Dartmouth Health
Newport, NH
51311156
Overview As part of the New London Hospital Medical Group, ensures safe and effective patient transitions across the patient care continuum. As a patient educator, advocate, and patient empowerment facilitator, this position provides information to the patient and/or caregiver resulting in effective care transitions, improved self-management skills, and enhanced communications between the patient and the healthcare team. Responsibilities
Transitional Care Responsibilities
Attends discharge planning meetings. Reviews the patient’s medical record and gathers clinical information from the current care delivery team and patient.
Provides information to patients and caregivers about NLH post acute discharge plans.
Collaborates with all members of the interdisciplinary team to develop a safe transitional plan to the next level of care. Ensures all clinical and personal transitional goals are met throughout.
Advocates on behalf of the patient and the healthcare...