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Behavior Health Social Wk-PRN in Henderson, NC at Maria Parham Health

Date Posted: 11/29/2018

Job Snapshot

Job Description

Maria Parham Health

Responsible for coordinating the hospitalefforts to reduce readmissions by providing care coordination during thehospital stay, education and teach back during the discharge process, follow upphone calls post-discharge, and liaison and coordination with other departments(external and internal) to ensure patients are discharged from hospital in asafe and effective manner. Needs experience in education and in datacollection, review and reporting. Ability to develop plans of careindependently, anticipate discharge educational needs and develop patientspecific education. Performs other related duties as assigned. The TransitionalCare Nurse will be responsible for discharge planning and home follow-up.Conducts a comprehensive assessment of the patient’s health status, healthbehaviors, level of social support, and goals; develops an individualized planof care consistent with evidence-based guidelines, in collaboration with thepatient and physicians; conducts daily patient visits, focused on optimizing patienthealth at discharge.

Followingdischarge, the Nurse conducts periodic home visits and/or scheduled phonecontacts with the patient based on a standard protocol. Bachelor’s Degreein Nursing preferred and at least five years clinical experience in anacute care facility required, long term care experience is beneficial. Able towork in a responsible position independently, must be outgoing and able to makesocial connections. 

Job Requirements

Bachelor’s Degree in Nursing preferred, Registered Nurse Licensure, 5 years experience
Equal opportunity and affirmative action employers and are looking for diversity in candidates for employment: Minority/Female/Disabled/Protected Veteran