Duke University Hospital is consistently rated as one of the best in the United States and is known around the world for its outstanding care and groundbreaking research. Duke University Hospital has 957 inpatient beds and offers comprehensive diagnostic and therapeutic facilities, including a regional emergency/trauma center; a major surgery suite containing 51 operating rooms; an endo-surgery center; an Ambulatory Surgery Center with nine operating rooms and an extensive diagnostic and interventional radiology area. In fiscal year 2018, Duke University Hospital admitted 42,916 patients and had 1,085,740 outpatient visits in fiscal year 2017.
U.S News & World Report named Duke University Hospital #1 in North Carolina and #1 in the Raleigh-Durham area in 2018-19.
Duke University Hospital is ranked in the top 20 nationally for seven adult specialties, including cardiology and heart surgery, nephrology, ophthalmology, orthopedics, pulmonology, rheumatology, and urology.
In addition to its hospitals, Duke Health has an extensive, geographically dispersed network of outpatient facilities that include primary care offices, urgent care centers, multi-specialty clinics and outpatient surgery centers.
Duke Nursing Highlights:
Duke University Health System is designated as a Magnet(r) organization
Nurses from each hospital are consistently recognizedeach year as North Carolina's Great 100 Nurses.
Duke University Health System was awarded the American Board of Nursing Specialties Award for Nursing Certification Advocacy for being strong advocates of specialty nursing certification.
Duke University Health System has 6000 + registered nurses
Quality of Life: Living in the Triangle!
Nurse Clinician - Children's Complex Care Service - Full-Time
The complex care nurse-clinician will develop and manage the Duke Children's Complex Care Service designed to support Duke University Health System (DUHS) and Community Care of North Carolina (CCNC) in their efforts to achieve the triple aim of better health and better care at lower cost for the children with medical complexity (CMC) patient population. S/he will provide direct care management for a panel of eligible CMC longitudinally at inpatient and outpatient points of care, and will help to build and refine the infrastructure of this new service line.
This is a full-time, 40 hours a week position.
Job Duties and Responsibilities:
The primary responsibility of the RN-clinician will be to facilitate smooth transitions of care between the inpatient and outpatient setting for high-risk children with medical complexity (CMC) identified during the inpatient hospitalization. Enrolled CMC will be part of the RN-clinician's panel of patient and they will be followed longitudinally as a distinct population. The RN-clinician will serve as the organizer and a primary point of contact for enrolled CMC's care management needs in the inpatient and outpatient care settings.
Establishes, implements, oversees and evaluates a multi-pronged care management program that will build upon the initial phases of the Children's Health Accountable Care Collaborative (CHACC) program. Works closely with the physician and administrative leadership team to develop a strategic and operational plan to guide the development and implementation of the care management program. Works with the team to develop specific goals for the care management program, including metrics, and evaluates the program's outcomes on a scheduled basis.
Works with the team to develop a care management model including the evaluation and implementation of roles, competencies, tools and processes that facilitate the identification and prioritization of high risk patients; initial and ongoing assessment of the patients' and families' care management needs and self-management capabilities; provision of care management interventions, documentation of care management activities, and communication with other care management resources.
Integrates within the existing infrastructure of the CHACC team, Northern Piedmont Community Care (NPCC) health network, and the Duke Children's inpatient pediatric wards.
Builds strong working relationships with caregivers and other care management resources within and outside of DUHS, including pediatric primary care providers and their teams, pediatric sub-specialty providers, behavioral health providers, hospital-based case managers, ancillary providers, home care professionals, payers, school personnel, as well as other professionals in community organizations.
Continuously evaluates and identifies potential risk management or quality issues and proposes/develops process improvement strategies to enhance the Duke Children's Complex Care Service.
Collaborates with the physician and administrative team to develop and implement a comprehensive quality improvement process.
Remains available via pager and/or email to serve as the direct connection to patient/family concerns and/or complaints; in so doing, serves as the clinical "face" of the Complex Care Service.
Provides care management and care coordination to high-risk children with medical complexity (CMC) patients. Essential specific tasks may include:
Direct contact with hospitalized patients/families to identify care management and care coordination gaps, with particular attention to anticipated gaps during the transitions of care timeframe (discharge to first 30 days post-discharge).
Examples of specific gaps that may be filled by the RN-clinician at the hospital prior to discharge include re-enforcement of patient/family teaching using teach-back methods, organize and coordinate patient-centered scheduling of follow-up appointments, arrange for post-discharge home visit (for eligible patients), and assistance with verification of pre-authorization for certain Rx medications prior to discharge.
Be available via pager to enrolled patients/families in order to help troubleshoot post-discharge clinical problems.
Collaborate with physician champions who will serve as direct clinical supervisors for the RN-clinician's clinical decision-making.
Directly communicate with care management personnel and clinicians within and outside of DUHS to keep all stakeholders up-to-date.
Collaborate with existing inpatient staff (e.g., patient resource management, social work, nursing, physicians) to fill anticipated gaps. Instead of duplicating work, the philosophy will be one of creating added value by augmenting the work of existing teams.
Creation and maintenance of patient-specific complex care plans that will be visible to all MaestroCare clinical end-users.
Leadership and coordination of weekly Complex Care Service team meetings.
Attendance (as able) at state-wide CHACC training sessions and meetings.
Experience and education required:
Work requires a Bachelor's of Science in Nursing. Ideally will include 1 or more years of direct patient care and case management experience with high risk pediatric patients preferably in a pediatric inpatient and/or chronic disease setting. A Masters in Nursing is preferred though not required. Experience managing transitions of care, home health, or community-based experience; knowledge of applicable federal, state, and local regulations; management and quality improvement experience preferred.
Minimum of 3 years of nursing experience.
Current North Carolina nursing state licensure. Specialty certification is strongly encouraged.
Duke is an Affirmative Action/Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.
Duke aspires to create a community built on collaboration, innovation, creativity, and belonging. Our collective success depends on the robust exchange of ideas--an exchange that is best when the rich diversity of our perspectives, backgrounds, and experiences flourishes. To achieve this exchange, it is essential that all members of the community feel secure and welcome, that the contributions of all individuals are respected, and that all voices are heard. All members of our community have a responsibility to uphold these values.
Essential Physical Job Functions: Certain jobs at Duke University and Duke University Health System may include essentialjob functions that require specific physical and/or mental abilities. Additional information and provision for requests for reasonable accommodation will be provided by each hiring department.
Internal Number: 49685
About Duke University Health System
As a world-class academic and health care system, Duke Health strives to transform medicine and health locally and globally through innovative scientific research, rapid translation of breakthrough discoveries, educating future clinical and scientific leaders, advocating and practicing evidence-based medicine to improve community health, and leading efforts to eliminate health inequalities.