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AdventHealth

Integrated health system delivering whole-person care

Geriatric Primary Care RN

Nursing & Frontline Patient CareConfirmed live in the last 24 hours
Full-timeDaytona Beach, FL, USA$68.8k - $120.7k

About the Job

Requirements

  • An Associate's degree in Nursing is required.
  • At least one year of nursing experience is required.
  • A Registered Nurse (RN) license is required.
  • A driver's license is required.

Responsibilities

  • Assess patients and families holistically for discharge-planning needs in inpatient, observation, and/or emergency departments, including prior functioning, support systems, financial factors, and psychosocial needs, in a timely manner to avoid discharge-planning delays.
  • Review medical records, including medications, history and physical, laboratory results, and progress notes, and incorporate clinical, social, and financial factors into the transition-of-care plan.
  • Develop discharge plans with appropriate contingency plans throughout the hospital stay to support timely care coordination and progression of care, arranging post-acute care services and facilities as well as community care for social needs.
  • Use technology and follow standard work and best practices to communicate with post-acute care services and facilities, supporting continuity of care, complete medical records, and accurate discharge reconciliation.
  • Participate in multidisciplinary rounds to review patient status changes, progression and level of care, and discharge plans; identify resources needed at discharge, support timely transitions, and escalate care delays as appropriate.
  • Communicate with and educate patients and families about the emotional, social, and financial impacts of illness; mobilize family and community resources to meet identified needs; and advocate for patient and family empowerment in healthcare decisions and access to services.
  • Assess readmitted patients and families’ perceived reasons for readmission.
  • Organize and facilitate patient and family care conferences with the multidisciplinary team.
  • Document discharge-planning evaluations, ongoing assessments, discharge plans, multidisciplinary rounds, barriers to progression of care, avoidable days, and patient and family needs according to standard work.
  • Provide patient and family advocacy and support patients’ choices and rights during hospitalization.
  • Communicate patients’ needs to payors to obtain authorization for post-acute care as needed.
  • Perform other duties as assigned.

Desired Qualifications

  • A Bachelor's degree in Nursing is preferred.
  • Basic Life Support (BLS) certification is preferred.

About the Company

AdventHealth

Integrated health system delivering whole-person care

AdventHealth operates a nationwide network that provides whole-person health care across hospitals, physician practices, ambulatory surgery centers, outpatient clinics, home health, hospice, and digital tools. It coordinates care through an integrated system where care teams work across inpatient, outpatient, and at-home settings, supported by the AdventHealth app for scheduling, telehealth, and records. It differentiates itself with a mission-driven focus rooted in Christian heritage and a large, connected network designed to cover the full patient journey from hospital to home. Its goal is to extend the healing ministry of Christ by improving the health and prosperity of the communities it serves, offering accessible, coordinated care that addresses physical, mental, and spiritual well-being.

Company size
10,001+
Company stage
Grant
Total funding
$250K
Headquarters
Florida, United States
Founded
1973

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