Nacogdoches Memorial Hospital Work Values

Daily Duties at Nacogdoches Memorial Hospital:

• Focus on reducing Traditional Medicare 30-day readmissions by coordinating care with an interdisciplinary team approach to improve the care transition from hospital to home or post acute care. • Serve as a liaison between hospital staff and the patient and/or family. • Provide education and guidance to the patient and/or family for an effective care transition, improve self-management of care and enhanced patient-provider communication. • Provide detailed specific education over medications, diagnoses, co-morbidities, diet, needs prior to discharge, family support, physical limitations with self care, need for medication assistance, need for transportation assistance, need for in-home services, and post discharge placement. Work closely with physicians, social services, nursing staff, and case management to ensure arrangements are made prior to discharge if needed. • Liaison between hospital staff and downstream providers. • Identify high risk patients and notify staff. • Identify readmissions, notify staff and conduct a root cause analysis for each. • Follow-up with patients post discharge to insure follow-up appointments are scheduled, address any questions or concerns, notify patient/family/downstream provider of necessary follow-up labs/testing, and address patient’s health status. • Provide reports and data related to Traditional Medicare readmissions.

What they like about Nacogdoches Memorial Hospital:

Working in an organization that is technologically advanced, creative, and innovative is critical in your assessment of hiring companies. Less important to you are stability of the organization, the length of time an organization has been in business, and the business' plans for the future. You prefer a fast-moving company that will take risks to achieve its goals and objectives. The length of time the company has been in business is irrelevant. Maintaining status quo is unnecessary. You thrive on change, uncertainty and the upside of potential business risks, especially those associated with innovation. Stability for the long haul is not nearly as important as is working in an atmosphere that is charged with a sense of urgency and constant change.

Tags

Telephonic Discharge Advocate, Manager, Case Management, Educator, Discharge Planner, Care Coordinator

Skills

Problem Solving; Team Leadership; Staff Supervision; Case Management; Educator; Effective presentation skills; Time management; Planning and Prioritization; Communication– written, verbal and telephonic; Microsoft Outlook, Excel, PowerPoint, Word

These are some of the questions we asked our climbers about their experiences with Nacogdoches Memorial Hospital: