RN Care Facilitator, Ed BWH

Emergency Department Care Facilitator

The Emergency Department Care Facilitator (EDCF) proactively coordinates patient care in a fast-paced emergency department setting utilizing clinical assessment skills to identify patient needs, coordinate care, manage utilization, and support safe transitions of care while supporting patient flow and throughput from the emergency department. The EDCF serves as a key partner to ED physicians, nurses, the interdisciplinary team, and community partners and resources to support timely, appropriate care decisions.

Principal Duties and Responsibilities:

• Coordinates and ensures implementation of the plan of care, utilizing case management principles
• Participates in processes to facilitate transition of care and identifies opportunities for improved utilization of care delivery resources to meet patient needs
• Collaborates with the interdisciplinary care team to assess care needs and determine needs for discharge support and/or transition of care
• Presents alternative care delivery sites to ED providers, and the patient and family when appropriate
• Reviews patients past medical history and current treatment plan with ED providers to ensure optimal coordination and resource utilization
• Participates in ED patient rounds to identify and contribute to case finding opportunities for improved coordination of care and high-risk patient identification
• Communicates high risk patient's needs and follow-up plans of care to community-based and/or hospital-based care coordinators
• Forms and maintains relationships with community-based providers to enhance transition of patient care between the ED and the community
• Incorporates knowledge of emergency medicine, utilization management, and community providers into patients' plan of care, and informs ED providers of implications and opportunities
• Assesses needs for continuing care in conjunction with patient's family and/or caregivers
• Initiates contact with patient transfer and access department and/or other acute care hospitals, post-ED care facilities, and home health agencies to ensure prompt transitions of care
• Facilitates all discharge plans requiring post-ED care
• Works in partnership with the ED social workers and staff nurses to facilitate transition of care
• Participates in decision to admit patients to determine appropriateness of admission and prevent unnecessary admissions
• Identifies patients who have or are likely to have unmet insurance needs and communicates with and/or makes referral to the ED social worker and/or appropriate departments and inpatient care coordination staff
• Investigates and recommends to ED providers alternative care delivery sites based on level of care and insurance benefits. Contributes to utilization and improvement efforts

Qualifications:

• Education: Graduate of an approved school of nursing with current registration in Massachusetts. For newly licensed nurses a Bachelor of Science Degree in Nursing is required.
• Knowledge and skills to differentiate levels of care required.
• Five years of previous acute care experience required, strongly preferred in emergency nursing.
• Two or more years experience in hospital utilization review preferred.
• Five years experience in an acute setting with discharge planning and knowledge of community resources required.
• Must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served on their assigned unit.

Knowledge, Skills and Abilities:

• Bilingual (English/Spanish) preferred.
• Strong clinical assessment skills; excellent interpersonal skills including ability to work collaboratively and cooperatively within a team.
• Strong organizational skill and ability to set priorities.
• Ability to compile data from concurrent and retrospective medical record review to determine clinical appropriateness and level of care.
• Knowledge and skills to differentiate levels of care.

Additional Job Details:

• Shift: 36hr variable rotation
• Remote Type: Onsite
• Work Location: 45 Francis Street
• Scheduled Weekly Hours: 36
• Employee Type: Regular
• Work Shift: Rotating (United States of America)
• Pay Range: $41.71 - $105.65/Hourly

EEO Statement:

2200 The Brigham and Women's Hospital, Inc. is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at View phone number on click.appcast.io.