RN - Discharge Planning

Spectrum Healthcare Resources has a potential opportunity for a civilian RN - Discharge Planning at Elgin Air Force Base in Destin/Fort Walton Beach, Florida.

Position Highlights:

• Excellent work/life balance
• Freedom from nights, weekends, and on-call
• 11 paid federal holidays 
• Give back & care for our Nation's armed forces 

Requirements:

• Graduated from an accredited school of nursing with a Bachelor of Science in Nursing. Or an Associate Degree of Nursing maybe considered, with appropriate experience in emergency room services.

• Unrestricted RN license - 

• ADN/BSN shall have at least 3 years of active nursing practice, 24 months of which shall be clinical case management/discharge planning for adults, children, families, seniors or groups. Shall have worked in nursing the past 12 months.

• American Heart Association or the American Red Cross Healthcare Provider (HCP) Certification BLS

Job Duties Include but not limited to:

• Assess and proactively identify/evaluate patients for discharge planning/case management in the three inpatient locations (Intensive Care Unit, Multi-Service Unit, Labor & Delivery Unit) within 24 hours of identification or notification, or by close of the first business day after a weekend or holiday. Will conduct systematic, on-going, thorough assessment of patient’s physical, emotional, psychological, social and medical status. Will collect information to determine specific needs to include equipment, social service intervention or referrals through direct patient contact and/or contact with family/caregiver, and other relevant sources such as professional and non-professional caregivers while patient is in the acute setting. Review the patient’s medical record against McKesson (InterQual) discharge planning criteria to determine readiness for discharge. Will develop a proactive process as well as assist, when requested, for patients undergoing same day surgeries in Ambulatory Surgery Unit, anticipating actual and potential needs for post-operative services.

• Plan and develop appropriate patient-specific discharge plan of care within 5 working days of discharge. Shall coordinate, collaborate, and obtain approval of the plan among the patient, family/caregiver, primary provider and other members of the healthcare team. Document review of the plan in the patient’s electronic health record. Implement, coordinate, and execute the discharge plan with the patient and family/caregiver, optimizing access to appropriate services. Shall assist the Health Care Team with acute-to-acute patient transfers when requested.

• Follows through with finalizing all aspects of the discharge plan including facilitating hand-off communication between sending and receiving nurses and confirming transportation/transfer arrangements. Shall ensure necessary referrals are ordered by the appropriate discipline and that they are coordinated. Refer patients not currently requiring acute or skilled nursing care for discharge with appropriate services to lower level of care, or placement in appropriate facility. Assist health care team and family/caregivers with coordination for patients requiring End-of-Life Care to ensure physical, emotional, and spiritual needs are being met. Facilitate family/care giver meetings with health care team and clinical staff. Serve as an advocate for, and ensures education is provided to the patient and family/caregiver as required and when requested.  

• Preparation for discharge may include speaking with the patient, family, physicians, therapists, nurses, supervisors, intake coordinators, residential care facility managers, insurance companies, and reviewers.

• Ensure coordination of care delivery processes, to include alternate healthcare settings and the home environment, for the purposes of enhancing the patient's health and wellness, safety, productivity, and quality of life, and for providing the most beneficial, cost-effective health care. Shall develop, utilize, and maintain a variety of military and community resources to optimize access to services and medical care. Shall ensure timely and appropriate provision of services.

• Re-evaluate the patient and the plan every 72 hours until discharged per McKesson (InterQual) guidelines, aligning the plan with TRICARE benefits and policies documents in accordance with existing local facility/DHA/AF/DoD and other agency guidelines. Shall maintain data collection in accordance with local facility/DHA/AF/DoD and other specified agency guidelines. Such data includes but is not limited to resource utilization and patient outcomes, and Length of Stay (LOS) and Avoidable Bed Days, analyzing for variance, appropriate interventions and cost containment.

• Conduct timeliness in completion of the discharge plan, patient’s adherence and response to the plan, identification of variances, patterns or trends from established practice guidelines and/or standards, established outcome measurements, results of interventions, treatment delivery and timeliness of care, and utilization of resources. Monitors and evaluates the facility’s discharge planning program per local facility/DHA/AF/DoD policies and guidelines.

• Maintain a level of productivity and quality consistent with complexity of the assignment; facility policies and guidelines; established principles, ethics and standards of practice of professional nursing; the Case Management Society of America (CMSA); American Accreditation Healthcare Commission/Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services Inspection (HSI); and other applicable DoD and Service specific guidance and policies. Shall also comply with the Equal Employment Opportunity (EEO) Program, infection control and safety policies and procedures and follow applicable local facility/DHA/AF/DoD instructions, policies, and guidelines

  Demonstrate knowledge and experience in Patient Advocacy, Patient Privacy, and Customer Relations. Respect and maintain the basic rights of patients, demonstrating concern for personal dignity and human relationships. Only release medical information obtained during the course of this contract to other MTF staff involved in the care and treatment of that individual patient.

• Serve and participate in committees, functions and other meetings as directed. Attend meetings to include bed meetings; interdisciplinary rounds; interdisciplinary meetings; and clinical/discharge planning sessions/meetings as requested. Shall provide relevant and timely information to these groups and assists with decision-making and process improvement. Shall participate in customer service initiatives, quality projects, and medical readiness activities, designed to enhance health services.

• Participate in clinic quality assurance programs to meet standards for the Joint Commission, in QA/RM activities to the extent required by AFI 44-119, Chapters 3, 6 and 8 and the individual MTF QA/RM plan or regulation.

FMI contact:

Judi Brown

314-744-4135

Judi_Brown@Spectrumhealth.com

Company Overview:

At Spectrum, we utilize over thirty-five years of experience providing optimal solutions for federal agencies that are both innovative and cost-effective. We hold ourselves to the highest standard to ensure successful outcomes for the facilities and healthcare professionals we serve. As a Joint Commission Certified Healthcare Resource, dependability and service are the driving forces of our mission. 

Spectrum Healthcare Resources is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.

EOE/AA/Disability/Vet