The Registered Nurse (RN) is a collaborative member of the care team and provides therapeutic, patient and family centered care utilizing the nursing process. The RN supports three primary nursing areas: care coordination, case management, and telephone triage. Responsibilities include onsite, direct patient care, coordinating care with the patient, the patients’ primary care team, and other healthcare team members, supporting case management activities, and ensuring timely clinical assessments, health education, and appropriate clinical disposition.

Patient Care and Care Coordination

• Coordinate the care of complex patients using evidence-based practice.
• Transitional care management (coordinate ER and hospital follow up as well as care setting transitions).
• Perform medication reconciliation for moderate/high-risk patients post-discharge from inpatient setting.
• Develop and manage care plans in collaboration with the primary car...