1+ months


SSM Health
Madison, WI 53786


+ Assesses patient care needs by gleaning hospital records and/or referral provided information for information necessary to determine the appropriateness of referral and to initiate patient records.

+ Identifies educational needs for patients/significant others.

+ Adheres to skilled service/homebound regulations of payers.

+ Plans for patient care by ensuring that information regarding pending referrals is passed on to nursing supervisors, clinical supervisor or rehab services, and others as necessary in a timely manner.

+ Coordinates with nursing supervisors, clinical supervisor or rehab services, and others in initiating care.

+ Seeks appropriate orders in planning multidisciplinary care.

+ Completes evaluation of care by reassessing patients systematically to identify progress and trends that require intervention; this may include seeing the rehospitalized patient and/or reviewing his/her record.

+ Communicates with supervisor regarding the cases he/she is managing while awaiting the initiation of care.

+ Assesses and discerns environmental factors which are hazardous and/or unsafe and responds according to policy and agency expectation.

+ Performs other duties as assigned.


+ Graduate of an accredited school of nursing


+ One year licensed practical nurse experience

SSM Health is committed to equal employment opportunity based on race, color, religion, national origin, gender, sexual orientation, gender identity, pregnancy, age, physical or mental disability, veteran status, and all other statuses protected by law.


Posted: 2020-06-09 Expires: 2020-09-06

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SSM Health
Madison, WI 53786

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