This is a split position between Carroll Hospital and Sinai Hospital.
Summary-Provide direct patient care and consultation in the Disease Management function, including use and analysis of tele-monitoring processes and community outreach. Provide education in support of function's services.
Care Solutions (Disease Management) Consult: Provider will provide consultation on patients with chronic conditions such as COPD, CHF, and others. Disease Management NP will review patient charts daily for correlation with clinical guidelines (Project RED/Hospital Discharge Checklist). Related responsibilities include:
•Collaborate with the attending/PCP/care team
•Participation in multi-disciplinary rounds on Project RED units
•Visit patient at bedside to assess education/follow up needs
•Provide education to patients about CHF
•Educate patients and providers about the Care Solutions program
•Evaluate for appropriateness of tele-monitoring program. or ifpatient meets criteria for tele-monitoring, the NP will educate patient on how to use equipment and will consult with PCP to develop a care plan to manage the patient and alerts.
Care Solutions Clinic: Provide hospital discharge follow-up care to patients as scheduled. Support community providers in the management of patients with chronic conditions
Telemonitoring Program: NP will:
- Assess patients for appropriateness of program
- Assess cognitive and functional capability
- Obtain patient consent
- Educate patient about the program including expectations
- Set patients up in the portal
- Provide patient with equipment or place order for collaborating agency to install/de-install equipment
- Consult with PCP to discuss and develop care/treatment plans
- Monitor the portal
- Collaborate with cognizant call center nurses to manage alerts and interventions
- Potentially visit patients at home (if nurse is secured) within 48 hours of discharge Director and NP will educate providers, case managers, nursing and community on program
Requirements: Graduate of a NP program (Acute Care or Family Nurse Practitioner). Must have over 2 years of APP experience to be considered for this role. MBON APP experience
BLS required.
#APP
As one of the largest health care providers in Maryland, with 13,000 team members, We strive to
for over 1 million patients annually. LifeBridge Healthincludes Sinai Hospital of Baltimore, Northwest Hospital, Carroll Hospital, Levindale Hebrew Geriatric Center and Hospital and Grace Medical Center, as well as our Community Physician Enterprise, Center for Hope, Practice Dynamics, and business partners: LifeBridge Health & Fitness, ExpressCare and HomeCare of Maryland.