Number of Applicants
:000+
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Major Areas of Responsibilities:
Patient and Family Educator: Educates the patient and family on the disease process. Promotes and maintains patient health and independence through teaching and appropriate rehabilitative measures, while assisting patients in learning appropriate self -care techniques. Advocates for patient and ensures participation in care planning and goals of care.
Plan of Care: Assists patients through managing their Plan of Care and observes and monitors their conditions and perform necessary assessments. Performs patient comprehensive assessments and collaborates with patient multi -disciplinary care team (PT, OT, ST, MSW, and paraprofessionals) to develop, modify, and implement an individualized patient plan of care, per physician orders that ensures quality treatment, proper discharge planning and achieves desired outcomes and goals.
Collaboration: Helps to achieve and maintain continuity of patient care by communicating information, including changes in plan of care, new orders, lab results, and new referrals promptly. Engages other care team members when necessary to achieve desired patient outcomes. Facilitates interdisciplinary communication and follow up through care coordination. Participates in team meetings and case conferences and leads discussion on multidisciplinary cases as appropriate. Maintains ongoing communication with clinical manager regarding progress of patients for assigned caseload.
License:
Registered Nurse (RN) (Required)
Virginia. Certifications: - CPR
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