Care Transition Liaison (RN) IHCI - Community North

Community Health Network • Indianapolis, IN

7d • Onsite

About The Position

Join Community Community Health Network was created by our neighbors, for our neighbors. Over 60 years later, “community” is still the heart of our organization. It means providing our neighbors with the best care possible, backed by state-of-the-art technology. It means getting involved in the communities we serve through volunteer opportunities and benefits initiatives. It means ensuring our dedicated caregivers can learn and grow to stay at the top of their fields and to better serve our patients. And above all, it means exceptional care, simply delivered — and we couldn’t do it without you. Partner with Community Health Network and Deaconess Health System – IHCI The Innovative Healthcare Collaborative of Indiana (IHCI) is a joint venture between Community Health Network and Deaconess Health System. Its goal is to support our sponsors and partners in their strategic evolution to positively impact and improve the healthcare delivery system. Make a Difference As a Care Transition Liaison on the IHCI Team, you will have the opportunity to make a profound impact on the lives of people living with complex and/ or chronic conditions. This is a fully onsite position at Community North Hospital. The Care Transition Liaison will be responsible for ensuring that value-based patients discharged from the hospital have been provided with disease specific education, are connected to a primary care physician, and have received assistance with discharge planning. In this role, the Care Transition Liaison will partner with other IHCI and hospital teams to serve as patient advocates and create seamless care transitions that allow patients being discharged from the hospital to have a safe and successful transition to their home. Integral to our Care Transition team, the Care Transition Liaison will work closely with our inpatient case management teams to coordinate consultations, referrals and community resources to support the patient upon discharge from area hospitals. Exceptional Skills and Qualifications

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 that value-based patients discharged from the hospital have been provided with disease specific education
• are connected to a primary care physician
• have received assistance with discharge planning
• partner with other IHCI and hospital teams to serve as patient advocates
• create seamless care transitions that allow patients being discharged from the hospital to have a safe and successful transition to their home
• work closely with our inpatient case management teams to coordinate consultations, referrals and community resources to support the patient upon discharge from area hospitals

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: Associate degree
• Number of Employees: 1,001-5,000 employees