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Supervisor Disease Management Program - Spine

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Company

Lancaster General Hospital

Cost Center

7260 SOP-Neuroscience Administration

Supervisory Organization

Orthopedic & Neuroscience

Grade

G16

Summary

This position is located in Lancaster, Pa

Hours: Full-Time 1.0 FTE (40 hrs/wk); Monday through Friday 8:00am - 4:30pm with occasional evenings

POSITION SUMMARY: Accountable to provide clinical navigation for identified patients within the Penn Medicine LG Health system. Performs clinical and administrative functions to support the coordination of inpatient and/or outpatient care needs. Patient care includes care to patients in the following age groups: adult (19 through 64 years), and geriatric (65 years and above).

ESSENTIAL FUNCTIONS: Qualified individuals must have the ability (with or without reasonable accommodation) to perform the following duties:

  • Demonstrates proficiency in applying nursing theories, evidence based nursing knowledge, problem solving and therapeutic techniques to perform professional nursing duties safely, legally, ethically, efficiently and effectively.
  • Knowledge of pathophysiology of specific disease processes and understands treatment modalities and rationale such as: surgery, therapy, symptom management, diet and self-care strategies, survivorship, surveillance and advanced care planning.
  • Understand and apply current clinical guidelines in implementing a treatment plan.
  • Manage physical, mental, psychological and/or spiritual well-being while working with the patient to develop a treatment plan and contribute to its implementation and evaluation.
  • Provide continuity of care throughout the entire experience. Remain a point of contact for the patient along the continuum of care:
  • Respond appropriately to instances of unsafe practice to safeguard the patient’s health;
  • Maintain an environment conducive to health and healing including infection control;
  • Provides referrals to supportive resources at local, regional and national levels;
  • Provides treatment summaries and care plans for patients after receiving treatment.
  • Provides education to patient/caregiver on items such as: disease/symptom management, medication purpose and side effects, diet, rehabilitation and when to notify the healthcare provider. 
  • Assess the health needs of the patient using a bio-psycho-social-spiritual framework including self-determined health goals and develop a plan of care for the patient based on his or her own personal needs.  
  • Participates in related national and local professional nursing organizations, reviews literature and assess trends in patient care needs and development of services and resources to meet these needs.  
  • Performs nursing techniques proficiently by maintaining accurate documentation, using appropriate channels of referral and working effectively with other health care team members.
  • Assessment of patient’s ability to navigate through the healthcare system and identify potential barriers.  Guide patient through the healthcare system including:
  • Appropriate referrals to nutrition support, social work, financial counseling, psychology, rehab and/or palliative care.
  • Ability to communicate among specialty practices with the healthcare organization- build relationship with physicians and  staff.
  • Screen and inform patients who may be eligible for clinical trials for advancement of practice.
  • Advocate and facilitate access to the appropriate services to individuals with disabilities and advocate for equal access for all patients regardless of financial status.
  • Advocate for the patient’s right to autonomy and an informed decision making process.  
  • Identify and implement methodologies for continuous quality improvement within the service line and support disease specific performance improvement initiatives.
  • Actively engage and participate in community outreach, education and supportive services programs, including appropriate screening programs or educational and health awareness promotion activities.
  • Participate in related committees, multidisciplinary boards and/or service line activities as appropriate
  • Other duties as assigned.

MINIMUM REQUIRED QUALIFICATIONS:

  • Current licensure as a Registered Professional Nurse, issued by the PA State Board of Nursing.
  • Bachelor’s degree in nursing, healthcare management or related field.
  • Specialty certification required within 3 years of hire.
    • Oncology Certification issued by  OCN, OBPN or CBCN.
    • Heart Failure Certification issued by CHFN
  • Three (3) or more years of experience as a clinical nurse in related specialty.
  • Five (5) or more years of experience as a clinical nurse in related specialty. preferred
  • Masters of Science Degree Nursing (MSN). preferred
  • Experience in care coordination and patient education. preferred

LGH Full Time Posted on 09/18/2019
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