Title: Transitional Care- Lead RN Reports To: Clinical Director FLSA Status: Exempt Position Objective: Provides supervision to the Transitional Care RN function. Assists the department manager with administrative duties to include scheduling, performance evaluations, disciplinary action, orientation, and staff development and will function as a content expert for the organization. Consistent with duties for Transitional Care RN’s: designs, implements, and fosters care transition processes for our most vulnerable patients to maintain and enhance their health status and independence. Works with inpatient and outpatient clinical resources, community-based organizations, and families to build supportive networks to maintain or improve health status of individuals and populations. Essential Job Duties: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions Assists the department manager with administrative duties to include scheduling, performance evaluations, disciplinary action, orientation, and staff development. Collaborates with care coordinators, inpatient and outpatient clinicians, the emergency department, patients, families, nursing facilities, pharmacy, home health agencies, hospice, community organizations, etc., to form lasting relationships that support a network of resources for targeted patients. Coordinates the design of protocols that guide the navigation of targeted patients across all care settings. Coordinates the treatment plan and progress reports with clinicians to ensure engagement and success. Serves as a clinical resource for Transitional Care team to address barriers. Directly assess the needs of targeted inpatients and their families, and work with care coordination team members to meet those needs. Develops and implements innovative and effective means of ensuring safe transition and stabilization in the home setting by visiting vulnerable patients in their home settings, identifying needs, and applying resources. Identifies educational and training needs for Transitional Care RN team, and serves as a mentor and clinical resource. Assists in the Transitional Care program evaluation and performance improvement and participates in the preparation/achievement of annual goals and objectives. Identifies educational needs of patients and families and evaluate and improve educational media and content. Builds supportive relationships and networks to maintain or improve health status of individuals and populations. Educational/Experience Requirements: Bachelor of Science in Nursing, preferred. Required Minimum Experience : Three years of nursing experience in general medicine, ideally including inpatient and outpatient settings. Required License/Certifications: Current Maryland Board of Nursing license. CPR through the American Heart Association (BLS for Healthcare Providers level). Working Conditions, Equipment, Physical Demands: There is a reasonable expectation that employees in this position will be exposed to blood-borne pathogens. Physical Demands – Medium work. Exerting up to 50 pounds of force occasionally, and/or up to 30 pounds of force frequently, and/or up to 10 pounds of force constantly to move objects. The physical demands and work environment that have been described are representative of those an employee encounters while performing the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions in accordance with the Americans with Disabilities Act. The above job description is an overview of the functions and requirements for this position. This document is not intended to be an exhaustive list encompassing every duty and requirement of this position; your supervisor may assign other duties as deemed necessary. Pay Range $41.91 — $62.86 USD Luminis Health Benefits Overview: • Medical, Dental, and Vision Insurance • Retirement Plan (with employer match for employees who work more than 1000 hours in a calendar year) • Paid Time Off • Tuition Assistance Benefits • Employee Referral Bonus Program • Paid Holidays, Disability, and Life/AD&D for full-time employees • Wellness Programs • Employee Assistance Programs and more *Benefit offerings based on employment status Opt-in for text notifications! Luminis Health's two-way SMS texting platform lets you receive notifications and messages from our Talent Acquisition team directly on your phone. To enable this feature, select "yes" when asked to "opt-in to receive text messages" and to "Receive updates from a recruiter about this job via SMS" when completing your application. Once you are opted in, you can easily opt-out at any time. Standard text messaging rates may apply based on the candidate's mobile carrier plan. Luminis Health is not responsible for any charges incurred by the recipient. Candidates are encouraged to review their mobile carrier's plan for applicable text messaging rates and usage charges.
Job Requirements Join the Cardiac Progressive Care Unit at the University of Maryland Medical Center's Downtown Campus, where nurses provide specialized care for patients with complex cardiovascular conditions requiring continuous monitoring and expert clinical assessment. As part of a leading academic medical center, you'll collaborate with multidisciplinary teams, strengthen your cardiac nursing expertise, and play a key role in helping patients transition from critical care to recovery. Our nurses benefit from a supportive environment This role is considered the minimum role for all nurses who have greater than 12 months’ experience. Provides and coordinates independent care to patients within a clinical specialty as a fully effective and participative member of the multidisciplinary patient care services team. Principal Responsibilities And Tasks The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. These are not to be construed as an exhaustive list of all job duties performed by personnel so classified. Clinical Practice Provides independent care to unit specific patient population; serves as clinical resource for others, utilizes and integrates evidence into practice, functions effectively in roles specific to unit (such as arrest team for ICU, triage for ED, etc). Accountable to patients and families for the processes and outcomes of care during an episode of care. Accountable to peers for the advancement of group practice on the unit, and to the nurse manager for the totality of work performance. Serves as an effective primary coordinating nurse; collaborating with interdisciplinary team to plan and coordinate care addressing patient/family needs. Serves as clinical resource for others. Service/Quality Assists in team development and evaluation of the Relationship-Based Care model; suggests methods for improvement. Participates in collection of data related to Relationship-Based Care outcomes (e.g. hand offs, medication safety, etc). Participates in implementation efforts addressing Nursing Sensitive Quality Indicators (NSQI). Participates and contributes to Performance Improvement, or Evidence Based Practice, or research at the unit level. Complies with standards and participates with unit level activities for regulatory compliance. Unit Operations Supports charge nurse decisions; performs charge role for assigned shifts as needed. Follows and supports the AACN guidelines for Healthy Work Environment (communication, collaboration, effective decision making, recognition, leadership, staffing); participates as team member focusing on elements within the Healthy Work Environment Assists in the development of clinical practice protocols and standards for unit. Participates in unit-based process governance activities: Performance Improvement, Professional Development, Clinical Practice, Teamwork, etc.; assists in development of action plans and supports implementation. Orients Clinical Nurse I to unit level governance structure and councils. Professional Development Serves as preceptor, coach, mentor to new nurses and students. Contributes to ancillary personnel skills and development, attends educational offerings and in-services independently Contributes to development of unit-based peer review processes; actively participates in individual peer review feedback Knowledge, Skills & Abilities Responsible for maintaining competencies required for the patient care setting; focus on advancing own professional development Ability to practice and adhere to the guidelines specified in the UMMC Role of the Professional Nurse Job Charter/Description. Demonstrates highly effective interpersonal, verbal and written communication skills. Demonstrates leadership qualities through effectiveness as charge nurse, preceptor, or clinical resource. Demonstrates effectiveness as a multidisciplinary team member. Ability to learn and use computer systems in order to manage patient information. Ability to participate in team-building efforts on units; supports and models teamwork Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over the life span and ability to assess data reflective of the patient's requirements relative to his or her population-specific and age specific needs. Patient Safety Ensures patient safety in the performance of job functions and through participation in hospital, department or unit patient safety initiatives. Takes action to correct observed risks to patient safety. Reports adverse events and near misses to appropriate management authority. Identifies possible risks in processes, procedures, devices and communicates the same to those in charge. Education & Experience Licensure as a Registered Nurse in the state of Maryland, or eligible to practice due to Compact state agreements outlined through the MD Board of Nursing, is required.; BSN preferred. Up-to-date status on all mandatory training and classes. One year nursing experience. Solid knowledge and clinical skills. Current CPR certification is required. Maintenance of 10 contact hours of education every two years. Member of a professional organization. Recent applicable clinical experience in a comparable setting.
