Registered Nurse, Discharge Care, Part-Time, Weekends

This is a fully remote position, open to applicants in South Carolina, +1 more state.

📋 Description

• Initiate phone outreach to patients who have been discharged from designated units.

• Perform post-discharge follow-up calls within the timeframe mandated by CMS.

• Review discharge summaries, medication lists, and follow-up instructions prior to contacting patients.

• Offer medication reconciliation and coordination assistance.

• Evaluate patients' understanding of discharge instructions, symptom management, and adherence to medications.

• Document patient responses, advice given, variations, outreach attempts, interactions, and outcomes in the EHR.

• Identify potential complications and escalate any concerns to healthcare providers or the care team.

• Arrange primary care appointments and collaborate with front desk and clinical teams.

• Reinforce discharge education, including guidance on when to contact a provider or seek emergency assistance.

• Aid in preventing readmissions by ensuring follow-up and addressing care barriers.

• Review and address care gaps such as hypertension management, diabetes monitoring, preventive screenings, and wellness visits.

• Educate patients regarding overdue screenings or visits and assist them with scheduling.

• Collaborate with providers, care coordinators, and case management teams to ensure seamless continuity of care.

• Engage in team discussions and quality improvement initiatives.

• Ensure compliance with documentation and billing standards.

• Provide education focused on hypertension and intervene for elevated blood pressure readings or medication concerns.

• Collect patient data, complete necessary forms, identify needs and priorities, review diagnostic results, and perform advanced nursing observations.

• Develop follow-up care plans utilizing the nursing process in collaboration with patients, families, and other disciplines.

• Provide telephonic care advice and follow-up instructions in accordance with patient care standards.

• Perform additional duties as assigned.

⛳️ Requirements

• Associate degree in Nursing is required; a Bachelor's degree in Nursing is preferred.

• Minimum of one (1) year of experience as a registered nurse.

• Current RN compact/multistate license recognized by the NCSBN Compact State, or an RN license to practice in the state of employment.

• An RN diploma or certificate with the required current RN license may be accepted in lieu of an associate degree in nursing.

• Understanding and compliance with Prisma Health's mission.

• Capability to conduct post-discharge outreach calls, medication reconciliation, patient assessments, telephonic care advice, documentation, and follow-up coordination.

• Knowledge of age-specific patient needs, patient rights, confidentiality, ethical issues, and accepted nursing practice standards.

🏝️ Benefits

• Part-time employment.

• Remote work opportunities available for eligible residents of South Carolina or Tennessee.