Supportive Care Nurse / Emergency Department | Palliative Care Unit

Wake Forest Baptist Health
Job Title: Supportive Care Nurse / Emergency Department
Job ID: 5170
Full/Part Time: Full-Time
Regular/Temporary: Regular
Job Category: Nursing-Clinical
Winston-Salem, NCNursing-Clinical, Medical, Healthcare11/27/2013The Enhanced Care Nurse isresponsible for assessing, planning, monitoring, and evaluating the designated patient''''s plan of care in collaboration with the treating physician and nurse team to assist in determining the most appropriate transitional care needs. “Transitional...

Job Description


Schedule: Evening Hours 11:30am-8:00pm- Supported by Transitional and Palliative Care RN and a second Supportive Care RN

*Position is Grant Funded

The Supportive Care Nurse is responsible for assessing, planning, monitoring, and evaluating the designated patient's plan of care in collaboration with the treating physician and nurse team to assist in determining the most appropriate transitional care needs. “Transitional Care” may include transitioning from the hospital to a number of traditional outpatient settings (home health, skilled nursing facilities, immediate next day) primary care follow up and more novel care options (in home visit by nurses, social workers, or advance practice providers). In addition, given the complex needs of our patients, special services including hospice or palliative care nursing for patients with palliative or end-of life needs, or mental health follow-up for patients requiring these services, will be critical in engaging optimal care transitions back to the community. These duties will be performed primarily within the Emergency Department. Individuals with experience in transitional case management, emergency room care orin providing end of life and palliative nursing care are preferred.

The Supportive Care Nurse provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation) and promotes age/developmentally appropriate care in accordance with nursing standards of care and practice. The Enhanced Care Nurse coordinates services to ensure that patients requiring high levels of care coordination are provided patient-centered care coordinated across providers.The Enhanced Care Nurse collaborates with the client's Primary Care Physician, specialty provider, home health agency, skilled nursing facility, Community Care of North Carolina (CCNC) care management staff and/or palliative and hospice care providers to provide coordinated care management services. Due to the complexity of the patients in the Care Transitions Program, the Enhanced Care Nurse must also be adaptive and willing to function with teams across the hospital (e.g. ICU, emergency room, medical and surgical services) outpatient care providers (e.g. primary care physicians, home health agencies, skilled nursing facilities, hospice agencies, etc.), and both patients and their families.

The Supportive Care Nurse will guide patients through the healthcare system, especially those seeking care in the emergency room, by establishing contact with a variety of providers as described above. The Enhanced Care Nurse will seek to understand the patient's plan of care established by the patient, their family and their medical team and will assist the patient, their families and caregivers with organizational and external resources as necessary for their current functional status and goals of care.

Job Code / Title: 8760 Enhanced Care Nurse
FLSA: Exempt
Original Date: September 2013
Last Revision:
Job Summary: The Supportive Care Nurse is responsible for assessing, planning, monitoring, and evaluating the designated patient?s plan of care in collaboration with the treating physician and nurse team to assist in determining the most appropriate transitional care needs. ?Transitional Care? may include transitioning from the hospital to a number of traditional outpatient settings (home health, skilled nursing facilities, immediate next day) primary care follow up and more novel care options (in home visit by nurses, social workers, or advance practice providers). In addition, given the complex needs of our patients, special services including hospice or palliative care nursing for patients with palliative or end-of life needs, or mental health follow-up for patients requiring these services, will be critical in engaging optimal care transitions back to the community. These duties will be performed primarily within the Emergency Department. Individuals with experience in transitional case management, emergency room care or in providing end of life and palliative nursing care are preferred.

The Supportive Care Nurse provides nursing care to patients using the nursing process (assessment, planning, implementation, and evaluation) and promotes age/developmentally appropriate care in accordance with nursing standards of care and practice. The Enhanced Care Nurse coordinates services to ensure that patients requiring high levels of care coordination are provided patient-centered care coordinated across providers. The Enhanced Care Nurse collaborates with the client?s Primary Care Physician, specialty provider, home health agency, skilled nursing facility, Community Care of North Carolina (CCNC) care management staff and/or palliative and hospice care providers to provide coordinated care management services. Due to the complexity of the patients in the Care Transitions Program, the Enhanced Care Nurse must also be adaptive and willing to function with teams across the hospital (e.g. ICU, emergency room, medical and surgical services) outpatient care providers (e.g. primary care physicians, home health agencies, skilled nursing facilities, hospice agencies, etc.), and both patients and their families.

The Supportive Care Nurse will guide patients through the healthcare system, especially those seeking care in the emergency room, by establishing contact with a variety of providers as described above. The Enhanced Care Nurse will seek to understand the patient?s plan of care established by the patient, their family and their medical team and will assist the patient, their families and caregivers with organizational and external resources as necessary for their current functional status and goals of care.

Education / Experience: BSN required. Minimum of 2 years of nursing experience in a clinical setting. Experience in Emergency or Palliative Care Nursing preferred.

Reports To: Coordinator, Palliative Care Program

Licensure, Certification and / or Registration: RN licensure in NC. Basic Cardiac Life Support (BCLS) required. Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS) may be required within one year in select areas. Palliative Care Nursing Certification preferred.




Essential Functions:

1. Utilizes the nursing process to provide patient- and family-centered care focusing on physical, emotional, spiritual, cultural, religious, and environmental needs. Ensures quality family-centered patient care by adhering to the policies of WFBMC, involving patients and their families in identifying their needs, collaborating with team to create a plan to meet those needs, and effectively communicating the plan across the continuum of care..

