Discharge Registered Nurse - Rehab
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JOB SUMMARY
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The Discharge Registered Nurse (RN) plays a critical role in the transition of patients from inpatient care to home or other care settings within a rehabilitation hospital. This position is responsible for ensuring a smooth, effective, and safe discharge process, with a focus on the coordination of care, patient education, and collaboration with the multidisciplinary team. The ideal candidate will have a strong background in rehabilitation nursing, discharge planning, and patient advocacy.
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ESSENTIAL FUNCTIONS
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DISCHARGE PLANNING AND COORDINATION
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Collaborate with physicians, case managers, therapists, and other healthcare professionals to ensure timely and appropriate discharge planning.
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Assess patients' readiness for discharge, considering physical, emotional, and social factors that may impact the transition.
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Coordinate and assist with the development of individualized discharge plans, including recommendations for home health care, follow-up appointments, medications, and durable medical equipment needs.
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ESTABLISHES A COMPASSIONATE ENVIRONMENT
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By providing emotional, psychological, and spiritual support to patients, friends, and families.
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PROMOTES PATIENT'S INDEPENDENCE
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ASSURES QUALITY OF CARE
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RESOLVES PATIENT PROBLEMS AND NEEDS
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DOCUMENTS PATIENT CARE SERVICES
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Ensure that all discharge-related documentation is completed accurately and in compliance with hospital policies, regulatory standards, and insurance requirements.
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Maintain updated patient records in accordance with HIPAA regulations.
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MAINTAINS PATIENT CONFIDENCE AND ORGANIZATIONAL CONFIDENTIALITY
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MAINTAINS SAFE AND CLEAN WORKING ENVIRONMENT
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By complying with procedures, rules, and regulations
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calling for assistance from health care support personnel
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by maintaining a clean and safe unit environment
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keeping patient rooms, supply rooms and hallways free from clutter
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by complying with procedures, rules and regulations
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by adhering to infection control policies and procedures, medication administration and storage procedures and controlled substance regulations.
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By maintaining compliance with professional, regulatory and governmental standards of care.
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By demonstrating knowledge of responsibilities in an emergency situation.
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ENSURES OPERATION OF EQUIPMENT
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DEMONSTRATES FINANCIAL ACCOUNTABILITY
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By checking stock to determine inventory level
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anticipating needed supplies
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using equipment/supplies as needed to accomplish job results
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By minimizing overtime by work prioritization and delegation
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recognizes and complies with RN’s role in reimbursement for patient care services.
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By identifying and providing input to Nurse Managers on work methods that reduce the cost and/or time required to deliver patient care.
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By maintaining awareness of unit budget.
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MAINTAINS PROFESSIONAL AND TECHNICAL KNOWLEDGE
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By identifying personal educational needs and opportunities
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attending educational workshops
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completing mandatory educational requirements
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reviewing professional publications
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establishing personal networks
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participating in professional organizations
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sharing new knowledge with teams
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attending unit meetings
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reading unit memos
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participating in committees, projects and PI activities.
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By maintaining responsibility for own professional development through active participation in in-services and/or continuing education programs.
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MAINTAINS A COOPERATIVE RELATIONSHIP AMONG HEALTH CARE TEAMS
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CONTRIBUTES TO ORGANIZATIONAL TEAM EFFORT
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By arriving on duty as scheduled, maintaining attendance, punching in and out as per Good Shepherd policy and maintaining etime sheet.
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Serve as the primary point of contact for patients and families regarding discharge questions or concerns.
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Communicate effectively with the interdisciplinary team to ensure continuity of care post-discharge.
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Ensure seamless transition of care to outpatient services, home health providers, or long-term care facilities, as appropriate.
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By attending meetings as requested by organizational leaders.
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By positively representing the profession and organization at work and away from work.
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Promoting and participating in organizational goals.
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By mentoring channels of communication among nursing shifts, disciplines, departments, and external customers.
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By utilizing multidisciplinary team strategies, to assure resolution of patient problems and needs.
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QUALIFICATIONS
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To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
PI863a23ed606c-37437-38599022
