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Jamaica Hospital

HOME VISITING NURSE LIAISON

Jamaica Hospital, New York, New York, us, 10261


CARE MANAGEMENT DEPARTMENT

DAY SHIFT

Jamaica Hospital Medical Center

currently seeks F/T experienced Home Visiting Nurse

Liaisons

with current New York State license to work in our Care Management Department. Responsible for advocating and providing assistance for patients. Duties include, but are not limited to:Responsible for administration of Transition of Care and Complex Case Management services for our clinically complex, high-risk patients recently discharged from the hospital or referred by PCP and/or other sources.Facilitating PCP engagement and follow-up post hospitalizationPerforming full assessment of patients' clinical status, safety, and Health Related Social Needs in the patient home (Queens and Brooklyn only).Developing a person-centered care plan based on assessment findings and managing overall clinical and bio-psychosocial needs of patients within nursing scope of practice.Utilizing EMR data and other sources to perform full medical record reviews and formulate patient health status and gaps in care.Administering disease management education to patients with chronic conditionsEffectively collaborating with patients, caregivers, Medical Advisors, PCP, and other specialist community entities to ensure individualized care and completion of care plan goals.Educating and guiding patients on disease prevention and healthy lifestyle habits.Requirements

Must be a graduate of an Accredited BSN ProgramNY State RN License required.Must have a minimum of 1-year inpatient nursing experience, preferable Medical-SurgicalComplex Case Management experience preferred.Proficiency in assessment and care plan developmentProven demonstrated experience with PC and EMR documentation.Must possess NYS Driver's license, vehicle and be able to conduct home site visits in Queens & Brooklyn.