Shift: Days 5x8 830a-500p or 4x10 700a-500p with weekends

- Manages all aspects of discharge planning for assigned patients.- Implements discharge planning timely and provides resources in an efficient manner.- Meets with patient/family to assess needs and develop an individualized discharge plan in collaboration with physicians.- Identifies and documents barriers for timely disposition.- Ensures/maintains discharge plan consensus with patient/family, physicians, care teams and payers.- Responds to referrals for patient's post-acute needs from physicians and the care team.- Participates in Interdisciplinary Rounds with the patient's care team to confirm estimated date of discharge and make recommendations for best level of care transition at discharge.- Initiates/facilitates post-acute referrals through departmental processes for timely transition to the next level of care.- Refer appropriate cases for social work intervention based on departmental protocol.- Allows for any cultural or religious beliefs in providing service and continuity of care. Documentation- Initial clinical/psychosocial assessment completed and documented in medical record.- Ensure all records are up-to-date and documentation is clear and concise.- Ensure timely and accurate documentation in progress notes of interactions with patient/family, physicians, care team, and community partners as it pertains to the patient's discharge plan.- Accounts for and indicates all services arranged/delivered in electronic medical record.- Track avoidable days and report trends that lead to undesired outcomes. Professional Development and Initiative- Completes all initial and ongoing professional competency assessment, required mandatory education, population specific education.- Supports department-based goals which contribute to the success of the organization.- Serves as a preceptor and/or mentor for student interns (if appropriate)

Required Minimum Education:

Associate's Degree in Nursing from an accredited school of nursing with a Georgia RN License Required

Shift:

Days

Additional note: Shift: Days 5x8 830a-500p or 4x10 700a-500p with weekends