Care Transition Manager RN - 40 hours

Texas Health Resources•Fort Worth, TX

22h•Onsite

About The Position

Texas Health Fort Worth is seeking a dedicated Care Transition Manager RN to join their team. This role is crucial in ensuring patients are transitioned to appropriate levels of care in a timely and effective manner. The position supports an 815-bed, Magnet-designated, full-service hospital that has served the Ft. Worth and surrounding community since 1930. Care Transition is described as a rewarding career with family-friendly hours.

Requirements

Bachelor’s degree in Nursing (BSN) required.
3 years staff nurse at an acute care hospital required
RN – Registered Nurse upon hire required
CPR – Cardiopulmonary Resuscitation upon hire required

Nice To Haves

1 year discharge planning/care management highly preferred
ACM – Accredited Case Manager upon hire preferred
CCM – Certified Case Manager upon hire preferred
ANCC upon hire preferred

Responsibilities

Responsible for ensuring patients are transitioned to appropriate levels of care in a timely and effective manner
Reviews the Risk of Unplanned Readmission (RUR ) scores daily for all assigned patients.
Identifies transition needs and discusses funding of post-transition care with patients and caregivers.
Coordinates with patients and families to manage chronic conditions and ensures appropriate post-discharge clinical follow up.
Assigns patients to and supports appropriate transition programs (e.g. ACO members) when applicable
Complies with all documentation requirements and documents all activities in the electronic health record