2. Maintains a safe, therapeutic, and healing environment through ensuring patient privacy and responsive, respectful, accepting, and professional behavior. Utilizes the use of technology and equipment to enhance the safety of patients and staff. Facilitates appropriate level of care across care enviornments, which is accomplished by assessment and evaluation of patients?s plan of care, supporting nursing staff in delivery of care and providing education regarding both care transitions and end of life care, where appropriate.

3. Acts as a patient advocate throughout the continuum of care including all patient settings and in the community. Coordinates the effective and efficient delivery of patient care services through the application of care management principles. Identifies clinical priorities and collaborates with team to initiate actions to improve patient outcomes. Educates nurses, house staff, and other medical service teams on both Care Transitions and Palliative Care processes.

4. Demonstrates ability to function in a professional practice model through active participation in shared governance, acceptance of personal responsibility for professional growth, exhibiting critical thinking behaviors, and demonstrating leadership and clinical excellence. Demonstrates responsibility for personal development by participating in continuing education offerings. Participates in peer review.

5. The Enhanced Care Nurse will utilize targeted reports and screening tools to identify Emergency Department patients who will benefit from more intensive care navigation within the ED and post ED discharge. The frequency and intensity of care management will be determined by the patient?s needs. They will provide care coordination which requires on-going communication with the Medical Center identified providers, primary care practice, CCNC care management staff, Managed Care Organizations, Department of Social Service, Health Department, Hospital, community providers (skilled nursing facilities, CarePlus at the Downtown Health Plaza) or others involved in providing care to the identified patients.

6. The Enhanced Care Nurse will ensure appropriate follow-up for identified patients who have recently been admitted and discharged from the hospital or Emergency Department. The Enhanced Care Nurse will work with a team of care transitions professionals to ensure a home or office visit when appropriate within one business day of Emergency Department discharge, provide education about the navigation services s/he and the team will provide. Multiple face-to-face patient encounters may be necessary. The frequency and intensity of care management will be determined by the patient's needs with the primary goals being to facilitate interdisciplinary collaboration and coordination of
patient-centered care across transitions of care, encouraging the patient, and both family and caregivers when appropriate, to play a central and active role in the formation and execution of the plan of care, promote self-management skills, maintain engagement with the health system, highlight the importance of primary care and specialty follow-up, and help direct communication between the patient/caregiver and service providers.

7. The Enhanced Care Nurse will have a good understanding of the chronic disease process; evidence based treatment and management, and is able to apply them in the care management services being provided to patients.

8. The position will function as a team member with Emergency Department staff, Care Coordination, and inpatient nursing to transition patient to appropriate primary care and post acute care setting. The Enhanced Care Nurse is expected to communicate in collaboration with the entire spectrum of care surrounding a patient.

9. The Enhanced Care Nurse will have knowledge and be able to document patient information in CMIS as well as WakeOne.

Skills and Qualifications:
Ability to provide direct and indirect patient care
Strong verbal and written communication skills
Ability to work collaboratively with all disciplines
Ability to prioritize when multiple demands exist

Physical Requirements:
Amount of time spent performing the following activities
0% 35% 65%
to to to
35% 65% 100% N/A Activity
X Standing
X Walking
X Sitting
X Bending
X Reaching with arms
X Finger and hand dexterity
X Talking
X Hearing
X Seeing
Lifting, carrying, pushing and or pulling:
X 20 lbs. maximum
X 50 lbs. maximum
X 100 lbs. maximum


Work Environment:
Subject to highly stressful and crowded conditions
Moderate noise environment
Required to wear PPE
Handles emergency or crisis situations
Subject to many interruptions
Secures absentee replacement on short notice

To apply for this position, please click on the "Apply Now" button on this page. You must complete the application process and then submit your application by clicking on the "Submit" button located at the bottom of the page titled "Submit Online Application". You will receive the following message once you hit the submit button: "You have successfully submitted your job application".

Computers are available for applying within the lobby of the Human Resources Department located at 1920 West First Street, (on the corner of Miller and First Street) Winston-Salem, North Carolina 27104. You may also call our office for assistance at (336) 716-0175. Office hours are Monday-Friday, 8:00am-5:00pm.

If you are an individual with a disability and need reasonable accommodation to participate in the application process, please contact our Supervisor of Office Services by phone (336) 716-3367 or email at accommodationrequest@wakehealth.edu.

It is the policy of Wake Forest Baptist Medical Center to administer all educational and employment activities without discrimination because of race, sex, age, religion, national origin, disability, sexual orientation or veteran status (except where sex is a bona fide occupational qualification or a statutory requirement) in accordance with all local, state, national laws, executive orders, regulations, and guidelines.



Quick Reference

Human Resources
General Employment

Phone 336-716-4717
FAX 336-716-5656

Nurse Recruitment

Phone 336-716-3339
FAX 336-716-5656

nrsrecrt@wakehealth.edu

Featured Jobs

Staff Nurse II Neuro ICU 5 C

Full-Time | Regular

Physical Therapist Assistant - Acute Care

Full-Time | Regular

Ways to Give
USNWR 2013-2014Magnet Hospital RecognitionConsumer Choice2014 Best DoctorsJoint Commission Report

Disclaimer: The information on this website is for general informational purposes only and SHOULD NOT be relied upon as a substitute for sound professional medical advice, evaluation or care from your physician or other qualified health care provider.