Care Transition Liaison Registered Nurse (RN) IHCI - Evansville

Community Health Network • Evansville, WY

3h • Hybrid

About The Position

Join Community Health Network and Deaconess Health System in the Innovative Healthcare Collaborative of Indiana (IHCI) as a Care Transition Liaison RN. This hybrid position involves working from Deaconess Midtown Hospital in Evansville, IN, and remotely. The role focuses on supporting patients with complex and/or chronic conditions, ensuring they receive disease-specific education, are connected with a primary care physician, and receive assistance with discharge planning. You will act as a patient advocate, collaborating with IHCI and hospital teams to create seamless care transitions for a safe and successful return home. This involves coordinating consultations, referrals, and community resources with inpatient case management teams.

Requirements

• 2 year / associate degree in nursing (required)
• Licensed as a Registered Nurse (RN) with a valid license to practice in the state of Indiana as listed in the Nurse Licensure Compact (NLC) (required)
• 5+ years: nursing experience required, preferably in an inpatient setting.

Nice To Haves

• Certified Case Manager (CCM) or Accredited Case Manager (ACM) or equivalent certification.

Responsibilities

• Ensuring value-based patients discharged from the hospital have been provided with disease specific education.
• Ensuring patients are connected to a primary care physician.
• Providing assistance with discharge planning.
• Partnering with other IHCI and hospital teams to serve as patient advocates.
• Creating seamless care transitions for patients being discharged from the hospital.
• Working closely with inpatient case management teams to coordinate consultations, referrals, and community resources to support the patient upon discharge.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree