Duties and Responsibilities:

• Provides and coordinates cost-efficient patient care that is and reimbursable under the patients’ insurance plan and approved by a physician.
• Admits patients in the program as needed and in a timely manner.
• Uses diagnosis coding skills to accurately rate the acuity of each 
• Evaluates patient diagnosis and works with Director, Patient Services and physician to assign appropriate primary diagnosis.
• Participates in bi-weekly and PRN meetings to report adherence to frequency and duration of services as per physicians’ order. Reports patients’ progress to team. 
• Communicates frequently with PT/OT to ensure adherence to therapy at the frequency and duration ordered by the physician.
• Acts as a coordinator of the multidisciplinary team providing care to patients.
• Establishes a plan of care with input from appropriate multidisciplinary health team members based on goals mutually acceptable to the patient and family.
• Documents content and process of all services provided.
• Monitors the effect of the care plans on the patient health status and informs physician and other personnel of changes in the clients’ needs.
• Appraises care provided, revises goals and interventions to patients’ care as needed.
• Educates the older adults and family regarding the disease process, self-care techniques and prevention strategies.
• Initiates and maintains written and verbal communications to assure optimal patient care.
• Performs other relevant duties as needed.

 
Requirements:

• License and current registration to practice as a Registered Professional Nurse in New York State.
• Graduate of an accredited school of nursing, BSN preferred.
• A minimum of one year experience in acute and subacute care  and or minimum of one year experience in a Adult Care Center preferred.
• Bilingual ( Spanish /English) and UAS certified preferred