Licensed Practical Nurse (LPN) - Care Transition Coach at Spalding
Wellstar Health Systems

Overview

The Licensed Practical Nurse (LPN) - Care Transition Coach at Spalding is a proactive member of an interdisciplinary team of licensed and unlicensed care givers who ensure that patients, families and significant others receive individualized high quality, safe patient care. It is expected that all RN Clinical Nurses - are licensed, knowledgeable and uphold the practice of nursing as outlined by the Georgia Professional Nurse Practice Act and implements the Scope of Practice and Code of Ethics Standards put forth by the American Nurses Association.

• Schedule:Full Time
• Shift: Day Shift
• Level: 6+ years of experience
  

Success Profile
Find out what it takes to succeed as a Licensed Practical Nurse (LPN) - Care Transition Coach at Spalding:

• Collaborative
• Time Efficient
• Organized
• Critical Thinker
• Attention to Detail
• Compassionate

Benefits that Reflect Your Contributions

• Your Pay
  A compensation program designed for fair and equitable pay.
  
• Your Future
  Secure your future with plans that also include an employer match. Plans and guidance for the future.
  
• Your Wellness
  Traditional healthcare benefits combined with progressive wellness programs to help you be your best self!.
  
• Your Joy
  Special and unique benefits and programs ensuring a balanced life and a workplace culture built on trust.
  

Job Details

Facility: Spalding Medical Center

Job Summary:
The Care Transition Coach will function as a facilitator of interdisciplinary collaboration across the care continuum. The primary role of the Care Transitions Coach is to empower the patient/care giver in the following ways: To assert a more active role during discharge and transitions of care from one setting to another. To develop lasting self-management skills. Support individual patients with complex needs over a four-week period that will include visits during the hospital stay, follow up phone calls after discharge, coordinating services to facilitate timely follow up with PCP/MD and understanding red flag symptoms for improved self management. Will coordinate with other team members/community resources both internally and externally to close the gap on any other identified critical needs such as adequate transportation to get to a follow up appointment. Oversight of medication management process, including the patient's ability to pay for medications and providing adequate support with obtaining medication prior to discharge.
Core Responsibilities and Essential Functions:
The Care Transition Coach will function as a facilitator of interdisciplinary collaboration across the care continuum. The primary role of the Care Transitions Coach is to empower the patient/care giver in the following ways: - To assert a more active role during discharge and transitions of care from one setting to another. - To develop lasting self-management skills. - Support individual patients with complex needs over a four-week period that will include visits during the hospital stay, follow up phone calls after discharge, coordinating services to facilitate timely follow up with PCP/MD and understanding red flag symptoms for improved self management. Will coordinate with other team members/community resources both internally and externally to close the gap on any other identified critical needs such as adequate transportation to get to a follow up appointment. - Oversight of medication management process, including the patient's ability to pay for medications and providing adequate support with obtaining medication prior to discharge. The Care Transition Coach will function as a facilitator of interdisciplinary collaboration across the care continuum. The primary role of the Care Transitions Coach is to empower the patient/care giver in the following ways: - To assert a more active role during discharge and transitions of care from one setting to another. - To develop lasting self-management skills. - Support individual patients with complex needs over a four-week period that will include visits during the hospital stay, follow up phone calls after discharge, coordinating services to facilitate timely follow up with PCP/MD and understanding red flag symptoms for improved self management. Will coordinate with other team members/community resources both internally and externally to close the gap on any other identified critical needs such as adequate transportation to get to a follow up appointment. - Oversight of medication management process, including the patient's ability to pay for medications and providing adequate support with obtaining medication prior to discharge. The Care Transition Coach will function as a facilitator of interdisciplinary collaboration across the care continuum. The primary role of the Care Transitions Coach is to empower the patient/care giver in the following ways: - To assert a more active role during discharge and transitions of care from one setting to another. - To develop lasting self-management skills. - Support individual patients with complex needs over a four-week period that will include visits during the hospital stay, follow up phone calls after discharge, coordinating services to facilitate timely follow up with PCP/MD and understanding red flag symptoms for improved self management. Will coordinate with other team members/community resources both internally and externally to close the gap on any other identified critical needs such as adequate transportation to get to a follow up appointment. - Oversight of medication management process, including the patient's ability to pay for medications and providing adequate support with obtaining medication prior to discharge.
Required Minimum Education:
Graduate of an accredited school of Practical Nursing. Required
Required Minimum License(s) and Certification(s):
Lic Practical Nurse 1.00 Required Basic Life Support 2.00 Required BLS - Instructor 2.00 Required BLS - Provisional 2.00 Required
Additional Licenses and Certifications:

Required Minimum Experience:
Previous experience with patient coaching Required
Required Minimum Skills:
Excellent written and verbal communication skills, proficient in Microsoft Office Suite Products, ability to lead and organize meetings, ability to present in groups, Strong ability to multitask, work in a fast pace environment and implement change, ability to collect, analyze and present data.

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Mission, Vision & Values
At a time when the healthcare industry is changing rapidly, Wellstar remains committed to exceeding patients' and team members' expectations, while transforming healthcare delivery.

Our Mission
To enhance the health and well-being of every person we serve.

Our Vision
Deliver worldclass health care to every person, every time.

Our Values

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  We serve with compassion
  
  
• 
  We pursue excellence
  
  
• 
  We honor every voice
  
  

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