Job Description

  • Job LocationUS-AZ-SCOTTSDALE
    Requisition ID
    01 - Days
    Population Health
    Support Services
    Position Type
    PRN (On-call)
    Physical Work Location and New Employee Orientation Location : Address
    7301 E 2ND ST
    Work Hours
  • Overview

    HonorHealth is a non-profit, local healthcare organization known for community service and outstanding medical quality. HonorHealth encompasses five acute care hospitals with approximately 11,500 employees and 4,500 volunteers, over 70 primary and specialty care practices, clinical research, medical education, an inpatient rehabilitation hospital, an Accountable Care Organization, two foundations, and extensive community services.

    HonorHealth is a leader in medical innovation, talent and technology with a genuine commitment to your growth. The health system's vibrant careers take place in an environment filled with opportunity and respect because we see the HONOR in you.


    Associate's Degree from an accredited NLN /CCNE institution in nursing Required

    2 years experience as a Registered Nurse (RN) Required
    1 year experience as a Case or Care Manager or equivalent experience Required

    Licenses and Certifications
    Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Required


    Job Summary
    This position is an integral member of the care coordination team, working with patients and their families to assure a smooth transition following discharge from the hospital. This position works collaboratively with the various partners, leadership, providers, care coordinators and other health care professionals/agencies to ensure a smooth transition from the hospital to outpatient care that is coordinated across the health care continuum.
    • Collaborate with patients/caregivers early prior to and/or post- discharge. Establish relationship with patient/caregiver. Ensure PCP follow up within 7-14 days post discharge. Assess readmission risk and barriers to care outpatient including home support, medication management, expectation, etc. Coordinate with hospital case manager regarding discharge plans. Provide effective communication of clinical information and plan of care between all care providers. Conduct effective post-hospitalization telephonic monitoring, or depending on the tier level of each case and risk for readmission. Review discharge instructions with patient including education required due to new medications/changes to medication regimen, disease specific "red flags" of complications. Communicate effectively and professionally using all modalities i.e. technology, written letter, and verbal with both clinicians and patients/caregivers in a way that is both clear and concise. Assesses, determines, and evaluates appropriate disposition and makes independent judgments based on critical thinking skills and expertise.
    • Facilitate a smooth and timely transition from acute care to home. Participate with a team of registered nurses to answer in-bound telephone calls from patients/families who have recently discharged home after an inpatient or observation hospital encounter. Obtain and document information from the electronic medical record to assist in the facilitating and resolution of the patients issues. Collaborate with other members of the hospital or post acute healthcare team for the timely and effective resolution to the patients issue. Facilitate and promote a collaborative process and communication between all health care team members, inclusive patients/clients, families and significant others to ensure the process of integrated care services are targeted, appropriate, and beneficial to the population served from admission through the discharge process. Maintain accurate and thorough documentation by means of the approved medical record documentation templates..
    • Performs other duties as assigned.

    It is the policy of HonorHealth to provide equal opportunity in employment. Selection and employment of applicants will be made on the basis of their qualifications without regard to race, color, religion, creed, national origin, age, disability, sexual orientation, marital status, veteran status or any other legally protected status.

    Please review the Equal Employment Opportunity poster.

    Please review the Equal Employment Opportunity Poster.HonorHealth wants all interested and qualified candidates to apply for employment opportunities. If you are an applicant with a disability who is unable to use our online tools to search and apply for jobs, please contact us at . Please indicate the specifics of the assistance needed. This option is reserved only for individuals with disabilities that are unable to use the online tools and is not intended for other purposes.

    Application Instructions

    Please click on the link below to apply for this position. A new window will open and direct you to apply at our corporate careers page. We look forward to hearing from you!

    Apply Online