RN, Home Care Liaison

Acute Care Coordinator

The Acute Care Coordinator role is to serve as an adjunct to the multidisciplinary team. The Care Coordinator in partnership with unit staff (Nursing, Providers, Consulting Services, Social Work) and providers caring for the patient at discharge assists in facilitating a patient focused plan of care aimed at ensuring a safe transition from hospital to home for adult acute care patients.

Essential Functions:

• Identifies patient discharge needs
• Assists in implementing patient care strategies to close gaps in medical care upon discharge. Leads daily discharge rounds.
• Identifies resources for patient self-management planning and discharge.
• Assists in developing and implementing care plan for medically complex patients.
• Prepares patient for discharge by ordering home nursing services/IV medications/tube feedings and DME.
• Other duties as assigned

Minimum Education & Experience:

• Associate of Applied Science in Nursing and a minimum of 5 years of professional nursing experience. BS/MS and acute care, community health care management and/or disease management, multidisciplinary team experience preferred or an equivalent combination of education and experience. Registered RN in New York State (preferred)
• Minimum of 5 years of professional nursing experience (required)

Knowledge, Skills and Abilities:

• Computer skills, familiarity with electronic medical record

The University of Rochester is committed to fostering, cultivating, and preserving an inclusive and welcoming culture to advance the University's Mission to Learn, Discover, Heal, Create and Make the World Ever Better. In support of our values and those of our society, the University is committed to not discriminating on the basis of age, color, disability, ethnicity, gender identity or expression, genetic information, marital status, military/veteran status, national origin, race, religion, creed, sex, sexual orientation, citizenship status, or any other characteristic protected by federal, state, or local law (Protected Characteristics). This commitment extends to non-discrimination in the administration of our policies, admissions, employment, access, and recruitment of candidates, for all persons consistent with our values and based on applicable law.