Coordinate the overall interdisciplinary plan of care for patient, from admission to discharge.
Create plan for care across the continuum, integrating patient/family preferences and values.
Monitor patient medical necessity and level of care through assessments, ongoing evaluations and/or patient records.
Advocate for resources and removal of barriers.
Maintain ongoing dialog with supervisor and care transition team members to ensure effective implementation and reevaluation of health plan.
Act as a resource for adequate medical record documentation, level of care recommendations, and services as they relate to diagnoses, and treatment options for post-discharge care.
Licensed Registered Nurse credentialed from the Texas Board of Nursing required.
Diploma from an accredited school/college of nursing OR professional licensure at time of hire required.
Ascension Seton, based in Austin, Texas, has provided thousands of associates and caregivers a rewarding career in healthcare since 1902. Ascension Seton operates more than 100 clinical locations in Central Texas and four teaching hospitals, including more than 140 hospitals and 40 senior living communities in 19 states.
Ascension is a leading non-profit, faith-based national health system made up of over 134,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.
Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in their community. Ascension careers are more than jobs; they are opportunities to enhance your life and the lives of the people around you.
Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws.
This Ministry does not participate in E-Verify and therefore cannot employ STEM OPT candidates.