Readmission Prevention RN

If you care about the opportunity to grow, to make a difference, to build a future and a life, then we just might have the career for you. Care to talk? Bayhealth Medical Center is Central and Southern Delaware's healthcare leader with hospitals in Dover and Milford, a s well as stand -alone Emergency Department in Smyrna and a hybrid E mergency Department and Urgent Care in Milton . We offer various practice settings throughout Kent and Sussex Counties. Bayhealth Medical Center Kent Campus is 90 minutes from Philadelphia, Washington, DC and Baltimore . Our Sussex Campus is 30 minutes to the Delaware beaches and relaxation in the sand! Bayhealth Medical Center offers a competitive salary and comprehensive benefits package (for eligible positions) including: Generous Paid Time Off and Paid Holidays Matching 401(k)/403(b) Plans Excellent Health, Dental, and Vision Disability and Life Insurance options On Site Child Care Educational Reimbursement Health Care and Dependent Care Flex Spending Accounts Plus, an array of Voluntary Benefits to include Critical Care Coverage and more!

Location:

Kent Campus Hospital Status:

Full Time 80

Hours Shift:

Days

SALARY RANGE

37.98 - 58.87

HOURLY General Summary:

Serves as the primary registered nurse for hospital 30 day readmission investigation and mitigation strategies. Communicates effectively with all members of the health care team regarding issues identified. Acts as a clinical resource to Patient Care Services, Care Management Clinical and Social Work team. Acts as a resource for readmission prevention for the Triad Leadership team. Conducts retrospective and concurrent chart audits to determine the reason for readmissions. Serves as clinical representative on unit committees, groups and other activities as indicated by management. Assists to facilitate timely discharges and prevent patient re-admissions. Collaborates with other clinical areas to develop educational materials focused on readmission prevention.

Responsibilities:

1. Reviews daily reports of patients readmitted within 30 days of discharge and identifies the primary cause of readmission. 2. Maintains a readmission database and provides reports as needed to facilitate readmission mitigation and reduction. 3. Evaluates the current census to identify patients at a high risk for 30 day readmission and rounds on patients to provide and evaluate appropriate prevention measures have been implemented 4. Develops readmission mitigation strategies by leading a diverse team of internal professionals that may include a Nurse Care Manager, Social Worker, House Supervisor, Respiratory Navigator, Clinical Nurse Specialist, Physical therapist, and Post-acute Care representative. Members of the team may be identified on an as needed basis determined by the specific reasons for readmissions. 5. Interacts collaboratively with all departments to foster development of readmission prevention strategies. 6. Acts as a department resource for high complexity readmission issues. 7. Performs concurrent chart audits for readmitted patients to identify opportunities to prevent additional readmissions. 8. Preforms retrospective chart audits to identify causes of readmission and determine potentially avoidable causes. 9. Interacts with physicians and other healthcare team members when indicated to facilitate appropriate patient transition of care. 10. Maintains current knowledge in the field by attending seminars, continuing education courses and workshops. 11. Collaborates with medical providers, patient care staff and management in the planning and implementation of patient and staff education. 12. Assists with the development of care plans that prescribe specific interventions or life style modifications to attain expected outcomes. 13. Follows established departmental policies, procedures and objectives, continuous quality improvement objectives and safety, environmental, and/or infection control. 14. Recognizes urgent issues and reports them to the Care Management Director, unit management, and attending physician immediately. 15. All other duties as assigned within the scope and range of job responsibilities Required Education, Credential(s) and

Experience:

Education:

Bachelor Degree ; Nursing ; Credential(s): Registered Nurse ;

Experience:

Required:

5 years acute care experience in Med/Surg and/or Critical Care. Preferred Education, Credential(s) and

Experience:

Education:

Master Degree Nursing Credential(s):

Certified Case Manager Experience:

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