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RN Coach – full time – Eddy Visiting Nurse Association Job at St. Peter's Health Partners

St. Peter's Health Partners Troy, NY 12180

Employment Type:

Full time

Shift:

Day Shift

Description:

RN Coach - Full Time–

Eddy Visiting Nurse Association

Eddy Visiting Nurse & Rehab Association has an exciting opportunity for a Registered Nurse to work with a team of professionals to provide post-acute services for patients with chronic health conditions. Applicant will work within an interdisciplinary team to ensure the best outcome for patients who have multiple hospitals readmissions due to exacerbation of illness .

Qualifications:

  • experience working within an interdisciplinary team, be familiar with chronic health conditions, and excellent communication skills.

Training will be provided in both Chronic Disease Self-Management and the Eric Coleman Care Transitions of Care Model.

Our screeners in local hospitals will identify patients who can benefit from follow-up in the community 30-days post discharge and arrange an in-home visit by the RN Coach.

Responsibilities :

  • reconcile medications,
  • ensure a timely follow-up appointment is scheduled with his/her primary care provider,
  • provide teaching about chronic disease self-management
  • connect patient/family with resources to help avoid a readmission.

RN Coaches coordinate closely with nurses in the primary care providers office and health plan case managers to ensure coordination of care and smooth handoffs at the end of the 30-day intervention. Apply today!

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.




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