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Nurse Liaison – Care Transition

Full-Time

Join Jamaica Hospital Medical Center

Jamaica Hospital Medical Center—one of America’s 100 Best Hospitals by Healthgrades—is a 384-bed, not-for-profit, fully accredited community teaching hospital serving Queens since 1891, where we started in just a four-bedroom house. Today, we deliver nationally recognized care in cardiology, stroke, oncology, imaging, and emergency medicine, and are New York State’s only Primary Heart Attack Center and the first Comprehensive Stroke Center.

With an expanded Level I Trauma Center, Pediatric Emergency Department, modern maternity services, and over 120,000 ER visits annually, we offer dynamic opportunities for professional growth, impact and clinical excellence. Through our affiliation with Memorial Sloan Kettering Cancer Center and the upcoming opening of our newly built, state-of-the-art Cancer Center, we continue to expand access to world-class care.

As a safety-net hospital, filling a void for the people in the community, we proudly serve all patients regardless of ability to pay. Join us during this exciting period of growth and help shape the future of healthcare.

Mission: To serve our patients and the community in a way that is second to none. 

Vision: To be the premier integrated healthcare delivery system by providing the highest quality, most cost-effective service, which is accessible and sensitive to all.

Jamaica Hospital

Nurse Liaison – Care Transition

Jamaica Hospital Medical Center currently seeks F/T experienced Home Visiting Nurse Liaisons with current New York State license to work in our Care Management Department.  Responsible for advocating and providing assistance for patients. Duties include, but are not limited to:

  • Responsible for administration of Transition of Care and Complex Case Management services for our clinically complex, high-risk patients recently discharged from the hospital or referred by PCP and/or other sources.
  • Facilitating PCP engagement and follow-up post hospitalization
  • Performing full assessment of patients’ clinical status, safety, and Health Related Social Needs in the patient home (Queens and Brooklyn only).
  • Developing a person-centered care plan based on assessment findings and managing overall clinical and bio-psychosocial needs of patients within nursing scope of practice.
  • Utilizing EMR data and other sources to perform full medical record reviews and formulate patient health status and gaps in care.
  • Administering disease management education to patients with chronic conditions
  • Effectively collaborating with patients, caregivers, Medical Advisors, PCP, and other specialist community entities to ensure individualized care and completion of care plan goals.
  • Educating and guiding patients on disease prevention and healthy lifestyle habits.

Tagged as: home visits, nurse

Requirements
  • Must be a graduate of an Accredited BSN Program
  • NY State RN License required.
  • Must have a minimum of 1-year inpatient nursing experience, preferable Medical-Surgical
  • Complex Case Management experience preferred.
  • Proficiency in assessment and care plan development
  • Proven demonstrated experience with PC and EMR documentation.
  • Must possess NYS Driver’s license, vehicle and be able to conduct home site visits in Queens & Brooklyn.
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