Overview

　　CHI St. Joseph Health – College Station/Bryan TX Since 1936 CHI St. Joseph Health has been caring for the communities in Bryan College Station Brenham Hearne Navasota Caldwell Madisonville and Bellville. With the area’s only Level II Trauma Center the first Joint Commission certified Primary Stroke Center and the first accredited Chest Pain Center in the Brazos Valley; CHI St. Joseph Health is a leader in critical care and the largest provider of cardiovascular care in the region. As an integrated healthcare system CHI St. Joseph Health includes a comprehensive network of over 100 employed providers including primary care physicians specialists and advanced practice clinicians. The network includes more than 20 ambulatory clinics featuring primary care a freestanding Emergency Room Express Clinics and imaging and diagnostic services.

　　Responsibilities

　　ESSENTIAL KEY JOB RESPONSIBILITIES

　　Completes and documents a discharge planning assessment on those patients identified by the designatedscreening process, or upon request. Reassess the patient as appropriate and update the plan accordingly.

　　Facilitates the development of a multidisciplinary discharge plan, engaging other relevant health teammembers, the patient and/or patient representative and post-acute care providers in accordance with the

　　patient’s clinical or psychosocial needs, choices and available resources.

　　Oversees and evaluates the implementation of the discharge plan.

　　Collaborates with the multidisciplinary team to ensure progression of care and appropriate utilization of

　　inpatient resources using established evidence based guidelines/criteria.

　　Collaborates with the healthcare team and post-acute service providers to ensure timely and smoothtransitions to the most appropriate type and setting of post-acute services based upon patient’s clinical

　　needs.

　　Identifies risk for readmission and implements interventions to mitigate those risks for at least a 30-dayperiod.

　　Responsible for delivery of appropriate patient notifications and related documentation

　　Responsible for patient education and advocacy.

　　Participates in performance improvement teams and programs as necessary.

　　Demonstrates behavior that aligns with the Mission and Core Values of the Organization.

　　Responsible for completing required education within established timeframes.

　　Adheres to all hospital policies, standards of practice and Federal or State regulations pertaining to their

　　practice.

　　Qualifications

　　Major Experience/Education:

　　Minimum two (2) years of acute hospital clinical

　　experience with ADN or a Master’s degree in Case Management,

　　or Master's Degree Nursing TX RN License

　　Licensure/Certifications:

　　Registered Nurse (RN) license

　　Pay Range

　　$35.12 - $50.92 /hour

　　We are an equal opportunity/affirmative action employer.