Employment Type:

Full time

Shift:

Day Shift

Description:

Organization Highlights:

• Our Trinity Health Culture: Our staff know, understand, incorporate & demonstrate our Trinity Health Mission, Values, Vision, through their actions, behaviors, practices & decisions.
• Leadership: Shared Governance to leaders are accessible. Unit practice counsels and open-door guiding principle for shared decision-making. All our employees have a voice.
• Well-Being: Practice in an environmentally safe, professional & healthy atmosphere. Our staff are supported by a variety of resources for physical and mental health.
• Professional Relationships: Strong rapport with our interdisciplinary team including physicians/clinical providers, rehab services, pharmacy, nutritional services and support staff.
• Professional Development: Strong education program, generous tuition allowance and clinical ladder incentives. We encourage job share opportunities to enhance satisfaction and growth.
• Work/Life: Scheduling options balance work/life/school calendars.
• Safety: Only local hospital to receive a Leapfrog A for safety.
• Accredited and rated highly for multiple specialty services.

What you will do:

• Manages the case load of patients and identify new patient candidates.
• Communicates with management on all relevant operation and patient issues.
• Exercise critical thinking with the ability to assist patients through a continuum of care.
• Improves health care access, promotes client knowledge and compliance with behavior modifications associated with diagnosis and treatment regime.
• Communicates with external offices and patients regarding testing and procedural appointments.
• Assists with needed referrals for testing and treatment.
• Coordinates and maintains readiness for compliance with regulatory agencies.
• Supports effective case management to maximize healthcare outcomes, facilitate wellness and identify/correct service delivery complications.
• Assesses, plans, implements, and evaluates the oncology patient pathways by focusing on knowledge, attitudes, and skills.  Development and participation in the education of patients and caregivers throughout the continuum of care.

Responsibilities:

• Completes a comprehensive health assessment of the patient’s physical, psychological, social, environmental, financial and functional status in collaboration with multidisciplinary team members. Includes assessment of past and present treatment course.
• Assists in organizing and coordinating timely patient appointments.
• Works directly with physician to review diagnostic studies, clinical history and course of treatment to identify most appropriate next course of care.
• Assessment, planning, implementation and evaluation of clinical outcomes and processes for patients.
• Collecting, storing and reporting data collection for the development and quality improvement of the program.
• Participates in and applies knowledge of research, current concepts and guidelines to practice.
• Complies with insurance requirements for disease management, assists with coordinating care of the uninsured/unassigned patient referrals.
• Collaborates with service line to provide formal feedback for registries and governing bodies through performance development process.
• Collaborates with service line to achieve unit and organizational quality improvement and outcome-based initiatives.
• Works closely with Service Line management regarding daily operational issues, including short, mid, and long-range planning and coordination of the overall service line with a focus on patient care within the continuum
• Uses critical thinking and problem-solving skills to address the patient’s individual and family needs; Communicates the plan of care with the patient, family and other health team members both verbally and in writing.
• Monitors and modifies the plan of care through an interdisciplinary and collaborative process in conjunction with all parts of the health care team.
• Identifies patients at high risk for treatment failure or interruptions and enlists additional resources. Serves effectively as a patient and family advocate. Promotes team conferences for patients. Supports patient during difficult decision-making periods. Assists in coordination of end of life care patient and family.
• Coordinates care for patients requiring hospitalization (weekly direct patient contact throughout hospitalization and prior to discharge) to coordinate subsequent care as outpatient and avoid unnecessary readmissions.
• Provides education congruent with patient needs, focusing on disease process, expected sid