WILLIAMSON STREET
Location
Elizabeth, NJ | United States
Job description
The Transitional Care program provide services to patients with chronic diseases such as Heart Failure, Chronic Obstructive Pulmonary disease, Diabetes, uncontrolled Hypertension, whose medical and/or psychosocial problems require moderate or high-complexity medical decision making during transitions in care from an inpatient hospital setting (including acute hospital, rehabilitation hospital, long-term acute care hospital), to the patient s community setting (home, and or assisted living). The Team follow up with patients 18 years old and over within 24 to 72 hours after discharged home.
The Nurse practitioner will gather these patients daily and sample them on a daily patient log, review patient s history and physical/ consults. Assess inpatient and family understanding of their disease, educate and collaborate needs with the Care Transition Team.
RWJBarnabas Health is an Equal Opportunity Employer
Job tags
Salary