Registered Nurse (RN) CSO Care Coordinator

• Medical, dental, and vision coverage from day one
• Generous PTO with a PTO payout option
• Care.com membership and backup dependent care through Care@Work
• Tuition assistance, with prepaid tuition for select nursing programs
• Retirement planning, financial mentoring, plus 403(b) and defined contribution plans
• Onsite gym access and fitness & wellness reimbursement
• Exclusive employee discounts on travel, entertainment, and more

• Completes and documents a preoperative health assessment screening and perioperative history and assessment for patients scheduled for joint replacement or spine surgery according to established criteria.
• Reviews clinical documentation and communicates findings with providers of the CSO Team, 7S/7E and attending physician/anesthesia team and revises plan of care as needed based on findings.
• Demonstrates skills and knowledge necessary to provide care to adolescent, adult and geriatric populations, including knowledge of growth and development, the ability to obtain and interpret information to identify patient needs and to provide the appropriate care needed.
• Assesses patient/family learning needs/barriers and carries out teaching measures and makes all appropriate referrals utilizing available resources.
• Completes follow-up phone calls for patient discharge and reports on findings in electronic medical records, contacting surgeons with questions or concerns.
• Demonstrates ability to prioritize workflow to complete tasks.
• Establishes methods that support reciprocal communication between physician offices, lab services, specialty services, 7S/7Eand the CSO team.
• Assesses patient post discharge care needs, initiates plan of care, and initiates inclusion of the necessary interdisciplinary team members.
• Case Management duties prior to surgery include pre-referrals in Ensocare for Home Health Care (HHC) / infusion services, lab draws, durable medical equipment such as hospital beds, walkers, commodes, home oxygen, and transportation home
• Inpatient includes:
• Facilitates daily and as needed multidisciplinary rounds, team and family meetings, rounds daily on 7S/7E ensuring plan for discharge matches pre-operative assessment and making necessary changes as appropriate supportive of the joint/spine program to HHC/physical therapy inpatient in home or outpatient. Ongoing updates for 7S/7E include DME floor stock, and communication tool used by charge nurse and Nurse Practitioner.
• Case Management support post-discharge includes:
• Scripted calls after discharge and appropriate follow-up with surgeon's office to secure prescriptions needed and any follow-up appointments. . Care feedback coordinated with Program and Unit Manager as needed.
• Participates in system-wide care management and other program activities as requested. This includes rounding on 7S joint replacement patients/7Eand CSA spine patients for discharge preparedness, multi-disciplinary rounds and updating tracking forms.

• Maintains collaborative professional working relationships with clinicians and administrative staff necessary to develop and implement a successful cross continuum care management for patients undergoing joint replacement /spine surgery.
• Collaborates with Total Joint Replacement/Spine Program Manager on ongoing performance improvement initiatives.
• Demonstrates understanding and application of CCHS values and behaviors in daily work.
• Serves as a patient advocate when barriers impede progress and/or collaboration between practitioners involved in care that is fragmented.
• Performs patient education via telephone or in person using teach back principals; collaborates with patient and family to establish realistic goals and activities to enhance patient self-management and participation in plan of care through discharge.
• Use theoretical and educational frameworks and expert clinical knowledge base to promote, develop and provide patient and family education.
• Assumes responsibility for personal growth and is willing to share knowledge with co-workers, management, physicians and other healthcare providers.
• Utilizes effective verbal and written communication skills with patients, families, co-workers, management, physicians, and other members of the healthcare team.

• BSN is required. RN, licensed to practice nursing in the state of Delaware
• BLS required
• Master's degree in nursing preferred
• Three or more years of clinical experience in acute care or Peri anesthesia care required
• Relevant, direct orthopedic/spine experience as a professional nurse

Approved certification (by cost center) preferred

Christiana Care Health System is an equal opportunity employer, firmly committed to prohibiting discrimination, whose staff is reflective of its community, and considers qualified applicants for open positions without regard to race, color, sex, religion, national origin, sexual orientation, genetic information, gender identity or expression, age, veteran status, disability, pregnancy, citizenship status, or any other characteristic protected under applicable federal, state, or local law.

Post End Date

EEO Posting Statement

ChristianaCare offers a competitive suite of employee benefits to maximize the wellness of you and your family, including health insurance, paid time off, retirement, an employee assistance program. To learn more about our benefits for eligible positions visit https://careers.christianacare.org/benefits-compensation/