• Required - Registered nurse diploma.
• Preferred - Associate or bachelor's degree in nursing.

• Required - Current registered nurse (RN) license in state of practice.
• Basic Life Support (BLS) from the American Heart Association.
• Preferred - Certification in a clinical specialty area.
• Knowledge Skills and Abilities (KSAs)
• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout the patient care process.
• Excellent conflict resolution skills.
• Ability to work a flexible work schedule (e.g. 24/7, weekend, holiday, on-call availability) and travel throughout and between facilities.

• Provides continuity of care by ensuring smooth transitions between care settings.
• Develops relationships with patients and their multidisciplinary team to facilitate and/or navigate through subsequent treatment and follow-up to reflect continuity of care.
• Manages high-risk, complex patient care to minimize readmission.
• Works closely with physicians to coordinate patient’s care plan communication; works with a multidisciplinary team to maintain and implement up-to-date coordinated patient-centered care plan; communicates with all members of the healthcare team as a patient advocate.
• Prepares, executes, and reinforces post-discharge care plan.
• Identifies barriers to care to elicit changes in processes for patients navigating the continuum of care.
• Collaborates with leadership to review processes to improve the clinical experience for referred patients and the referring physician.
• Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
• Performs other related duties as required.

Job Summary