Pool Care Transition Registered Nurse - TGH Ambulatory Care Transitions
Tampa, Florida, United States · On-site
Mid level
Under general supervision, provides patient education, support, and interventions to optimize care transitions. Assists in Plan of Care compliance. Includes coordination of Home Health, Remote Patient Monitoring (RPM), D…
Skills: Care coordination, Patient education, Nursing intake, Clinical assessment, Care planning
Pool Care Transition Registered Nurse - TGH Ambulatory Care Transitions
Tampa, Florida, United States · On-site
Mid level
Under general supervision, provides patient education, support, and interventions to optimize care transitions. Assists in Plan of Care compliance. Includes coordination of Home Health, Remote Patient Monitoring (RPM), D…
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Pool Care Transition Registered Nurse - TGH Ambulatory Care Transitions
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Per diem
bachelor degree
Posted 13h ago
~40 hrs/week
Responsibilities
Provides patient education, support, and interventions to optimize care transitions while coordinating with home health, pharmacy, and physicians. Serves as a clinical leader and point of contact to ensure patients manage their conditions independently after active treatment.
Requirements
Requires a Bachelor's degree in Nursing and a valid Registered Nurse license. Candidates must have a minimum of three years of nursing experience in care coordination, ambulatory, post-acute, or transitional care settings.
Full job description
Under general supervision, provides patient education, support, and interventions to optimize care transitions. Assists in Plan of Care compliance. Includes coordination of Home Health, Remote Patient Monitoring (RPM), Durable Medical Equipment, Pharmacy as needed and communication with physicians. Uses a process of nursing intake, assessment, planning, and care in accordance with physician orders, the established plan of care, the patient’s diagnosis, policies and procedures, and the Nurse Practice Act.
Weekday and/or weekend for coverage as needed
Essential Functions:
Serves as point of contact, clinical leader and resource to staff and administration.
Provides patients and family with needed information for the transition from active treatment to managing their condition independently.
Functions as a member of an inter-disciplinary team, encouraging and maintaining open communications.
Provides clinical supervision to the Care Transitions Tele Med-Assistant for patients and provides input regarding his/her performance to the appropriate manager.
Assists in the orientation of new staff or continuing education of existing staff as requested.
Helps to identify patients who are appropriate for RPM.
Establishes vital sign parameters, obtains physician orders, develops a plan of care, and documents findings.
Develops and maintains rapport with patients and caregivers via phone and/or video communication.
Responsible to continually assist patient/family through the healthcare system which includes during procedures/admissions at TGH, follow up, and with community resources.
Assesses and evaluates patient data and needs; providing appropriate support. Patient/family health education, direction, and intervention.
Notifies physician and other care agencies of changes in patient condition or status, sends reports, obtains new orders, and modifies the care plan as needed.
Identifies the need for and recommends appropriate disciplines and community resources for optimum patient care.
Maintains clinical skills within nursing practice norms and participates in group projects, training, and education as needed.
Informs department manager of perceived problem areas related to program, patient care, or community relations.
Demonstrates a professional attitude, sound judgment and continuity in interactions with physicians, other health care providers, and community agencies.
Acquires and utilizes knowledge of community resources.
Demonstrated clinical, interpersonal and communication skills.
Bachelor's Degree - Nursing
Registered Nurse
Minimum of three (3) years of nursing experience, including experience in care coordination, ambulatory, post-acute, or transitional care settings.
Related keywords
Registered NurseCare TransitionsAmbulatory CarePatient EducationRemote Patient MonitoringHome HealthDurable Medical EquipmentPharmacy CoordinationNursing IntakeCare Plan ComplianceClinical SupervisionInterdisciplinary TeamVital SignsCommunity ResourcesPost-acute CareTransitional Care
Tampa General is a private not-for-profit hospital and one of the most comprehensive medical facilities in West Central Florida serving a dozen counties with a population in excess of 4 million. As one of the largest hospitals in Florida, Tampa General is licensed for 982 beds, and with over 15,000 team members, is one of the region’s largest employers.
Consistently recognized for world-class care, Tampa General Hospital is ranked as the #1 hospital in Tampa Bay by U.S. News & World Report for 2024-25 and is nationally ranked as among the top 50 hospitals in the nation in eight specialties. Additionally, Tampa General was ranked as “high performing,” or among the top 10% of hospitals in the nation, in five more specialties along with 12 procedures and conditions.
TGH partners with the USF Health Morsani College of Medicine to pioneer breakthrough treatments, conduct game-changing clinical research and train the next generation of health care professionals. TGH is the region's only academic health system, having been affiliated with the USF Health Morsani College of Medicine since the school was created in the early 1970s.
TGH is the area’s only Level I trauma center and one of two ABA-verified Adult & Pediatric burn centers in Florida. With five medical helicopters, we are able to transport critically injured or ill patients from 23 surrounding counties to receive the advanced care they need. The hospital is home to the leading organ transplant center in the country, having performed more than 14,000 adult solid organ transplants, including the state’s first successful heart transplant in 1985. Tampa General Hospital is committed to serving all residents of West Central Florida. We provide comprehensive health services, ranging from wellness and primary care to the most complex specialty care and post-acute services.