Assesses and promotes the quality of patient care in
collaboration with multidisciplinary team. Supports patients and
families to address the following dimensions of care: education,
psychosocial needs, advocacy, and continuity of care.
Provides continuity of care by ensuring smooth transitions
between care settings. Develops a relationship with patient and
their multidisciplinary team to facilitate and/or navigate through
subsequent treatment and follow-up to reflect continuity of
Completes a nursing assessment to identify the patients
individualized needs and collaborates with multidisciplinary team
and other departments to develop an interdisciplinary plan of
Supports the patient and family by providing education,
addressing psychosocial needs, advocating, providing continuity of
care and identifying barriers to care. Navigates through the
diagnosis, treatment and follow-up of the patient throughout the
continuum of care.
Provides expert clinical advice to the multidisciplinary team in
designing collaborative teaching plans/programs and in
planning/providing patient/family education and discharge planning
including wellness and health maintenance within designated
Coordinates timely, seamless, evidenced based care across the
care continuum resulting in best patient outcomes.
Evaluates, selects or designs patient education materials on
specific disease site programs. Provides education and outreach
programs to patients, Aurora staff and to members of the
Assists leadership in developing program vision, goals and
objectives. Assists in the development, implementation and
maintenance of quality programs that include best practice patient
care outcomes including quality of life, and enhanced patient
Monday through Friday, 1st shift hour
Monday - Wednesday will be on St. Luke's campus
Thursday & Friday will be at 84S.
Licenses & Certifications
Registered Nurse license issued by the state in which the team
Bachelor's Degree in Nursing.
Required Functional Experience
Typically requires 5 years of experience in clinical nursing
that includes experience in nursing assessment, care plan
development and in educating patients.
Knowledge, Skills & Abilities
Working knowledge of the components of quality and acute patient
care needs specifically related to the area in which care will be
performed.Maintains clinical expertise to effectively manage
physical, emotional, psychosocial and spiritual needs of patients
throughout the care continuum. Excellent analytical and
interpersonal communication skills necessary to negotiate with
families, patient, physicians and third party payers. Demonstrated
ability to work well with physicians and other professionals in a
direct and positive manner.