• Collaborates with the RAS hospital on-site Clinical Coordinator regarding post-acute care services and transition of care plans for patients.• Communicates, coordinates and collaborates with providers to assure deliverance of quality care and services.• Provides care planning through analysis of patients past medical records, current treatment records and discharge notes from the hospital.• Provides condition-specific education to patients and caregivers.• Collaborates to… Show more • Collaborates with the RAS hospital on-site Clinical Coordinator regarding post-acute care services and transition of care plans for patients.• Communicates, coordinates and collaborates with providers to assure deliverance of quality care and services.• Provides care planning through analysis of patients past medical records, current treatment records and discharge notes from the hospital.• Provides condition-specific education to patients and caregivers.• Collaborates to ensure medication reconciliation and education for medication compliance/adherence is completed.• Completes outreach calls for regular follow-up and monitoring of patient’s health status, including monitoring for symptoms that require clinical intervention, reminders for adherence to the transition of care plan and physician appointments.• Responds to incoming calls from patients/caregivers/providers regarding the patient’s transition of care plan.• Documents accurately and timely all interventions/activity for patients in the documentation system.• Monitors daily vital signs, if applicable. Show less

Nursing care of children grades K-8Includes daily nursing care. Medication administrationAnnual Hearing and Vision TestingImmunizations

Supervise Controlled unit for geriatric members residing in a controlled atmosphere of care and safety. Interview,hire, orient as well as supervise new employees in department.Scheduled employees to work. Medication administration as needed.

Nurse Coordinator for 12 Group Homes of Disabled Adults.Coordinated care of all homes with 2- 4 adults per group home Reviewed Med administration and appts provided by caregivers employed by same company to care for them 24 hrs a day.Reviewed med books and clients medical books to keep current.Meetings w city and auxillary depts that all cont w correct care under the 6400 regulations in Philadephia.