Job Details
Responsibilities

• In collaboration with multidisciplinary team, evaluates patient referrals to develop individualized plan of care across the continuum of care
• Responsible for personalized education plan for patient and family
• Follows through with test results and plan of care with patient/family and other health care providers/services as directed by provider or established guidelines
• Acts as a liaison among the individual/family, community, provider and physician as well as other health care team members.
• Collaborates in developing, implementing and evaluating teaching/learning strategies for client/family in the hospital community.
• Provides clinical leadership by being a preceptor for visiting professionals, students and new graduates.
• Coordinates appropriate educational material/instructions for patients, families, medical staff and multidisciplinary personnel to accomplish patient care outcomes.
• Participates in planning and presentation of continuing education programs, seminars and meetings.
• Coordinates with the health care team to develop a mechanism to monitor patient outcomes and follows up on variances.
• Ensures collection and input of risk stratification data. Reports results to the health care team and participates in interpretation of data and formulation of action plan.
• Collaborates with patients/families/populations to coordinate community services and appropriate resources which meet the individual needs and goals.
• Serves on selected hospital, group practice and community-based committees.
• Identifies need for and participates in research projects relevant to specific patient population.
• Collaborates with Quality Management, Utilization Review, Information Technology Services, and other departments regarding data availability and reports.
• Is accountable for the implementation and communication of standards for patient care delivery appropriate to the specific patient population that meets professional and regulatory standards.
• Coordinates the health care team in development of clinical tools for optimal outcomes and reports findings.

Qualifications

• Current Iowa registered nurse (RN) license.
• Bachelor’s degree in health-related field required or actively pursuing (BSN preferred).
• Demonstrates competency within a specialized area of clinical practice with 4 years experience in that specialty.
• Demonstrates success in positions of leadership.