Job Type:
Full Time
Job Details
Discharge Support Nurse Practitioner (full-time) in the Burlingame, CA area.
Employer type: Acute care.
What the work involves:
- Provides advanced clinical management across the continuum of care to support safe, coordinated transitions from hospitalization to the patient's longitudinal care team in collaboration with the supervising physician.
- Monitors patient progress, performs ongoing clinical reassessment, modifies the plan of care as clinically indicated, and facilitates timely escalation of care.
- Performs medication reconciliation, optimizes medication management, and provides patient and caregiver education to support safe transitions of care.
- Collaborates with physicians and the interdisciplinary team to coordinate care across the healthcare continuum.
- Identifies clinical, psychosocial, and social barriers to recovery and facilitates appropriate interventions and community resources.
- Documents assessments, interventions, care plans, and patient outcomes accurately in the electronic health record.
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