Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus At Home in Wausau, WI is seeking a RN Care Transition Coordinator to join our team!
Working independently and within an assigned territory, pro-actively facilitates referrals to Post Acute Care by identifying patients that would be candidates for post-acute services. Gathers and interprets medical and financial data, meets with patients and families and works with case managers to ensure optimal transition from hospital or other facilities to home. This role will also be responsible for monitoring and disseminating key metrics to all branches to assist in identifying patients for post-acute transition.
This is a key hybrid role that bridges inpatient transitions of care needs with Aspirus Home Health and Hospice admissions. This position assesses all AWH patients, pre-qualifies them for home health needs and works directly with clinical staff to effectively time discharges. In addition, this role organizes all patients discharged with infusion needs, as well as many other transitional needs that require coordination between care coordination and Home Health and Hospice beyond just AWH volumes.
HOURS: Full-Time or 1.0 FTE, 80 hours every pay period. Day shift.
Experience/Qualifications
Knowledge of patient care standards and practices normally acquired through completion of a diploma or Associate Degree from an accredited school of nursing or therapies, Bachelor’s degree in Nursing preferred.Two years of experience in an acute care setting; one year of home care and/or hospice experience preferred.Possesses an active Wisconsin RN nursing license.Current BLS certification or obtained within 90 days of hire - All clinical personnel in identified job codes are required to maintain Basic Life Support (BLS) training through independent study, manikin and knowledge testing. An acceptable CPR training program is the Basic Life Support (BLS) Health Care Provider course from the American Heart Association or the American Red Cross Professional Rescuer Program with AED. (See Cardiopulmonary Resuscitation Training Policy).Possesses a valid Wisconsin Driver’s License required.Possesses automobile liability insurance with minimum $100,000/$300,000 coverage required.Ability to meet, collaborate and work efficiently with others in the community.Strong patient advocacy skills.Ability to review clinical documentation for accuracy, thoroughness, and completeness with a fine attention to detail.Demonstrates ability to write professionally, work independently, and communicate with individuals and groups.Demonstrates application of teaching/learning principles.Demonstrates an understanding of the needs of various age groups in terms of their physical, motor, psychosocial and intellectual/language development as it applies to the volunteer employees care and services.Employee Benefits
Aspirus at Home is a part of the Aspirus health system and is a nonprofit, Medicare-certified home health agency that serves 14 north central Wisconsin counties. We offer services in north central Wisconsin and parts of the UP. Aspirus at Home helps to bridge the gap between the more intensive levels of care received in a hospital, nursing or rehabilitation facility and in client's home. For 60 years we have provided caring support to help people live in their own home as long as possible.
Our Mission: We heal people, promote health and strengthen communities.
Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.
As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.
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Credentials:
Essential:
* REGISTERED NURSE LICENSE
* CPR or BLS
* Drivers Licenses
* AUTO INSURANCE