
* Acts as advisor/educator by partnering with social work in providing emotional support including goals of care and counseling. Provides and/or arranges clinical education including medication management, community resources, financial resources, and expert guidance to patients and families to promote their ability to understand and meaningfully participate in the healthcare process and personal decision-making.
* Facilitates appointments for appropriate consultations and support services within established protocols
* Completes Utilization Management for assigned patients.
* Applies Milliman Care Guidelines (Indicia) criteria to monitor appropriateness of admissions and continued stays and documents findings based on Department standards.
* Monitors LOS and ancillary resource use on an ongoing basis. Takes actions to achieve continuous improvement in both areas.
* May need to travel to visit the patient at home from time to time.
* Available to his/her assigned patient population and participates as part of a call coverage structure.
* Participates in the collection and analysis of data to identify under/over utilization; improve resource consumption; promote potential reduction in cost; and enhance quality of care consistent with organization strategic goals and objectives.
*
What you will need:
* Bachelors Degree Health Administration Required Or
* Bachelors Degree Nursing Required
* 3 Years Utilization review, discharge planning, case management or disease management preferred. Nursing experience in home services, ambulatory services working with high-risk patients beneficial.
* 2 Years Clinical nursing experience preferred.
* Adheres to and practices in alignment with contemporary standards of care as established by leading professional organizations, including but not limited to the American Academy of Ambulatory Care Nursing (AAACN), the American Case Management Association (ACMA), and the Case Management Society of America (CMSA).
* Interacts with and contributes to professional development of peers and other health care providers as colleagues. Shares knowledge and provides feedback with peers to contribute to an environment supportive of clinical education.
* Knowledge of InterQual or MCG criteria preferred.
* Clinical certification, such as case management certification, is beneficial.
* Able to communicate and work collaboratively with a range of stakeholders and team members.
* Knowledge of community resources.
* Experience with Microsoft Office Suite.
* Strong interpersonal and oral communication skills.
* Strong computer and data entry skills.
* Experience with Electronic Medical Record (EMR) platform preferred.
* Proven leadership skills.
* Ability to work independently, setting priorities to coordinate care plan efficiently.
* Registered Nurse (RN) - Illinois Department of Financial and Professional Regulation (IDFPR) Required And
* Certified Case Manager (CCM?) - Commission for Case Manager Certification (CCMC) Preferred Or
* Ambulatory Care Nursing (RN-BC) - American Nurses Credentialing Center (ANCC) Preferred And
* BLS - Basic Life Support (CPR and AED) - American Heart Association (AHA) Required
Benefits (for full and part time positions):
* Premium pay for eligible employees.
* Career Pathways to Promote Professional Growth and Development
* Various Medical, Dental, and Vision options
* Tuition Reimbursement
* Free Parking at designated locations
* Wellness Program Savings Plan
* Health Savings Account Options
* Retirement Options with Company Match
* Paid Time Off
* Community Involvement Opportunities
Endeavor Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights) Skokie and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. For more information, visit you work for Endeavor Health, you will be part of an organization that encourages its employees to achieve career goals and maximize their professional potential.
Please explore our website ( ) to better understand how Endeavor Health delivers on its mission to "help everyone in our communities be their best".
Endeavor Health is committed to working with and providing reasonable accommodation to individuals with disabilities. Please refer to the main career page for more information.
Diversity, equity and inclusion is at the core of who we are; being there for our patients and each other with compassion, respect and empathy. We believe that our strength resides in our differences and in connecting our best to provide community-connected healthcare for all.
EOE: Race/Color/Sex/Sexual Orientation/ Gender Identity/Religion/National Origin/Disabil
The Cardiac Nurse Navigator is a member of the healthcare team and is responsible for coordinating, communicating and facilitating the care of selected patients with primary cardiac care needs.
The navigator is accountable for a designated case load determined by the careful daily selection of eligible patients.
They assess, plan, and facilitate, with patients/families and healthcare professionals involved in the patient's care to meet treatment goals, and arrange for the appropriate next steps.
Oversees Interfacility Coordination and handoff between acute & outpatient services.Responsibilties: 1.
Participates in the collaboration with physicians, nursing staff, and interdisciplinary team in the assessment, planning, implementation and evaluation of care for selected patients and their families. - All patients who are admitted for medical care will be screened for potential eligibility to the Cardiac Transitions of Care (TOC) program.
All eligible patients will be enrolled.
- Meets directly with the patient/family to assess needs, based on assessment and prior evaluation from care coordinators/case management and develop an individualized needs assessment.
- Facilitates communication and coordination between members of the health care team and involves the patient/family in the decision making process, in order to minimize fragmentation of services, manage resources and remove barriers to the discharge plan of care.
- Develops a TOC plan, in collaboration with the patient/family, patient caregiver, patient support persons and healthcare team that will provide maximum benefit for each patient.
In addition to aligning with patient quality metrics.
Confirms the patient has a primary care provider, cardiology providers upon discharge and refers appropriately to a primary care provider and/or cardiologist if needed.
- Works collaboratively with all members of the multidisciplinary health care team and community partners for timely and appropriate transitions to the next appropriate level of care.
- Maintains current and up to date information of community resources and refers patients to those community resources which will enhance patient's life and clinical outcomes.
Consults with other community agencies and committees to identify potential resources to support patients and their families.
Will actively work to find community partners.
- Documents and communicates information to the Multidisciplinary Team in order to coordinate and maximize care.
The Electronic Health Record will reflect the needs of the patient, any education needed based on the patient's medical history, coordination of follow-up care, and referral to community services.
- Provides patients and families with community resources and discharge care coordination options.
- Provides appropriate patient and family education regarding diagnosis, treatment, and self-care management and documents outcomes in the medical record.
- Ensures timely follow up appointments with appropriate care providers.
- Participates actively on appropriate workgroups, and/or meetings.
Is a positive problem solver.
Identifies and refers quality issues for review to the cardiac and transition of care team locally.
- Reassesses periodically and evaluates against care goals and the plan of care and, when indicated, the plan or goals are revised.
Medical records reflect that each patient's discharge plan is re-assessed in response to changes in patient's needs and Social Determinants of Health.
- Completes all other necessary duties with attention to detail and in a timely manner.
2.
Monitor readmission rates for Medicare and all payers, and implement needed performance improvement projects to improve scores in collaboration with the cardiac team.
3.
Collaborates with the cardiac team to help ensure that ACC metrics and goals are met.
4.
Other duties and/or projects as assigned.
5.
Adheres to HMH Organizational competencies and standards of behavior.Qualifications: Education, Knowledge, Skills and Abilities Required: 1.
Graduate of an NLN/AACN accredited program in nursing.
2.
Bachelor's Degree or equivalent years of cardiovascular experience.
3.
Minimum 2 years of experience as a registered nurse.
4.
Computer skills to include Google Docs and data entry.
5.
Strong organization and problem solving skills.
6.
Exceptional communication skills to enable communication and collaboration with physicians, patients, families, and ancillary staff.
7.
Excellent critical thinking skills.
8.
Ability to work in a fast paced team environment.
9.
Ability to prioritize and multitask.
10.
Ability to make sound, independent clinical judgements and act professionally under pressure.
11.
Demonstrate ability to provide age appropriate skills, cultural competency and customer service skills and health literacy.
Licenses and Certifications Required: 1.
NJ State Professional Registered Nurse License.
2.
AHA Basic Health Care Life Support HCP Certification.
3.
Advanced Cardiac Life Support Certification.
4.
Certification in area of specialty.
