NURSE PRACTITIONER-POST DISCHARGE CLINIC
Apply NowCompany: LifeBridge Health
Location: Baltimore, MD 21215
Description:
This is a split position between Carroll Hospital and Sinai Hospital.
Summary-Provide direct patient care and consultation in the Disease Management function, including use and analysis of tele-monitoring processes and community outreach. Provide education in support of function's services.
Care Solutions (Disease Management) Consult: Provider will provide consultation on patients with chronic conditions such as COPD, CHF, and others. Disease Management NP will review patient charts daily for correlation with clinical guidelines (Project RED/Hospital Discharge Checklist). Related responsibilities include:
Collaborate with the attending/PCP/care team
Participation in multi-disciplinary rounds on Project RED units
Visit patient at bedside to assess education/follow up needs
Provide education to patients about CHF
Educate patients and providers about the Care Solutions program
Evaluate for appropriateness of tele-monitoring program. or if patient meets criteria for tele-monitoring, the NP will educate patient on how to use equipment and will consult with PCP to develop a care plan to manage the patient and alerts.
Care Solutions Clinic: Provide hospital discharge follow-up care to patients as scheduled. Support community providers in the management of patients with chronic conditions
Telemonitoring Program: NP will:
Requirements: Graduate of a NP program (Acute Care or Family Nurse Practitioner). Must have over 2 years of APP experience to be considered for this role. MBON APP experience
BLS required.
#APP
Summary-Provide direct patient care and consultation in the Disease Management function, including use and analysis of tele-monitoring processes and community outreach. Provide education in support of function's services.
Care Solutions (Disease Management) Consult: Provider will provide consultation on patients with chronic conditions such as COPD, CHF, and others. Disease Management NP will review patient charts daily for correlation with clinical guidelines (Project RED/Hospital Discharge Checklist). Related responsibilities include:
Collaborate with the attending/PCP/care team
Participation in multi-disciplinary rounds on Project RED units
Visit patient at bedside to assess education/follow up needs
Provide education to patients about CHF
Educate patients and providers about the Care Solutions program
Evaluate for appropriateness of tele-monitoring program. or if patient meets criteria for tele-monitoring, the NP will educate patient on how to use equipment and will consult with PCP to develop a care plan to manage the patient and alerts.
Care Solutions Clinic: Provide hospital discharge follow-up care to patients as scheduled. Support community providers in the management of patients with chronic conditions
Telemonitoring Program: NP will:
- Assess patients for appropriateness of program
- Assess cognitive and functional capability
- Obtain patient consent
- Educate patient about the program including expectations
- Set patients up in the portal
- Provide patient with equipment or place order for collaborating agency to install/de-install equipment
- Consult with PCP to discuss and develop care/treatment plans
- Monitor the portal
- Collaborate with cognizant call center nurses to manage alerts and interventions
- Potentially visit patients at home (if nurse is secured) within 48 hours of discharge Director and NP will educate providers, case managers, nursing and community on program
Requirements: Graduate of a NP program (Acute Care or Family Nurse Practitioner). Must have over 2 years of APP experience to be considered for this role. MBON APP experience
BLS required.
#APP